- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide ... Coordinate with Hubs on individual patient cases, including patient support services and enrollment + Collaborate with Field Sales,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial ... * Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...and submit prior authorizations forms in a timely manner* Support training needs* Prepare and maintain reports and records… more
- Travelers Insurance Company (Walnut Creek, CA)
- …Compensation Claim Professional Trainee, you will handle all aspects of a workers compensation claims . In this role, you will learn how to help our customers and ... needed for quality claim handling including investigating, evaluating, negotiating, and resolving claims on losses of lesser value and complexity and provide claim… 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 ... tracking, AI-driven diagnostics, real-world data applications, and health and wellness claims . + Provide legal and regulatory oversight for clinical studies and… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …assets as appropriate. + Consistently keep up with industry data trends. + Support an enterprise wide CDM framework with emphasis on modifications to organizational ... Commercial third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc.… 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 ... processes for the set-up bankruptcy filings, Motion for Reliefs, Proof of Claims , Transfer of Claims , Reaffirmations, Notice of Final Cures, Post-Petition… more
- The Hartford (Brea, CA)
- …a matrixed business environment where you will have direct interaction with Claims Partners and insureds, we want to speak with you! RESPONSIBILITIES:* Analyze ... pleadings, written discovery, depositions, petitions for reconsideration, trial briefs in support of defense strategies with autonomy.* Partner with our Claims… more
- The Hartford (CA)
- …within a matrixed business environment where you will have direct interaction with Claims Partners and insureds, we want to speak with you! RESPONSIBILITIES: * ... complex pleadings, written discovery, depositions, petitions for reconsideration, trial briefs in support of defense strategies with autonomy. * Partner with our … more
- LA Care Health Plan (Los Angeles, CA)
- …for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The ... and corrective action plans monitoring of financial solvency and claims processing compliance for specialty health plans and vendors....responsible for the Department of Managed Health Care (DMHC) claims data submissions for LA Care and its Plan… more
- The Hartford (Walnut Creek, CA)
- …within a matrixed business environment where you will have direct interaction with Claims Partners and insureds, we want to speak with you! RESPONSIBILITIES: * ... complex pleadings, written discovery, depositions, motions and briefs in support of defense strategies with autonomy. * Partner with...of defense strategies with autonomy. * Partner with our Claims Partners to achieve the best results for our… more