- Cognizant (Sacramento, CA)
- …processes, training, continuous improvement, system automation. + System health monitoring of: Claim adjudication jobs, ASP alerts, CPU alerts, Claims queue ... team is responsible for 24x7x365 monitoring of all IBM i LPARS, along with processing all backups. This role will also involve monitoring the IBM i RxClaim health,… more
- Humana (Sacramento, CA)
- …Qualifications** + Minimum 1 year of experience medical claims payment and processing in a medical claim 's environment + Experience creating pivot tables and ... consumable information within Excel + Knowledgeable in regulations governing health care industries or related adjacent industries **Additional Information** **Work-At-Home Requirements:** + WAH requirements: Must have the ability to provide a high-speed DSL… more
- Interior, Bureau of Indian Affairs (Sacramento, CA)
- …and manual data systems used by human services programs for receiving and processing ICWA notices and tracking and maintaining tribal ICWA designated agent contact ... MUST provide transcripts or other documentation to support your educational claims . Unless otherwise stated: (1) official or unofficial transcripts are acceptable,… more
- The County of Los Angeles (Los Angeles, CA)
- …and directs other professional staff members in working with data processing providers in the design and technical development of computerized applications. ... to take the above steps to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be a valid reason for a late… more
- Highmark Health (Sacramento, CA)
- …analytical and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong ... and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting… more
- The County of Los Angeles (Los Angeles, CA)
- …enforcement of the Food Sanitation Act through inspection of food processing facilities, repacking warehouses, market complexes, and salvagers, monitoring food ... to take the above steps to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be a valid reason for a late… more
- CVS Health (Sacramento, CA)
- …relevant to the member to determine accuracy/appropriateness of benefit/administrative denial. + Research claim processing logic to verify accuracy of claim ... + At least 2+ years in one of the following areas: claim platforms, products, and benefits; patient management; product or contract drafting; compliance… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …as the primary technical subject matter expert (SME) for downstream processing (chromatography, TFF/UFDF, viral clearance/filtration, etc.). + Lead and manage the ... regulatory submissions (IND, BLA, MAA, etc.) related to downstream processing . + Collaborate closely with Upstream MSAT, Validation MSAT,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …+ Serve as the primary technical subject matter expert (SME) for upstream processing (cell culture/fermentation, harvest). + Lead and manage the technical aspects of ... regulatory submissions (IND, BLA, MAA, etc.) related to upstream processing . + Collaborate closely with Downstream MSAT, Validation MSAT,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Walmart (Yuba City, CA)
- …by ensuring proper policies and procedures are followed Ensures the timely processing of claims forexample damaged defective returned liquidated items and ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more