- NTT DATA North America (Merced, CA)
- …experienced DSNP Business Analyst with specialized knowledge in Medicare and D-SNP claims processing. The ideal candidate will bring a strong understanding of CMS ... guidelines, particularly related to the implementation of claims solutions within the California D-SNP market. This role plays a critical function in bridging… more
- UIC Government Services and the Bowhead Family of Companies (Corona, CA)
- **Overview** Bowhead seeks a Junior Management Analyst to join our team supporting the program office for NSWC Corona - Corona Division in Norco, California. The ... Junior Management Analyst will work directly for the Program Manager...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- The County of Los Angeles (Los Angeles, CA)
- CAPITAL PROJECTS MANAGEMENT ASSOCIATE, PW Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4671874) Apply CAPITAL PROJECTS MANAGEMENT ... miss an opportunity to join our team! Essential Job Functions ACapital Projects Management Associate, PW is responsible for performing a combination of the following… more
- Travelers Insurance Company (Diamond Bar, CA)
- …Analysis (CFA) for adherence to quality standards and trend analysis. + Utilizes diary management system to ensure that all claims are handled timely. At ... resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Cedars-Sinai (Beverly Hills, CA)
- …process. The coordinator works collaboratively with all team members of Utilization Management , Patient and Provider Services, Claims Department and other Care ... **Job Description** The Case Management Coordinator provides support to the utilization review...arranging services for members. + Provides assistance to the Claims Department, when requested. + Documents all patient specific… more
- Cedars-Sinai (Beverly Hills, CA)
- …process. The coordinator works collaboratively with all team members of Utilization Management , Patient and Provider Services, Claims Department and other Care ... / Medical Groups as requested by the UM Nurses, Medical Directors, or Management . + Processes Extensions and Denial Letters, when needed. + Prepares Utilization… more
- Travelers Insurance Company (Gardena, CA)
- …this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim ... resolution for personal or business claims of moderate severity and complexity. Handles ...required. + Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling… more
- Humana (Sacramento, CA)
- …our caring community and help us put health first The Encounter Data Management Professional will conduct research and analysis to execute accurate, timely, and ... completeness of DSNP encounter submissions. Encounter Data Management Professional will have comprehensive knowledge of processes, policies and procedures as well as… more
- Humana (Sacramento, CA)
- …community and help us put health first** The Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation ... documented procedures/regulations/professional standards with some interpretation. Humana's Encounter Data Management (EDM) team is seeking an Encounter Data … more
- Cardinal Health (Fresno, CA)
- **_What Revenue Cycle Management (RCM) contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative operations of a ... medical practice. The Revenue Cycle Management team focuses on a series of clinical and...and pursuing payment for all unpaid and delinquent denied claims . They also act as a liaison between the… more