- Prime Healthcare (Ontario, CA)
- …+ A minimum of seven (7) to ten (10) years prior work experience in Claims Operations and Health Plan Strategy, in a Managed Care, Self-Funded or hospital ... requires relocating to Ontario, California. TheVice President of Health Plan Operations and Claims is responsible for the development and execution of Claim … more
- Zurich NA (Woodland Hills, CA)
- …enhancements. + Supporting the development and implementation of best practices across property claims operations + Acting as a liaison between claims ... Commercial Property Claims Handler 126576 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to… more
- Robert Half Office Team (Roseville, CA)
- …organizational skills and attention to detail. The role involves supporting claims operations through accurate data entry, communication, and administrative ... Description We are looking for a dedicated Claims Assistant to join our team in Roseville,...in a fast-paced environment. Responsibilities: * Accurately input new claims into the claims management system. *… more
- Ryder System (Sacramento, CA)
- …party claimants. + Interacts with Law Department on significant cases, and updates field operations personnel on claims status. + Recommends and sets reserves to ... here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Senior Claims Representative handles complex and mid-to-high exposure bodily injury… more
- Walmart (Yuba City, CA)
- …versustraining Determines training needs Develops and delivers training as needed Manages claims and receiving operations by ensuring proper policies and ... and collaborating with all levels of associates regarding store operations utilizing technology business initiativesmerchandising and company direction introducing… more
- HCA Healthcare (Campbell, CA)
- …physician and ancillary agreements and Letters of Agreement + Working knowledge of claims operations , credentialing process and overall MSO operations + ... of the Contracting Team include the CEO, CFO, President of SCCIPA, AVP Claims and Manager of Network Operations . We want you to apply! What you will do in this… more
- Sanofi Group (Los Angeles, CA)
- …deep operational knowledge of the US healthcare system, including formulary operations , claims adjudication, specialty pharmacy networks, and contract ... **Job Title:** Associate Director, National Account Operations CVS - US Remote **Location:** Remote/Field Based...Based **About the Job** The **Associate Director, National Account Operations ** is a key strategic and executional leader within… more
- Providence (CA)
- …statements for services and take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims and claims with potential for ... empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional, general,… more
- Providence (Irvine, CA)
- …+ Experience working collaboratively with cross-functional teams including risk, compliance, claims , and operations . + Superior communication skills in both ... and case strategy. This role works closely with Risk Management, Compliance, Claims , and operational leaders to protect the organization's interests while advancing… more
- Highmark Health (Sacramento, CA)
- …MUST BE A US CITIZEN This position serves as a key liaison between Claims Operations , Customer Service, Regulatory Affairs, IT, Legal and other departments, ... and industry regulatory changes and assess their potential impact on Claims Operations , Customer Service and other operational areas processes and collaborate… more
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