• Pharmacy Coordinator

    Highmark Health (Sacramento, CA)
    …+ High school diploma or GED + Experience in pharmacy prescription claims processing /submission/payment. **Preferred** + Associate degree + Pharmacy technician ... inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly… more
    Highmark Health (12/18/25)
    - Related Jobs
  • Sr. Research Scientist, Scientific Affairs

    Herbalife (Torrance, CA)
    …and MX. The position's accountabilities include reviewing scientific literature for claim substantiation based on the totality of evidence, supporting Herbalife ... reports to support scientific substantiation of product safety and efficacy claims under minimum guidance. * Develops product efficacy and safety documentation… more
    Herbalife (12/12/25)
    - Related Jobs
  • Accountant II

    The County of Los Angeles (Los Angeles, CA)
    …+ Evaluates and reconciles complex operating systems for cost reporting and claims processing reimbursements from other government agencies. + Prepares balance ... operating statements, final accounting for construction and other projects, and claims for reimbursement from other government agencies or private contractors.… more
    The County of Los Angeles (11/01/25)
    - Related Jobs
  • Accounts Receivable, Customer Service Operations

    Cardinal Health (Sacramento, CA)
    …reviewing, and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard ... for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following...and submitting claims to payers, correcting rejected claims , following up on unpaid and denied claims more
    Cardinal Health (01/03/26)
    - Related Jobs
  • Payment Integrity Nurse Coder RN III

    LA Care Health Plan (Los Angeles, CA)
    …knowledge of claims coding and medical terminology. Solid understanding of standard claims processing systems and claims data analysis. Strong project ... Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition… more
    LA Care Health Plan (10/23/25)
    - Related Jobs
  • Revenue Integrity Analyst

    UCLA Health (Los Angeles, CA)
    …Microsoft Excel + Knowledge of Tableau Reporting dashboards + Understanding of Medicare/Medi-Cal claims processing guidelines + Experience with EPIC EHR, Cirius ... government regulations, reimbursement issues, etc. + Analyze hospital billing claims within the EHR and claim scrubber system + Resolve claim errors, edits,… more
    UCLA Health (11/25/25)
    - Related Jobs
  • Medical Biller

    Robert Half Accountemps (Los Angeles, CA)
    …and manually, as needed, and uses all technology available to produce clean claims . * Interprets claims processing reports and applies information ... information as necessary in order to produce a clean claim . * Meets or exceeds productivity standards in the...ability to analyze coding to assure proper billing of claim . * Participates in a variety of hospital educational… more
    Robert Half Accountemps (01/01/26)
    - Related Jobs
  • Specialist, Revenue Cycle - Managed Care

    Cardinal Health (Sacramento, CA)
    … + Preparing, reviewing and billing claims via electronic software and paper claim processing + Insurance claims follow up regarding discrepancies in ... administration, customer and vendor pricing, rebates, billing (including drop-ships), processing charge backs and vendor invoices, developing and negotiating… more
    Cardinal Health (01/13/26)
    - Related Jobs
  • Sr. QNXT Configuration Analyst

    Cognizant (Sacramento, CA)
    …will make an impact by configuring and maintaining QNXT systems to ensure accurate claims processing and compliance with client requirements. You will be a ... + Perform **back-end queries** and validate configuration setups to ensure accurate claim processing . + Advise clients on **configuration decisions** in… more
    Cognizant (01/06/26)
    - Related Jobs
  • Office Assistant | Pasadena, CA (In-Office)

    Sedgwick (Pasadena, CA)
    claim files. + Processes packets. + Conducts computer data entry and processing ; documents claim files in the system correctly. + Prepares spreadsheets and ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
    Sedgwick (01/13/26)
    - Related Jobs