- The County of Los Angeles (Los Angeles, CA)
- ENVIRONMENTAL HEALTH SPECIALIST IV Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3074682) Apply ENVIRONMENTAL HEALTH SPECIALIST IV ... program and provides staff assistance to a Chief Environmental Health Specialist . CLASSIFICATION STANDARDS: Positions allocable to this class receive administrative… more
- The County of Los Angeles (Los Angeles, CA)
- CHIEF ENVIRONMENTAL HEALTH SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4260745) Apply CHIEF ENVIRONMENTAL HEALTH SPECIALIST ... management policies and procedures are followed by the environmental health specialist staff and also are responsible for expediting inspection and enforcement… more
- Stanford Health Care (Palo Alto, CA)
- …while identifying instances of overpayments and underpayments. Proficiency in healthcare claims analysis, including the ability to review , interpret, and ... Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle Denials Management… more
- The County of Los Angeles (Los Angeles, CA)
- CREDENTIALING SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3476028) Apply CREDENTIALING SPECIALIST Salary $65,911.68 - ... manager and are responsible for processing and maintaining credentialing documentation for review by the credentialing review committee. Essential Job Functions… more
- Actalent (Valencia, CA)
- Description The Quality Regulatory Affairs Specialist will be a key contributor to ensuring full compliance with regulatory standards while upholding the highest ... affairs within the nutraceutical and dietary supplement industry. Responsibilities + Review and approve raw material, packaging material, and finished product… more
- LA Care Health Plan (Los Angeles, CA)
- …health risk assessment (HRA), risk stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health Homes ... Care Management Specialist II, D-SNP Team (12 month Assignment) Job...additional service needs according to specific program guidelines. Uses claims processing and care management software to look up… more
- Molina Healthcare (CA)
- …* Applies contract language, benefits and review of covered services to claims review process. * Contacts members/providers as needed via written and verbal ... to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and… more
- WestCare Foundation (Fresno, CA)
- …DMC-ODS, Enhanced Care Management (ECM), and Community Supports. This position ensures claims are submitted accurately and timely directly to insurance carriers and ... Plans (MCPs) in accordance with all DHCS, payer, and organizational guidelines. The specialist works closely with fiscal, clinical, and data teams to ensure service… more
- Sedgwick (Sacramento, CA)
- …Fortune Best Workplaces in Financial Services & Insurance (Remote) EDI Support Specialist - Casualty **PRIMARY PURPOSE** **:** To identify, research, resolve, and ... Representatives on a variety of complex issues including expert review of International Association of Industrial Accident Boards and...to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI… more
- The County of Los Angeles (Los Angeles, CA)
- STATIONARY ENGINEER CONTROLS SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4246019) Apply STATIONARY ENGINEER CONTROLS ... documentation ###@isd.lacounty.govand indicate your name, exam name (Stationary Engineer Controls Specialist ), and the exam number (W7200K ) . LICENSE: A valid… more