- Evolent (Sacramento, CA)
- …on organizational performance and patient health. This role supports capitated risk and value-based strategy development, medical cost management activity, ... capabilities and processes related to the development/underwriting of capitated risk proposals including cost & use projections, trend selection/development, and… more
- Zurich NA (Los Angeles, CA)
- …leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We ... aspects of services related to policy issuance, regulatory requirements, reporting, risk engineering coordination, premium payment processes, claims flow issues,… more
- Sedgwick (San Diego, CA)
- …the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating ... staffing activities within a designated region and partners with Operational management to implement timely, cost-effective initiatives aligned with regional and… more
- Brookfield Properties (Costa Mesa, CA)
- …The Insurance Administrative Support is part of the corporate risk management team that oversees insurance, litigation, claims and document management ... . This position interfaces with all aspects of Brookfield Residential US risk management function, with an emphasis on legal and insurance support and a sub… more
- Sharp HealthCare (San Diego, CA)
- …with medical management such as provider relations, member services, benefits and claims management , etc. Assists (as determined by the plan Chief Medical ... management , and concurrent and retrospective rev1ew process. + Participates in risk management , pharmacy utilization management , catastrophic case review,… more
- Dignity Health (Long Beach, CA)
- …ideal candidate will be a Registered Nurse (RN) with experience in patient safety or risk management for a general acute-care Hospital. As our Manager of Patient ... collaborate with other key stakeholders to implement learnings from claims . You will also spearhead the the coordination of...of degree. + Minimum of three (3) years of risk management , patient safety and/or other related… more
- Gilead Sciences, Inc. (Foster City, CA)
- …training programs support compliance with applicable laws (eg, Anti-Kickback Statute, False Claims Act), industry codes (eg, PhRMA), and internal policies. + Lead ... and communications informed by insights from monitoring, audits, investigations, and risk assessments. + Lead field-based Business Conduct Compliance Liaisons and… more
- Cardinal Health (Sacramento, CA)
- …communication of audit results to physicians, physician leadership, senior leadership, management , and staff; physician and coder education; and the making of ... as well as the development and completion of the annual enterprise risk assessment and audit and monitoring plan. The Manager has supervisory responsibility… more
- AIG (San Francisco, CA)
- …Provides technical direction to management , less senior specialists, producers, and claims adjusting personnel. + Communicate risk appetite and NA Casualty ... are reimagining the way we help customers to manage risk . Join us as an Underwriting Specialist, Environmental Casualty...We are reimagining how we help customers to manage risk , transforming our operating model, and reshaping our role… more
- Sedgwick (Sacramento, CA)
- …the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating ... medical/clinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more