- Towne Park (San Jose, CA)
- …client satisfaction objectives. **DUTIES AND RESPONSIBILITIES** **_Financial and Business Systems Management_** + Understands and drives business metrics and ... the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover + Manages scheduling, overtime for associates… more
- Canon USA & Affiliates (Sacramento, CA)
- …and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business, ... expertise, and reviewing study/test-plan design. Influence regulatory specifications and claims strategy by providing clinical consultation during early phase… more
- Clay Lacy Aviation (Van Nuys, CA)
- …As the organization's subject matter expert in total compensation and systems integration, this leader ensures continuous improvement and enterprise-wide alignment. ... escalation point for sensitive payroll issues, wage disputes, and labor claims , providing strategic counsel and documentation to mitigate legal and financial… more
- Stanford Health Care (Palo Alto, CA)
- …is a Stanford Health Care job.** **A Brief Overview** The Specialty Pharmacy Representative serves as a key point of contact for patients, providing support with ... communication, coordinating refills and deliveries, verifying benefits, and resolving claim issues. Representatives are also responsible for completing patient… more
- Guidehouse (El Segundo, CA)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The **Team Lead - ... Hospital Claims ** is responsible for supervising and coordinating the daily...company and client standards + Strong understanding of all software/ systems used + Identify, validate, and report project trends… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …assigned disease areas within the CNS TA. + Act as a company representative and advocate in relevant medical and scientific communities for specific assigned areas ... areas. Knowledge and strong competency with the US healthcare system and regulatory landscape is required for this role....you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- EMCOR Group (Los Alamitos, CA)
- …KDC Inc. provides electrical, transportation, telecommunications, and control system integration services. Our electrical division performs specialty electrical ... contracting work as well as design/build projects. KDC Systems , our controls division, provides products and services for environmental monitoring, HVAC, lighting… more
- EFI Global (Sacramento, CA)
- …+ Strong understanding of client location coding parameters, banking methodology, and claims operating systems + Excellent oral and written communication, ... cultivate strategic partnerships in the **large complex loss and catastrophic property claims ** space. At the forefront of innovation and integrity, our firm… more
- LA Care Health Plan (Los Angeles, CA)
- …handling of member complaints whether presented by members, their authorized representative , the Ombudsman office, state contractors, member advocates, LA Care Board ... Collaborates with internal departments (Member Services, Provider Network Operations, Claims , Utilization Management, Pharmacy, and Quality Management) to ensure the… more
- The County of Los Angeles (Los Angeles, CA)
- …we're a cornerstone of our community's health. As the second largest municipal health system in the nation, DHS operates an integrated network of 25 health centers ... the requirements and guidelines for an effective and timely utilization review system . + Confers with physicians, administrative personnel, and other disciplines in… more