- Insight Global (Burbank, CA)
- …customer service representative for the Health Fund. The Senior Participant Service Specialist /Analyst will process health insurance claims and answers calls ... the customer (participant, providers, physicians, hospitals etc.) Adhere to eligibility, claims and call policies and procedures while making sound claim/call… more
- The County of Los Angeles (Los Angeles, CA)
- …Advises Environmental Health Specialists I on meeting Environmental Health Specialist II registration requirements. Requirements MINIMUM REQUIREMENTS: Four years' ... experience as a Registered Environmental Health Specialist , two years of which must have been at...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
- The County of Los Angeles (Los Angeles, CA)
- …one of the specialized units is headed by a Chief Environmental Health Specialist and has a technical staff of approximately 8-15 Environmental Health Specialists, ... specialized units is supervised by a Chief Environmental Health Specialist and has a staff of approximately 8-15 Environmental...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
- The County of Los Angeles (Los Angeles, CA)
- …laws at the level of Los Angeles County class of Chief Environmental Health Specialist or higher. *The two (2) years of supervisory experience must have included ... AND CERTIFICATE(S) REQUIRED: 1. Certification as a Registered Environmental Health Specialist issued by the State of California, Department of Public Health… more
- The County of Los Angeles (Los Angeles, CA)
- …of Section Manager, Information Technology, ISD* - OR - Information Technology Specialist , ISD** performing information security management functions with any of the ... level of Los Angeles County's class of Information Technology Specialist , ISD is defined as acts as a consultant...as spam/junk/clutter mail. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- Oura (San Francisco, CA)
- …this role will be responsible for advising on regulatory risk, marketing claims , product labeling, corporate compliance initiatives, and will oversee the privacy ... compliance function at Oura, including oversight of Privacy Counsel and Privacy Specialist . This is a high-impact leadership role that requires the ability to… more
- Molina Healthcare (San Diego, CA)
- …Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of ... healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and action plans. + Translates strategic needs into… more
- LA Care Health Plan (Los Angeles, CA)
- …Summary The Authorization Technician II supports the Utilization Management (UM) Specialist by handling all administrative and technical functions of the ... duties as assigned. Duties Functional Elements: Technical Support to UM Specialist : Processing of time sensitive authorization and pre-certification requests to meet… more
- Zurich NA (Los Angeles, CA)
- …Compensation Specialist designation desired + Experience handling Workers' Compensation Claims Compensation for roles at Zurich varies depending on a wide array ... challenging and varied caseload. Responsibilities will include working directly with claims professionals providing legal analysis and advice, preparing and filing… more
- Elevance Health (Walnut Creek, CA)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more