- BrightSpring Health Services (Union City, CA)
- …claim regulations and ensure compliance in processing. + Track unpaid or delayed claims ; generate reports for management . + Provide excellent customer service in ... + Support additional pharmacy tasks and operations as directed by management . Qualifications Qualifications Required: + High School diploma or equivalent. +… more
- BrightSpring Health Services (Anaheim, CA)
- …Responsible for timely reporting of all service site injuries and assist with the management of claims + Monitors service site expenses relative to budgets + ... ResCare Community Living Overview Schedule: Mon - Fri 6am to 2pm Operations Management focuses on efficiently meeting the needs of our clients across various lines… more
- EFI Global (Los Angeles, CA)
- …manner; documents all relevant facts pertaining to files in the appropriate claims handling system(s) and keeps management informed of developments that ... buildings or residences.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large loss, large… more
- BrightSpring Health Services (Yuba City, CA)
- …and financial expenditures + Reports all service site injuries and assists with the management of claims in a timely manner + Monitors service site expenses ... relative to budgets + Trains staff on financial and administrative controls Qualifications + High school diploma/GED and equivalent work experience of three years; Bachelor's degree in Business, Health Care Administration, or a Social Science preferred + One… more
- LA Care Health Plan (Los Angeles, CA)
- …relevant coding elements. Audits can include inpatient, outpatient, and professional claims . Serves cross functionally with Utilization Management , Medical ... terminology. Solid understanding of standard claims processing systems and claims data analysis. Strong project leadership and management skills required;… more
- J&J Family of Companies (Irvine, CA)
- …functions. + Lead Global portfolio strategy, positioning, channel, pricing and lifecycle management . + Lead clinical claims and evidence strategy and working ... processes related to business planning, strategic marketing plans, portfolio management and development, market research, new product launches, business performance… more
- Towne Park (Anaheim, CA)
- …claims are reported timely and accurately and cooperates with the Risk Management department to resolve claims + Consistently follows the progressive ... the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover + Manages scheduling, overtime for associates… more
- BrightSpring Health Services (Union City, CA)
- …knowledge of Medicaid claim regulations and processes. + Produces reports and keeps management informed of unpaid claims and claims pending follow-up. ... Prior supervisory experience. Skills/Knowledge: + Required: Knowledge of Medicaid claims regulations and processes. Basic understanding of drugs, medication… more
- GRAIL (Menlo Park, CA)
- …in a regulated environment. + Deep familiarity with MLR processes and claims governance; experience with vendor management . + Exceptional cross-functional ... relevant clinical data for the Galleri test; translate evidence into clear, balanced claims and messaging frameworks. + Serve as a primary marketing liaison to the… more
- CDM Smith (Carlsbad, CA)
- …Assist the project team in developing and maintaining a project risk register. Claim management : Early support for claims and disputes on the project. Identify ... Manager - Pacific will be responsible supporting the project management teams in CDM Constructors' Pacific region, primarily projects...contractual requirements to maintain and prosecute claims , and assist project team in managing to those… more