- CVS Health (Sacramento, CA)
- …Summary** This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients. ... presents cases at case conferences for multidisciplinary focus to benefit overall claim management. + Using a holistic approach, consults with clinical colleagues,… more
- Stanford University (Stanford, CA)
- …with third-party administrators, vendors, and consultants to investigate discrepancies, claim issues, and provide information in non-routine situations. + Review ... and performance, and ensure accurate and timely plan administration, claims payment, manage escalated issues, etc. + Manage monthly...posted on the Global HR website, within the HR Manager Toolkit and the Stanford Admin Guide. + Reporting,… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …terminology, ICD-10 codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims Preferred Qualifications: Bachelor's Degree Previous experience in the health ... processing Researching and responding to provider calls regarding authorization or claim payment status Any other questions they may have Skills Required:… more
- Adecco US, Inc. (Fountain Valley, CA)
- …listed below, apply now! **Job Summary** This position supports HMA's Sr. Manager , Risk Management & Compliance and Executive Director, Risk Management, Compliance & ... monitoring and resolution of company car accidents, usage and claims . **Responsibilities** **1. Company Car Accidents** - Investigate, prepare documentation… more
- HCA Healthcare (Campbell, CA)
- …The members of the Contracting Team include the CEO, CFO, President of SCCIPA, AVP Claims and Manager of Network Operations. We want you to apply! What you ... Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan,… more
- LA Care Health Plan (Los Angeles, CA)
- …Nurse (RN) - Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) American Case Management ... management referrals (5%) Performs prospective, concurrent, post-service, and retrospective claim medical review processes. Utilizes clinical judgement, independent analysis,… more
- Safran (Huntington Beach, CA)
- …Required experience : More than 3 years Professional status : Professional, Engineer & Manager Spoken language(s) : English Fluent Salary range : $68K - $97K USD \# ... Any questions ? **Job Description** Local candidates are strongly preferred , must be onsite. No relocation. Here, we craft...management. This job reports to the site Human Resources Manager . Summary of Duties (may or may not include… more
- City of Long Beach (Long Beach, CA)
- …managing employee leave programs, return-to-work processes, workplace accommodations, injury claims , payroll and timekeeping, and implementation of benefit plans. ... a team of 3, this role ensures that time-off, payroll, accommodations, and injury claims are handled accurately and in compliance with labor laws. You will serve as… more
- Robert Half Finance & Accounting (San Francisco, CA)
- …plans and strategies. Coordinates with insurance brokers to manage policies and report claims and ensures internal parties (eg, CEO, estate leadership) are aware of ... claim status. Assist in managing fleet operations to ensure...company policies. Serves as the liaison between the Fleet Manager and CEO. Coordinates with external partners in preparing… more
- Zurich NA (Los Angeles, CA)
- …work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... and interpersonal skills to grow and develop relationships with preferred distribution partners in an assigned territory. This role...at either the Mid-Senior or Senior Level. The hiring manager will determine the appropriate level based upon the… more