- Humana (Sacramento, CA)
- …The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on problems of ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Medtronic (Irvine, CA)
- …and compliantly. + Advise on federal healthcare laws, antikickback, antitrust, False Claims Act, HIPAA, state data privacy and security laws, software licensing, FDA ... and drafting technology licensing agreements, data use agreements, Business Associate Agreements, capital acquisition programs (sales, leasing, and financing),… more
- Walmart (Yuba City, CA)
- …journals and invoices compiling and reporting budget information submitting warranty claims complying with Occupational Safety and Health Administration OSHA and ... Individual: Demonstrates and encourages respect for others drives a positive associate and customermember experience for all embraces differences in people cultures… more
- Ensono (Los Angeles, CA)
- …compliance requirements. + Experience with Fiscal Intermediary Shared System (FISS), Medicare Claims System (MCS), Clerk ID, Veteran-Directed Care (VDC) and other VA ... company and individual performance, and an equity grant under our Associate Equity Appreciation Program. Ensono is an Equal Opportunity/Affirmative Action employer.… more
- The County of Los Angeles (Los Angeles, CA)
- …education completed from an accredited college or university? + Not Applicable + Associate 's degree + Bachelor's degree + Master's degree or higher 03 I understand ... to take the above steps to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be a valid reason for a late… more
- Molina Healthcare (Long Beach, CA)
- …Plan and its service area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate 's Degree or equivalent provider contract, network development and management, ... & ABILITIES** : * 2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed… more
- Cardinal Health (Sacramento, CA)
- …laws including, Antitrust; healthcare laws and regulations, (eg, Anti-Kickback, False Claims Act, and HIPAA); and Marketing and Advertising + Demonstrate excellent ... customer services and FDA approved pharmaceuticals. + Review Business Associate Agreements, Confidentiality Agreements and Information Security Agreements **_Qualifications_**… more
- Robert Half Finance & Accounting (Woodland Hills, CA)
- …significant transactions, such as purchasing homes or vehicles, and handle insurance claims and renewals. * Provide prompt and thorough responses to client ... ideally working with high-net-worth individuals or in a business management setting. * Associate 's or Bachelor's degree in Accounting, Finance, or a related field is… more
- Deloitte (Costa Mesa, CA)
- …by reviewing services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against strategy. + ... Society of Actuaries (SOA) or Casualty Actuarial Society (CAS) exams, or achieved Associate -level status (ASA/ACAS) or higher. The wage range for this role takes… more
- Amgen (Thousand Oaks, CA)
- …root cause, such that decisions are both timely, and supported by clear Claims / Reasons / Evidence-based reasoning, ensuring patient safety. + Conducts risk ... + Bachelor's Degree and 4 years of Engineering and/or Operations experience OR + Associate 's degree and 8 years of Engineering and/or Operations experience OR + High… more