- Highmark Health (Sacramento, CA)
- …and servicing quality dental networks in assigned territory in a remote and mobile work environment. Manage network contracts including negotiations, contract ... ensure they utilize various means of automated communication, as well as, claims and electronic data interchange and electronic funds transfer. Collaborate with… more
- Ross Stores, Inc. (Dublin, CA)
- …of the Employment Law team primarily assessing, handling, and managing employment claims including defending Ross in agency hearings and in arbitrations\. This ... primarily working on optimal litigation results \(agency, individual, and representative actions\) with the potential for future work on...other employment law team members on the handling of claims and other tasks as assigned\. The base salary… more
- Canon USA & Affiliates (Sacramento, CA)
- …and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business, ... expertise, and reviewing study/test-plan design. Influence regulatory specifications and claims strategy by providing clinical consultation during early phase… more
- Humana (Sacramento, CA)
- …across the department. **What Humana Offers** We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & ... skills to make an impact** **WORK STYLE:** Work at home/ remote with 15-20% travel required **WORK HOURS:** Regular business...Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of… more
- LA Care Health Plan (Los Angeles, CA)
- …handling of member complaints whether presented by members, their authorized representative , the Ombudsman office, state contractors, member advocates, LA Care Board ... Collaborates with internal departments (Member Services, Provider Network Operations, Claims , Utilization Management, Pharmacy, and Quality Management) to ensure the… more
- Zurich NA (Los Angeles, CA)
- …of moderately complex accounts, as assigned. + Act as an account representative by responding to customers service issues and coordinating with the appropriate ... business partner for resolution (ie claims adjusters, underwriters). + For new and existing customers,...submission. Location(s): AM - Los Angeles, AM - Chicago Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered:… more
- Amazon (Sunnyvale, CA)
- …individual has a business-oriented mindset and partners with local and remote Operations, Engineering, and Software teams to drive the development, implementation, ... budget, and the Supplier Plan of Record (SPOR). As the business representative , the MPM captures, documents, and communicates financial exposures, supply risks, and… more
- Medtronic (Irvine, CA)
- …digital health solutions, complex surgical robotic platforms, smart medical devices, remote service systems and other data-enabled healthcare technology and service ... + Advise on federal healthcare laws, antikickback, antitrust, False Claims Act, HIPAA, state data privacy and security laws,...within the Responsibilities section of this job description are representative of those that must be met by an… more
- Apple American Group (Menifee, CA)
- …videos and all facts * Assists with unemployment documentation and hearings via remote calls/videos or in person as needed * Collects statistics and documentation ... for EEO claims **Training** * Conducts in person and on camera...each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. *… more
- Subaru of America (Sacramento, CA)
- …delight our customers. SUMMARY Serves as Subaru of America's (SOA's) Service and Quality representative in the SOA Field. Travels to retailers on a regular basis to ... vehicle issues. + Reviews retailer pre-authorization requests for warranty claims over ten thousand dollars, or straight time or...laptop computer on a daily basis and office from remote location. COMPENSATION: The recruiting base salary range for… more