- Emanate Health (Covina, CA)
- …the oversight of HCC Program and STAR measures coding related functions. The coding specialist will work with the IPA Director, Health Plan, and MSO personnel on HCC ... achieves or improves upon 4.0 STAR rating. The coding specialist is responsible for education to external physician offices... will be responsible to review medical records and claims data to ensure external physicians are documenting correctly… more
- ManpowerGroup (Los Angeles, CA)
- Our client, aerospace manufacturing organization is seeking a Quality Specialist to join their team. As a Quality Specialist , you will be part of the Quality ... which will align successfully in the organization. **Job Title:** Quality Specialist **Location:** Chatsworth, CA **Pay Range:** $33 **Shift:** Monday through Friday… more
- CVS Health (Sacramento, CA)
- …_Cost Avoidance Research Effort_ ) team. The **Meritain Pharmacy Solutions CARE Specialist ** will engage with patients, helping them to navigate the complexities of ... members and self-funded clients. + Monitors performance of high dollar specialty claims . + Research and outreach on appropriate interchanges of medications from the… more
- Walgreens (Santa Clarita, CA)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- HUB International (Monterey, CA)
- …the insurance community. **THE OPPORTUNITY:** The Personal Lines Client Service Specialist is responsible for providing exceptional service to our clients and ... to resolve. May also negotiate with underwriters and carriers. Troubleshoots claims and billing issues. + Produce binders, certificates, endorsements, and other… more
- Carrington (Anaheim, CA)
- …completes the Set-up bankruptcy filings process, Motion for Reliefs, Proof of Claims , Transfer of Claims , Reaffirmations, Notice of Final Cures, Post-Petition ... the set-up bankruptcy filings, Motion for Reliefs, Proof of Claims , Transfer of Claims , Reaffirmations, Notice of Final Cures, Post-Petition Fee notices, Payment… more
- Medtronic (Irvine, CA)
- …of US and International promotional labeling material, including the creation of a claims matrix database and claims objects. + Lead AI/ML adoption in ... content and claims management to support automation and enhance process efficiency....Promotional labeling + Proficiency with Veeva PromoMats, Ad Promo/MLR claims , and material review and approval systems + Excellent… more
- University of Southern California (Pasadena, CA)
- …by the physician as needed. Reviews and codes charge slips, submits insurance claims . Returns patient phone calls. Performs various office and clerical duties. Must ... by the physician as needed. Reviews and codes charge slips, submits insurance claims . Returns patient phone calls. Performs various office and clerical duties. Must… more
- Lowe's (Moreno Valley, CA)
- …* Coordinate with 3PL (third-party logistics) partners to resolve customer and cargo-related claims . * Input and manage claims (eg, property damage) into Lowe's ... claims portal. * Ensure timely updates and resolution of claims to preserve customer trust. * Communicate with Lowe's retail teams, supply chain nodes (eg, RDC,… more
- Molina Healthcare (San Diego, CA)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... care experience + Experience in one or more of the following: Claims , Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.… more