- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle Denials Management ... and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, coding professionals, and external… more
- Stanford Health Care (Palo Alto, CA)
- …a Stanford Health Care job.** **A Brief Overview** The Pharmacy Billing Specialist supports accurate and compliant billing for pharmacy services by reviewing data, ... identifying areas for improvement. This role ensures consistency in charge capture, claims submission, and reimbursement to safeguard revenue and minimize risk. The … more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, ... purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider complaints and… more
- Sedgwick (Sacramento, CA)
- …Best Workplaces in Financial Services & Insurance Senior Estimate Review Specialist **PRIMARY PURPOSE** **:** To review all estimates and supporting documentation ... services. + Monitors, assists, tracks, and provides approval for all claims that are re-inspected by the Carrier. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES**… more
- CDM Smith (San Diego, CA)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
- UIC Government Services and the Bowhead Family of Companies (Corona, CA)
- …& LLM Specialist will work directly with the client analyzing complex and unique technical support assignments and lead or collaborate with engineers, ... seeks a Sr. Data Scientist - AI/ML & LLM Specialist to join our team supporting the AR/PA IT...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- AIG (Los Angeles, CA)
- …way we help customers to manage risk. Join us as a Regional Production Specialist , Lexington Healthcare to play your part in that transformation. It's an opportunity ... Healthcare AIG Healthcare is an opportunity for a Production Specialist , specializing in Medical Malpractice and General Liability. The...renewal and new business including accounts made up of complex risks. + Ability to seek out and secure… 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 ... as liaison between clients and insurance carriers to resolve escalated complex service issues that require policy interpretation and experience-based judgment to… more
- BluePearl (Irvine, CA)
- **BluePearl Pet Hospital is hiring for an Employee Relations Specialist - Veterinary for our** **West** **Division!** **Pay: $84,302 - $114,900** Under the direction ... of the Manager of P&O, West Division, the Veterinary Associate Relations Specialist is primarily responsible for advising and guiding managers, advocating our… more
- J&J Family of Companies (Irvine, CA)
- …Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less ... We are searching for the best talent for a **Senior Regulatory Affairs Specialist ** . This role will work a Hybrid/Flex schedule with 3 days per… more