- Sedgwick (Sacramento, CA)
- …partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work ... medical/clinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …through effective technology transfer, validation, process monitoring, and lifecycle management . This individual will serve as the primary technical steward ... and Operations to align strategies and optimize product lifecycle management + Lead root cause investigations for manufacturing deviations...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …(Word, Excel, PowerPoint, Outlook) and familiarity with electronic document management systems (EDMS). **Competencies** See OPDC Competencies Chart (Level X) ... in regulatory affairs or related areas (eg, clinical development, project management , quality assurance, etc.) in pharmaceutical or healthcare related industry.… more
- Dignity Health (San Bernardino, CA)
- …In this position, you will serve as the central liaison between employees, management , healthcare providers, and our third-party administrator. You will guide the ... claims process from start to finish-investigating work-related injuries, managing...Medical Center. + Serve as liaison between injured employees, management , healthcare providers, and the Workers' Compensation administrator. +… more
- Elevance Health (Los Angeles, CA)
- …in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health insurance policies, ... health insurance claims handling and provider network contracting. **How will you...and/or state. + May interface internally with Senior level management and legal department throughout investigative process. + May… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …working with Business Analysis to enhance field intelligence capabilities. + **Compliance Management :** Must comply with all state and federal laws, regulations and ... expertise in business analytics, business operations, sales support, and resource management within a commercial pharmaceutical organization. + Ability to focus on… more
- Zurich NA (Irvine, CA)
- …our customers, the candidate, and Zurich North America. At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it ... next career move. Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing employees to conduct individual work… more
- Norstella (Sacramento, CA)
- …offerings leveraging Norstella's unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be joining an organization ... accuracy and quality. *Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, to uncover actionable insights and drive… more
- UCLA Health (Los Angeles, CA)
- …team and support accurate and timely processing of inpatient and outpatient claims . This role requires expertise in billing guidelines, customer service, and appeals ... skills. In this role, you will: + Accurately process inpatient and outpatient claims to third-party payers, adhering to all mandated billing guidelines. + Ensure… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …+ Work with bioanalytical team members on activities related to sample management , pharmacogenomics and biomarker development and provide analysis support related to ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more