- TEKsystems (Los Angeles, CA)
- …The Quality Management department is responsible for completing and reviewing task related to claims that have been denied. They are the last line of defense and ... responsible for researching claims to send back to Health Plans for resubmission....our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions.… more
- Illumination Foundation (Santa Ana, CA)
- …Generalist is responsible for the coordination and administration of routine people operations . The role of the HR Generalist has both strategic and administrative ... + Partner with HR Business Partner on Workers' Compensation Claims . + Respond and prepare all documents for employee...at sites according to accommodations requests + Process EDD claims + Track employee work status reports and determine… more
- Evolent (Sacramento, CA)
- …fostering trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate ... raw unadjudicated claims data. **Qualifications Required and Preferred:** + Bachelor's degree, preferably with a quantitative major (eg actuarial, statistics, … more
- Sedgwick (Sacramento, CA)
- …presentation of material. + Reconciles various accounts. + Assist with day-to-day operations of accounting department or special projects as assigned by the Finance ... Manager or Director. + Process account collections/receivables. + Reconcile claims activity between general ledger and claims system and investigate… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …for ensuring the robustness, scalability, and compliance of downstream operations through effective technology transfer, validation support, process monitoring, ... risk assessment. + Provide expert technical oversight of downstream manufacturing operations at CDMOs, including review of batch records, deviation investigations,… more
- PCL Construction (Irvine, CA)
- …and payroll. * Partner with Manager Finance and Commercial Risk and operations staff on district strategy to achieve financial and strategic priorities. * ... project and district receivables and cash position. * Leads efforts with operations to develop mitigation strategies for risks and cost deviations. **Commercial Risk… more
- Robert Half Accountemps (French Camp, CA)
- …for a dedicated Patient Financial Services Supervisor to oversee medical billing operations in a healthcare environment. This long-term contract position is based in ... an excellent opportunity to lead a team responsible for ensuring accurate claims processing and maximizing reimbursements. The ideal candidate will have a strong… more
- Stanford Health Care (Palo Alto, CA)
- …identifying areas for improvement. This role ensures consistency in charge capture, claims submission, and reimbursement to safeguard revenue and minimize risk. The ... analyzes pharmacy billing data, including but not limited to charges and claims , to identify discrepancies, trends, and compliance gaps. + Participates in/leads… more
- Molina Healthcare (CA)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... provider-related data and reports in support of Network Management and Operations areas of responsibility (eg, Provider Services/Provider Inquiry Research &… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …supporting the company's portfolio, focusing on technical oversight of CDMO manufacturing operations . + Build, lead, mentor, and manage the MSAT team, fostering a ... with cross-functional teams including R&D, Quality Assurance, Regulatory Affairs, and Operations to align strategies and optimize product lifecycle management + Lead… more
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