- Evolent (Sacramento, CA)
- …software/data engineering, with a focus on healthcare data. Previous leadership or management experience is preferred. + 3+ years of experience in designing ... as HIPAA, as well as healthcare systems and domains (FHIR/HL7, EMR/EHR, Claims , Members, Providers, Payors, etc.). + Experience with designing and implementing… more
- Sensata Technologies, Inc. (Thousand Oaks, CA)
- …skills; oral, written and presentation + Strong organization, planning and time management skills to achieve results + Strong personal and professional ethical ... date + Review regularly and assist in the timely resolution of customer concerns/ claims / cares on the portals related to the delivery process + Executes manual… more
- Deloitte (Los Angeles, CA)
- …+ Prepare self-insured financial projections and support health plan management , including financial reporting, premium rate setting, and employee contributions. ... by reviewing services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against strategy. +… more
- Walmart (Mcclellan, CA)
- …verification. + Identify and perform warrantable repairs; retain parts and submit warranty claims to ensure proper credit. + Maintain a clean, organized, and safe ... environment. + Communicate issues regarding tools, supplies, and safety concerns to management . + Perform additional duties as assigned by supervisors. **What You'll… more
- Humana (Sacramento, CA)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with health insurance organizations, hospitals… more
- Robert Half Office Team (San Mateo, CA)
- …updating demographics and posting payments. * Resolve billing issues, address claims discrepancies, and ensure necessary authorizations are obtained before visits. * ... * Strong skills in Microsoft Office Suite, including Excel, for data management and reporting. * Knowledge of billing processes, claim administration, and benefit… more
- J&J Family of Companies (Fresno, CA)
- …on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local ... + Minimum of 5 years of relevant professional experience + Account Management and/or Reimbursement experience working in the hospital and/or provider office setting,… more
- J&J Family of Companies (San Jose, CA)
- …on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local ... . Minimum of 5 years of relevant professional experience . Account Management and/or Reimbursement experience working in the hospital and/or provider office setting,… more
- Walmart (El Monte, CA)
- …appropriately merchandising and completing required documentation Tracks and processes claims by returning damaged goods handling liquidation merchandise maintaining ... standard guidelines and correcting andor reporting unsafe situations to facility management Complies with company policies procedures and standards of ethics and… more
- Siemens (Los Angeles, CA)
- …Manager for Electrical Products. This position reports to EP Manager, Project Management Organization. The successful candidate will interface with both internal and ... minimal intervention from Sales. Will assist and support in warranty related claims while balancing best bottom-line results and customer experience. You'll win us… more