- The County of Los Angeles (Los Angeles, CA)
- …level agreements and manages to ensure their attainment. Coordinates information systems activities with other divisions/sections or County departments to optimize ... existing hardware and software and leverage design of new systems . Manages and/or supervises and participates in the assessment...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- Parker Hannifin Corporation (Irvine, CA)
- Purchasing Specialist - Fluid Systems Division Location : IRVINE, CA, United States Job Family : Procurement Job Type : Regular Posted : Nov 26, 2025 Job ID : 60817 ... suppliers and company personnel. + Negotiates and settles damage claims , rejections, losses, return of materials, over-shipments, cancellations and engineering… more
- Naval Air Systems Command (San Diego, CA)
- …subassemblies, printed circuit cards and chassis to complete electronics systems . You will perform disassembly, repair modification, assembly, testing, installation ... overhaul, modification, installation, troubleshooting, repair and maintenance of complete systems , subsystems and components. You will perform more simple tasks… more
- Providence (Anaheim, CA)
- …administrative and operational support necessary to manage medical malpractice risk, claims , and patient safety interface functions. The Director will partner with ... + Develop policies, procedures, and workflows to manage malpractice claims , patient complaints, and early-resolution strategies. + Partner with malpractice… more
- EPAM Systems (San Francisco, CA)
- …E2E testing strategies + Develop and communicate test strategies covering pharmacy claims processing, NCPDP transactions, and benefit designs + Design test scenarios ... leading large, complex, cross-functional teams + Extensive knowledge of pharmacy claims adjudication, NCPDP protocols, formulary management, and benefit design +… more
- CVS Health (Sacramento, CA)
- …Can review a clinical determination and understand rationale for decision. Able to research claim processing logic and various systems to verify accuracy of ... Serves as point person for newer staff in answering questions associated with claims /customer service systems and products. Educates team mates as well as… more
- City and County of San Francisco (San Francisco, CA)
- …to charge errors, claims submission volume, denials and trends based on claim type and/or payer, including unbilled inventory to ensure the team is prioritizing ... San Francisco Health Network is the City's only complete system of care and has locations throughout the City,...editing, transmission and controls over data required for electronic claim submission. Works closely with IT and Vendors to… more
- CVS Health (Sacramento, CA)
- …and key litigation activities. + Utilizing legal skills to oversee and manage claims against CVS from the initiation of suit through resolution. + Managing all ... identify the litigation strategy in every case assigned. + Creating a plan for claim evaluation to most efficiently resolve or defend cases against CVS while working… more
- 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
- Sedgwick (Sacramento, CA)
- …and change logs and JURIS EDI technical mapping; existing workers' compensation claim systems , workers compensation adjuster job functions, client parameter ... them to the technical EDI mapping in JURIS identifying system defects and managing escalation and resolution with the...to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI… more