- Guidehouse (El Segundo, CA)
- …This role ensures the efficient handling of patient accounts while maintaining quality assurance standards. The individual is to provide support in ... You Will Do** **:** The **Team Lead - Hospital Claims ** is responsible for supervising and coordinating the daily...and a point of contact for team questions + Quality assurance reviews, feedback, and other trainings… more
- Sharp HealthCare (San Diego, CA)
- …clinical ackground and skills. + Solid understanding of utilization management and quality assurance activities. + Excellent communication skills, both verbal ... with medical management such as provider relations, member services, benefits and claims management, IT management, etc. + Plans, organizes, and directs the… more
- LA Care Health Plan (Los Angeles, CA)
- …Medicare & Medicaid Services, as well as requirements from the National Committee on Quality Assurance (NCQA) and LA Care policies and procedures. This position ... etc. Collaborates with internal departments (Member Services, Provider Network Operations, Claims , Utilization Management, Pharmacy, and Quality Management) to… more
- Travelers Insurance Company (Walnut Creek, CA)
- …Travelers' Claim Organization is at the heart of our business. By providing assurance to our customers during life's rainy days, the Travelers Workers Compensation ... you will handle all aspects of a workers compensation claims . In this role, you will learn how to...work. You will develop the technical skills needed for quality claim handling including investigating, evaluating, negotiating, and resolving… more
- Sedgwick (Sacramento, CA)
- …Performs monthly reconciliations and various balance sheet account controls to safeguard quality assurance . + Prepares deposits, posts receipts, and reconciles ... the Finance Manager or Director. + Process account collections/receivables. + Reconcile claims activity between general ledger and claims system and investigate… more
- J&J Family of Companies (Irvine, CA)
- …product innovation + Provide support to Marketing, R&D, Communications, Legal, Quality Assurance /Risk Management/Product Safety and Commercial teams by providing ... also have preclinical operations responsibility for the entire PFA Platform, including quality review and compliance to GLP guidelines. This role will provide strong… more
- Astrix Technology (Gardena, CA)
- …24 | Pay Rate High: 25 + Added - 13/08/2025 Apply for Job ** Quality Assurance Documentation Coordinator** **Position Overview** We are seeking a detail-oriented ... Documentation Coordinator to join our quality assurance team. This role is critical...including FDA, COOL, Prop 65, nutritional warnings, and health claims . + Experience with NLEA labeling guidelines and nutritional… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …in regulatory affairs or related areas (eg, clinical development, project management, quality assurance , etc.) in pharmaceutical or healthcare related industry. ... guidelines. - Confirms submission documents are accurate, compliant, and high- quality to allow for smooth and expeditious approvals from...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …reduction where appropriate. + Collaborate with cross-functional teams including R&D, Quality Assurance , Regulatory Affairs, and Operations to align strategies ... + Ensure compliance with cGMP regulations and other relevant quality standards + Represent the MSAT function in interactions...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- City and County of San Francisco (San Francisco, CA)
- …compliance with federal requirements. + Reviews targeted tasks, phone calls, and supervisor quality assurance forms to ensure quality of customer service. ... is sustained by our City's commitment to heighten the quality of life for the diverse population of San...general duties above: + Detects, investigates, and prevents fraudulent claims for public assistance to avoid welfare fraud and… more