- Molina Healthcare (San Diego, CA)
- …Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of ... healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
- PCL Construction (San Diego, CA)
- Contracts Manager **The future you want is within reach.** At PCL, we build the places where life happens and find camaraderie in the process. We're a community of ... a career you're proud of. Here's how a Contracts Manager for our Civil Infrastructure office contributes to our...trade partners' ability to pay. + Responsible for insurance claims and support other legal claims to… more
- The County of Los Angeles (Los Angeles, CA)
- SECTION MANAGER , INFORMATION TECHNOLOGY, SYSTEMS PROGRAMMING, ISD (CYBERSECURITY) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4516683) Apply ... SECTION MANAGER , INFORMATION TECHNOLOGY, SYSTEMS PROGRAMMING, ISD (CYBERSECURITY) Salary $152,036.88...as spam/junk/clutter mail. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- LA Care Health Plan (Los Angeles, CA)
- Community Health Program Manager II (ALD) Job Category: Administrative, HR, Business Professionals Department: Community Health Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Community Health Program Manager II is responsible for supporting Community Health projects designed to improve… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Customer Solution Center Appeals and Grievances Job Category: Management/Executive Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... support the safety net required to achieve that purpose. Job Summary The Manager , Customer Solution Center Appeals and Grievances is responsible for the centralized… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on reimbursement, access, and coverage issues for our products, ... staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- The County of Los Angeles (Los Angeles, CA)
- …- DEPARTMENTAL OPERATIONS (DEPARTMENTAL HUMAN RESOURCES MANAGER III) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/5018640) Apply HR ... DIRECTOR - DEPARTMENTAL OPERATIONS (DEPARTMENTAL HUMAN RESOURCES MANAGER III) Salary $152,555.76 - $237,254.88 Annually Location Los...take steps to view correspondence, andwe will not consider claims of missing notices to be a valid reason… more
- United Site Services (Fresno, CA)
- …excellence in every aspect of our business. **Primary Purpose** The Regional Safety Manager works to ensure compliance with health and safety laws. This position is ... working closely with field management and outside agencies. The Regional Safety Manager continuously looks for opportunities to improve safety thought the region and… more
- Walgreens (Woodland, CA)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- The County of Los Angeles (Los Angeles, CA)
- ADMINISTRATIVE MANAGER 11, ISD (Environmental Initiatives) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4701690) Apply ADMINISTRATIVE ... MANAGER 11, ISD (Environmental Initiatives) Salary $132,009.36 - $205,301.76...as spam/junk/clutter mail. Los Angeles County will not consider claims of not viewing or receiving notification to be… more