- Cedars-Sinai (Beverly Hills, CA)
- …with all team members of Utilization Management, Patient and Provider Services, Claims Department and other Care Coordination Department staff. In addition, the ... coordinating and arranging services for members. + Provides assistance to the Claims Department, when requested. + Documents all patient specific information in… more
- HUB International (Newport Beach, CA)
- …play a vital role in supporting our clients with day-to-day account management, claims management, and underwriting services that ensure they have what they need to ... maintains strong carrier relationships, and understands client needs. + Manages claims and coverage issue resolution for clients' employees when elevated from… more
- The County of Los Angeles (Los Angeles, CA)
- …to take the above steps to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be a valid reason for late ... + ###@shl.com + ###@proctoru.com + ###@amcatmail.com Los Angeles County will not consider claims of not viewing or receiving notification to be a valid reason for… more
- Southern California Edison (Rosemead, CA)
- …job, you'll play a crucial role in accounting for legal reserves, claims , and settlements, collaborating with various stakeholders and leadership to ensure accurate ... field + Experience working with internal and external legal counsel on legal claims and settlements and account for settlement entries. + Experience establishing and… more
- ICW Group (San Diego, CA)
- …optimizing data models that support actuarial analysis, policy processing, claims processing, underwriting, compliance reporting, and overall business intelligence ... logical, and physical) tailored for Workers Compensation Insurance data such as claims , policies, premiums, exposures, and provider networks. + Builds and maintains… more
- LA Care Health Plan (Los Angeles, CA)
- …Initiatives team include analysis of housing data on enrollment, payment, or claims data to identify operational problems or issues. Make recommendations to resolve ... Health initiatives operate. This operational and policy infrastructure includes claims processing, provider network management, community engagement, data and… more
- Axtria, Inc. (Thousand Oaks, CA)
- …as: + Patient analytics using Real World Data (RWD) sources such as Claims data, EHR/EMR data, lab/diagnostic testing data, etc. + Predictive modeling using Real ... Cardio and Bone will be preferred + Exposure to syndicated data sets including Claims , EMR/EHR data and exposure to/experience working with large data sets. + Strong… more
- Element Consulting (Los Angeles, CA)
- …schedule + Perform time impact analysis of project schedule delays and potential claims + Participate in change order negotiations + Perform Critical Path and Earned ... environment + Experience with time impact analysis + Experience with construction claims and change orders Salary dependent on education & experience. Salary range:… more
- Evolent (Sacramento, CA)
- …+ Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns, ... Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and various… more
- The County of Los Angeles (Los Angeles, CA)
- …from being filtered as spam/junk/clutter mail. Los Angeles County will not consider claims of not viewing or receiving notification to be a valid reason for ... from being filtered as spam/junk/clutter mail. Los Angeles County will not consider claims of not viewing or receiving notification to be a valid reason for… more