- Dignity Health (Oxnard, CA)
- …duties. + Familiarity with third party administrator operations such as eligibility , prior authorization, claims administration and provider network ... **Responsibilities** The Provider Relations Representative is responsible for establishing and maintaining positive relationships with various clients building… more
- ZOLL Medical Corporation (San Jose, CA)
- …and workflows to achieve operational efficiencies. + Responsible for improved claims billing yield within a defined geography consisting of assigned accounts, ... including eligibility for potential bonus incentive opportunities based on same....business needs. Physical DemandsThe physical demands described here are representative of those that must be met by an… more
- Gilead Sciences, Inc. (Foster City, CA)
- …and help create possible, together. **Job Description** _The following duties/functions are representative of the key duties and will be primary focused in Breast ... Marketing organizations and experience with pharmaceutical data sources eg, Patient claims , EMR/EHR, Lab Data, chart audits, etc. Experience in conducting commercial… more
- Gilead Sciences, Inc. (Sacramento, CA)
- …and Drug Administration's implementing regulations, the Federal Anti-Kickback Statute, the False Claims Act, PhRMA, Corporate Code of Business Conduct and the Office ... each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
- WTW (San Diego, CA)
- …America P&C propositions, especially in the business-focused areas of Pricing, Product, Claims and Underwriting. Our goal is to substantially increase our footprint ... to the NA Commercial Specialty mission + Build a market profile as a representative and advocate of WTW consulting services and software tools, and play a leading… more
- Carollo Engineers (San Diego, CA)
- …and construction/project management certification (CCM/PMI) + Direct owner representative experience and management involvement in municipal programs/projects + ... development, client services and skilled in project controls systems, problem solving, claims avoidance **Pay Range** $170,000 to $220,000 annually. This is the… more
- CDM Smith (Carlsbad, CA)
- …specialists when appropriate throughout the process. * Obtains the applicant representative 's agreement that all disaster-related damage was described and quantified ... meets regularly on the status. * Evaluates applicant-provided cost claims for reasonableness to report to FEMA regarding claim... for reasonableness to report to FEMA regarding claim eligibility . Participates in and assists with the development of… more