- CDM Smith (San Diego, CA)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...of the disaster on the applicant's assets, inventory, and operations . * Expert Testimony and Litigation Support: In cases… more
- UIC Government Services and the Bowhead Family of Companies (Corona, CA)
- …California. The Junior Management Analyst will work directly for the Program Manager and Senior Management Analyst in analyzing complex and unique technical support ... and supportability. The Junior Management Analyst will support the Program Manager and Senior Management Analyst in managing technical infrastructure supporting… more
- Sedgwick (Sacramento, CA)
- …presentation of material. + Reconciles various accounts. + Assist with day-to-day operations of accounting department or special projects as assigned by the Finance ... Manager or Director. + Process account collections/receivables. + Reconcile claims activity between general ledger and claims system and investigate… more
- Sharp HealthCare (San Diego, CA)
- …of service and interaction is provided, including accurate and timely claims processing, issue resolution, performance recognition, education and training programs, ... purpose of developing and enhancing provider relationships.Maintains the provider operations manual, and provider communications to ensure compliance with… more
- Walgreens (Los Gatos, CA)
- …until satisfied, etc.). Develops strong relationships with most valuable customers. Operations Under the supervision by the pharmacist, assist in the practice ... Code of Conduct. Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Walgreens (San Bruno, CA)
- …until satisfied, etc.). + Develops strong relationships with most valuable customers. ** Operations ** + Under the supervision by the pharmacist, assist in the ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Sharp HealthCare (San Diego, CA)
- …oversees the health care needs of the membership. Serves as a lead medical manager and policy advisor to SHP clinical and its' Chief Medical Officer. **Required ... management such as provider relations, member services, benefits and claims management, IT management, etc. + Plans, organizes, and...the Quality Management Committee, P and T and Joint Operations Committees with the PMGs. + Participates in key… more
- Walgreens (Madera, CA)
- …and builds relationship with case managers, nurses and other hospital staff members. ** Operations ** + Under the supervision by the pharmacist, assist in the practice ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Walgreens (Long Beach, CA)
- …until satisfied, etc.). + Develops strong relationships with most valuable customers. ** Operations ** + Under the supervision by the pharmacist, assist in the ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Walgreens (San Rafael, 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