- Sedgwick (Sacramento, CA)
- …partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work ... medical/clinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- J&J Family of Companies (Irvine, CA)
- …of evidence generation and dissemination activities that support product approvals, claims development, and product adoption and lifecycle management , and ... well as support product development, pre- and post-approval clinical studies, downstream claims , safety assessments, and product launch and training. + Lead the… more
- Cardinal Health (Fresno, CA)
- **_What Medical Coding (RCM) contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative operations of a medical ... requirements + Consults with follow-up team prior to assigning claims to the appeals department for disputed / denied...achieved. + Perform any other functions as required by management . **_Qualifications_** + 3-6 years of experience, preferred +… more
- Highmark Health (Sacramento, CA)
- **Company :** United Concordia Dental **Job Description :** **JOB SUMMARY** MUST BE A US CITIZEN This position serves as a key liaison between Claims Operations, ... and industry regulatory changes and assess their potential impact on Claims Operations, Customer Service and other operational areas processes and collaborate… more
- Robert Half Legal (Walnut Creek, CA)
- …* Oversee the preparation and organization of case files using document and case management systems. * Analyze claims and complaints to identify legal risks and ... manage high-stakes litigation cases, focusing on defending trucking companies in accident claims from pre-suit investigation through trial and appeal. This is an… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …through effective technology transfer, validation, process monitoring, and lifecycle management . This individual will serve as the primary technical steward ... Affairs, and Operations to align strategies and optimize product lifecycle management + Lead root cause investigations for manufacturing deviations and implement… more
- Affordable Care (Sacramento, CA)
- …Dentrix, handling dental office finances, full insurance billing process (including claims submission, appeals, and denial management ) and being able to ... **Overview** **Come join our team as a Dental Front Office Assistant!** This position is more...financial arrangements, handling the insurance billing process ensuring all claims are processed in a timely manner according to… more
- Sedgwick (Los Angeles, CA)
- …IDEAL CANDIDATE?** If you have a strong background in handling cargo claims , hull and machinery, yacht damage assessments, or investigating marine equipment ... + A diverse and comprehensive benefits offering including medical, dental vision, 401K and PTO. + Wellness benefits including...a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …(Word, Excel, PowerPoint, Outlook) and familiarity with electronic document management systems (EDMS). **Competencies** See OPDC Competencies Chart (Level X) ... in regulatory affairs or related areas (eg, clinical development, project management , quality assurance, etc.) in pharmaceutical or healthcare related industry.… more
- Elevance Health (Los Angeles, CA)
- …in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health insurance policies, ... health insurance claims handling and provider network contracting. **How will you...and/or state. + May interface internally with Senior level management and legal department throughout investigative process. + May… more