- Norstella (Sacramento, CA)
- …integrating diverse data sources, including laboratory data, electronic medical records (EMR), claims data, and social determinants of health (SDoH) data, to drive ... goals. + Drive the integration of diverse data sources, including lab, EMR, claims , and SDoH data, to create comprehensive and actionable datasets + Identify and… more
- Otsuka America Pharmaceutical Inc. (San Francisco, CA)
- …as needed. + Ensure customer requests are met and solicit feedback on the quality of engagement. + Facilitate speaker programs to share knowledge and insights. + ... 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
- University of Southern California (Los Angeles, CA)
- …identifies trends and needs and establishes program directions accordingly. Assesses quality of program operations. Modifies existing program services or creates new ... of customer satisfaction with emphasis on customer service, highest standards of quality and innovation. Manages and resolves human resource and member claims… more
- Sedgwick (Sacramento, CA)
- …regulations, and client service requirements and assure efficient, cost effective, quality program delivery for medical and disability management. + Coordinating and ... Pension Board + Review of identified appeal cases for quality assurance purposes + Voting member to determine if...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- LA Care Health Plan (Los Angeles, CA)
- …the right time. Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents ... together to achieve the triple aim of better health quality outcomes, better patient experience of care, and lower...include analysis of housing data on enrollment, payment, or claims data to identify operational problems or issues. Make… more
- City of Carlsbad (Carlsbad, CA)
- …115,000 residents and a diverse business community by providing high quality services, including dedicated public safety personnel, well-maintained parks, three ... and talented employees who provide services and enhance our quality of life. We work to embrace open and...program via a Third-Party Administrator, reviews initial workers' compensation claims and determines type of claim to be established,… more
- Kemper (Reseda, CA)
- …Appraiser. You will investigate, evaluate, and appraise damaged automobiles and settle claims within an authorized dollar limit. Candidate must reside near the ... be completed per company guidelines. + Ensures adherence to claims procedures and guidelines prescribed by the company to...and guidelines prescribed by the company to produce a high- quality work product. + Negotiates repair prices with repair… more
- CVS Health (Sacramento, CA)
- …work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information ... reporting using SQL and SAS. You will continuously improve quality controls and accuracy of reported data, looking for...AWS/ Azure * Experience working with medical and/or pharmacy claims data * Experience in healthcare industry, including health… more
- Cedars-Sinai (Beverly Hills, CA)
- …with all team members of Utilization Management, Patient and Provider Services, Claims Department and other Care Coordination Department staff. In addition, the ... Group and IPA's to ensure the delivery of high quality , cost-effective healthcare and aligned with all state and...arranging services for members. + Provides assistance to the Claims Department, when requested. + Documents all patient specific… more
- The Hartford (San Francisco, CA)
- …intersection of underwriting, data science, risk finance, risk engineering, technology, and claims . Our team takes a nimble and creative approach to underwriting. We ... of underwriting, data science, risk finance, risk engineering, technology, and claims . + Spearhead execution of the delivery of underwriting solution expertise… more