- Humana (Sacramento, CA)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... part of the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement...IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the… more
- UCLA Health (Los Angeles, CA)
- …a member of the Medicare Advantage Operations team, Business Data Analyst is instrumental in independently developing the detailed requirements specifications ... the liaison between business units, external trading partners, IT teams and support teams + ensure functional and non-functional requirements are understood and… more
- Cedars-Sinai (Beverly Hills, CA)
- …Healthcare Data systems is needed. Knowledge of electronic health records (EHR), claims data, and health information systems (e.ge., Epic, Cerner); Familiarity ... care we strive for. **What will you be doing:** The Senior Financial Analyst is responsible for assisting with the development, design, maintenance, coordination and… more
- Evolent (Sacramento, CA)
- …accuracy, collaboration, and innovation, ensuring that all team members receive the support , tools, and skills to positively contribute to Evolent's broader mission. ... will be primarily focused on performing medical economics analysis in support of complex risk-based contract development and will partner with stakeholders… 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 ... of streamlined tools and perform robust quantitative analyses to support reserving accuracy, optimize insurance program structure, and carrier negotiation… 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. ... and approve credit applications by verifying contractor references, licenses, and bonding information . * Analyze and monitor credit exposure based on project size,… more
- Palo Alto Networks (Santa Clara, CA)
- …FAQs,and enablement decks + **Engage with the field** to provide deep-dive technical support on competitive claims and assistin high-stakes sales situations + ... written, and verbal communication skills + Ability to present complex technical information to both technical and non-technical audiences **Nice to Have** + Prior… more
- CVS Health (Sacramento, CA)
- …day. **Position Summary** Inspects and provides accurate claim information to support savings optimization for claims . Responds to customers on benefit ... Administers policies and procedures for medical cost management. Coordinates support functions for claim adjudication. **Required Qualifications** Effective communication,… more
- WTW (San Francisco, CA)
- …evaluation and management, pricing and funding strategies, data analytics, valuation support , and legal compliance and governance strategies. We also provide ... management program design, pharmacy solutions, disability/absence management strategies and claims audit services. Product-based solutions such as our pharmacy… more
- UCLA Health (Los Angeles, CA)
- …as a liaison between business units, external trading partners, IT, and support teams. You will: + Ensure functional and non-functional requirements are understood ... Deliver and update training documentation + Generate ad hoc reports to support the operations team Salary Range: $78,500 - $163,600/annually Qualifications We're… more