- Highmark Health (Sacramento, CA)
- …Degree **EXPERIENCE** **Required** + 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or experience in a related operational ... area (eg claims , billing, customer service, etc.) **Preferred** + 1 - 3 years in the Health Insurance Industry **LICENSES OR CERTIFICATIONS** **Required** + None… more
- Evolent (Sacramento, CA)
- …into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant ... findings. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate raw unadjudicated claims data.… more
- Robert Half Office Team (Stockton, CA)
- Description We are looking for a Benefits and Leave Analyst to join our team in Stockton, California. This role involves managing key aspects of employee benefits, ... to optimize program offerings. * Oversee workers' compensation cases, including claims management and reporting. * Develop and implement procedures to enhance… more
- DoorDash (San Francisco, CA)
- …About the Role We are looking for a motivated and detail-oriented Senior Actuarial Analyst who will be a member of DoorDash's Corporate Risk & Insurance function ... automation of recurring workflows + Collaborate with cross-functional teams-including Claims , Finance, and Legal-to incorporate operational insights into actuarial… more
- Robert Half Accountemps (Brea, CA)
- …of construction-related credit practices, legal tools such as lien and bond claims , and the ability to work effectively in a fast-paced, project-driven environment. ... * Prepare and file Stop Payment Notices and Bond Claims in compliance with California construction laws. * Maintain...of California Lien Law, Stop Payment Notices, and Bond Claims . * Excellent communication skills for engaging in payment… more
- UCLA Health (Los Angeles, CA)
- …compliance with government regulations, reimbursement issues, etc. + Analyze hospital billing claims within the EHR and claim scrubber system + Resolve claim errors, ... + Knowledge of Tableau Reporting dashboards + Understanding of Medicare/Medi-Cal claims processing guidelines + Experience with EPIC EHR, Cirius Claim Scrubber,… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …in collaboration with the Risk Management team. * Assist with claims documentation and reporting requirements. * Maintain insurance-related records, reports, and ... tracking tools. * Process routine insurance requests (eg, Certificates of Insurance). * Compile and distribute monthly deductible reports to Finance and other stakeholders. * Assist in preparing insurance-related sections of Audit Committee reports. * Maintain… more
- WTW (San Francisco, CA)
- …management program design, pharmacy solutions, disability/absence management strategies and claims audit services. Product-based solutions such as our pharmacy ... purchasing coalition round out our broad-based suite of offerings. **Explore an opportunity:** WTW's Recent College Graduate Program (RCGP) is a centrally run, 12-month program for recent college graduates. The program offers a centralized team to support… more
- Molina Healthcare (Long Beach, CA)
- …+ SQL expertise + Excel expertise + Medicare, Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting ... and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made… more
- Highmark Health (Sacramento, CA)
- …5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project leadership ... in a complex, matrixed environment (payer and/or provider preferred) + 3 years of providing analytical consultation to clinical, administrative, operational and financial stakeholders **Preferred** + None **LICENSES or CERTIFICATIONS** **Required** + None… more
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