• Medical Director - Medicare Grievances and Appeals…

    Humana (Sacramento, CA)
    …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel,… more
    Humana (08/26/25)
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  • Certified Risk Adjustment Coder (CRC), Senior…

    Ankura (Los Angeles, CA)
    …processes, anatomy and pharmacology. + Intermediate to advanced understanding of in claims processing procedures, state and federal regulations, and Medicare Part D ... if needed. + Ability to work in a fast-paced environment while maintaining high quality + Proficient in Excel, Word, and PowerPoint and able to draft reports and… more
    Ankura (08/26/25)
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  • Member Team Lead

    Walmart (Chino, CA)
    …up orders are filled Oversees assigned area of responsibility by handling claims and returns zoning the area arranging and organizing merchandise identifying shrink ... work assignments providing advice feedback and support to ensure timelines and work quality are achieved and modeling and helping others with how to adapt to… more
    Walmart (08/24/25)
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  • Public Health Microbiology Supervisor II

    The County of Los Angeles (Los Angeles, CA)
    …laboratories, in training their personnel, and in establishing and maintaining quality standards of performance, uniformity of procedures, development of improved ... take the above steps to view correspondence. + Los Angeles County will not consider claims of not viewing or receiving notifications to be a valid reason for a late… more
    The County of Los Angeles (08/24/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Sacramento, CA)
    …cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must ... need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel,… more
    Humana (08/23/25)
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  • Senior Group Marketing Manager - Spine Fixation…

    Medtronic (San Diego, CA)
    …with international marketers to identify unmet needs, develop markets, identify product claims , develop sales and surgeon training, and develop and execute launch ... analysis of threats and opportunities + Develop and execute product styling, quality updates, inventory allocation, and pricing structures of owned portfolio + Learn… more
    Medtronic (08/23/25)
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  • Chief Lake Lifeguard

    The County of Los Angeles (Los Angeles, CA)
    …a public outreach and education plan addressing issues such as water quality impairments, harmful algal blooms, large fish die-offs, aquatic weed control, resident ... applicant's responsibility to take steps to view correspondence, and we will not consider claims of missing notices to be a valid reason for re-scheduling an exam… more
    The County of Los Angeles (08/23/25)
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  • (USA) Asset Protection Associate - All DC/FC

    Walmart (Riverside, CA)
    …issues Obtain necessary records Analyzes and reports the types of claims that may require settlement Partnership Collaboration Possesses knowledge of Stakeholder ... activities Reviews data across systems to ensure completeness and applies data quality checks Suggests tasks that can be automated using technology for example… more
    Walmart (08/22/25)
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  • Inside Sales Rep II

    Nucor Steel Auburn, Inc. (Lathrop, CA)
    …organization has full knowledge of the market. Assist in the resolution of claims and disputes between Nucor Rebar Fabrication and customers. When necessary, assist ... for providing customer services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction. This also… more
    Nucor Steel Auburn, Inc. (08/22/25)
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  • Healthcare Process Risk Senior Associate (Internal…

    Grant Thornton (Los Angeles, CA)
    …related to revenue cycle optimization, including billing, coding, reimbursement, and claims processing, with a focus on improving financial performance and ... backed by powerful technologies and a roster of 12,000 quality -driven professionals enjoying exceptional career-growth opportunities and a distinctive cross-border… more
    Grant Thornton (08/22/25)
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