- HCA Healthcare (Campbell, CA)
- …+ Collaborate in the development, implementation, and maintenance of databases, tools and systems that will be used for Health plan Metrics, Analytics and Reporting ... and Monthly Performance + Work with Finance, Medical Management, Contracting, IT and Claims departments + Provide support for and attend health plan Joint Operating… more
- Genentech (South San Francisco, CA)
- …acumen in medical data use cases and their innovative applications. As a systems thinker and a strong collaborator across the R&D enterprise, this individual will ... Azure, or GCP). + Familiarity with healthcare and biomedical data (EHR, claims , registries, genomics, imaging, digital, PROs) and relevant standards (OMOP, FHIR,… more
- Highmark Health (Sacramento, CA)
- …(AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must ... have understanding of technical and financial aspects of the health insurance industry + Strong personal computer skills, along with the ability to use fraud/abuse data mining tools are required + Must possess excellent communication skills and be detailed… more
- NBC Universal (Universal City, CA)
- …peers and employees in a professional manner. + Assist with workers compensation claims management. + Conduct ongoing review of assigned productions to ensure that ... the application of EHS processes and systems are effective. + Maintain departmental safety and personal protective equipment (PPE) inventory and distribution… more
- Genentech (South San Francisco, CA)
- …value proposition across the full value chain, from payers, to health systems , to prescribers, to patients. Marketers are masterful storytellers - accountable to ... and creation of core materials with Agencies of Record (AoR), websites, claims , components, tailoring original content to specific customer segments and personas… more
- MANCON (San Diego, CA)
- …background in either the following disciplines: Military Pay, Military Personnel, Travel Claims or Navy Transportation. Substitutions for HR background can be from ... as computers, electric typewriters, copiers, fax machines, and other office automation systems to perform a substantial range of office automation support Physical… more
- Molina Healthcare (San Francisco, CA)
- …member eligibility and covered benefits, Provider Portal, and status of submitted claims . * Ability to effectively communicate in a professionally setting. **Job ... combination of education and experience **PREFERRED EXPERIENCE** : + 1-3 years + Preferred Systems Training: + Microsoft Office + Genesys + Salesforce + Pega + QNXT… more
- Intuit (Mountain View, CA)
- …strategy, develop winning product positioning including differentiated, insights-based messaging and claims , and influence the product roadmap to deliver on the ... significant, measurable performance results + Technical Acumen: Understanding of payment systems and money movement is a plus + Excellent verbal,… more
- AbbVie (San Diego, CA)
- …policies to educate providers on payer issues, coding changes, and appropriate claims submission processes + Liaise with AbbVie's Access and Reimbursement support ... support services + Thorough understanding of the technical payer policy processes, systems and requirements for coverage, coding, and payment for specialty medicines… more
- Bayer (Oakland, CA)
- …safety through approved clinical information for healthcare professionals and health systems ; + Demonstrate expertise and knowledge of disease state, the ... referral networks for portfolio; + Thorough understanding of competitive landscape, including Claims Data within your territory; + Ensure that all assigned employee… more