- BrightSpring Health Services (Yuba City, CA)
- …needs of our clients across various lines of business. If your passion is to ensure quality care to help our clients live their best life we encourage you to apply ... personnel costs, consultant services + Monitors worker's compensation and unemployment claims for assigned service site(s). Is proactive in efforts to reduce… more
- Humana (Sacramento, CA)
- …3 assists members, via phone or face to face, further/support quality related goals. Investigates and resolves member and practitioner issues. Decisions ... appeals experience + Prior experience interpreting Member Benefits and Medical Claims + Previous experience processing medical authorizations + Bilingual (English… more
- Dignity Health (Bakersfield, CA)
- …teams as needed when questions arise. The Provider Data Analyst partners with Configuration Claims and Enrollment to ensure end to end accuracy to pay claims ... health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals,… more
- Robert Half Legal (Glendale, CA)
- …is seeking a Workers Compensation Attorney. This role involves providing high- quality , cost-effective legal representation and working closely with a diverse range ... analytical skills in a dynamic work environment. Responsibilities: * Deliver high- quality legal representation in workers compensation defense * Foster strong… more
- Evolent (Sacramento, CA)
- …Strategic Accounts, Analytics, Client Finance, Implementation, Clinical Operations, Medical, Quality , and Call Center Teams) to identify new opportunities, deploy ... operational improvement initiatives to improve performance, satisfaction, and clinical quality /outcomes. **Teamwork/Collaboration** - serves as a liaison between the… more
- Humana (Sacramento, CA)
- …closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid ... Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root causes driving issues and… more
- Axtria, Inc. (Thousand Oaks, CA)
- …workstreams in collaboration with offshore analyst teams, ensuring timely, high- quality delivery. + Translate business questions into analytical approaches, ... strategic recommendations based on in-depth analysis of large datasets, including patient claims , digital engagement, sales, and CRM data. + Ensure quality … more
- Cedars-Sinai (Los Angeles, CA)
- …like to be part of an organization that is committed to delivering the highest quality of medical care to our patients? Align yourself with an organization that has ... Research Corporation's Consumer Choice Award 19 years in a row for providing the highest- quality medical care in Los Angeles. We also were awarded the Advisory Board… more
- The County of Los Angeles (Los Angeles, CA)
- …Establishes, maintains, and revises unit pharmacy procedures, work standards, and quality control measures within the general framework of pharmacy and hospital ... procedures and established professional standards; monitors quality and quantity of production and takes corrective action...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- Cedars-Sinai (Beverly Hills, CA)
- …Research Corporation's Consumer Choice Award 19 years in a row for providing the highest- quality medical care in Los Angeles. We were also awarded the Advisory Board ... with all team members of Utilization Management, Patient and Provider Services, Claims Department and other Care Coordination Department staff. In addition, the… more