- Kyndryl (Sacramento, CA)
- …Healthcare IT Applications - Systems Engineer (EPIC) - (10) is a senior -level, client-facing role dedicated to driving the adoption, integration, and optimization of ... Electronic Medical Record, Imaging, Medical Device Integrations, Contact Centers, Claims , Provider, Sales, cloud-based solutions), emerging technologies (eg, AI/ML,… more
- The Hartford (Irvine, CA)
- …help shape the future. The Hartford currently has an in-house opportunity for a Senior Staff Attorney to litigate cases focused in the Southern California area. This ... Products Liability, Construction Site accidents and Commercial/Personal Automobile accidents. The Senior Staff Attorney will strive to deliver the best possible… more
- Axtria, Inc. (Thousand Oaks, CA)
- …and commercial operations. + Build strong working relationships with senior clients; lead discussions, facilitate brainstorming sessions, and communicate insights ... based on in-depth analysis of large datasets, including patient claims , digital engagement, sales, and CRM data. + Ensure...management skills with a proven ability to present to senior stakeholders. + Master's degree in a quantitative field… more
- Gilead Sciences, Inc. (Foster City, CA)
- …sits within the Global Compliance Operations team and reports directly to the Senior Director, Global Head of Ethics and Compliance Training and Communications. The ... training programs support compliance with applicable laws (eg, Anti-Kickback Statute, False Claims Act), industry codes (eg, PhRMA), and internal policies. + Lead… more
- Prime Healthcare (Redding, CA)
- …family. For more information, visit www.shastaregional.com . Responsibilities The Senior Medicare-Medicaid Biller/Collector is responsible for both billing and ... documents from internal or external entities, resolving claim rejections, packaging claims , including global billing with attachments of professional fee claims… more
- LA Care Health Plan (Los Angeles, CA)
- …implementation, and monitoring. This position works under the guidance of the Senior Community Health Program Manager or Director on projects from concept to ... small and large group settings to internal and external non- senior management level audiences, in order to inform and...include analysis of housing data on enrollment, payment, or claims data to identify operational problems or issues. Make… more
- Evolent (Sacramento, CA)
- …+ Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns, ... business customers. + Act as a thought partner to senior stakeholders, proactively identifying business challenges, refining analytical approaches, and… more
- University of Southern California (Los Angeles, CA)
- …management programs, manage health plan member services and in collaboration with senior leaders monitor plan expenses. The Associate Director, Health Plans: . Plans ... program information. Resolves problems or questions referred by program staff, senior university administrators, or external vendors. . Develops and recommends… more
- Axis (San Francisco, CA)
- …Partner with the Excess Casualty Leadership and various business partners ( Claims , Actuarial, Distribution, and Operations) and to support and influence the ... analysis and aligned with the company's strategic objectives. * Collaboration: Liaise with senior leaders, including the Regional Unit Leader and the Head of Excess… more
- Walgreens (Walnut Creek, CA)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more