- Marriott (Anaheim, CA)
- …improvement. **Conducting Human Resources Activities** * Assists in minimizing cost of accident claims through aggressive claims management . * Brings issues ... **Schedule** Full Time **Located Remotely?** N **Position Type** Management **Pay Range:** $81,000 - $111,000 annually **Bonus Eligible:**… more
- Oracle (Sacramento, CA)
- …of AI agents and multi-agent systems that orchestrate complex RCM workflows ( claims processing, charge capture, revenue integrity, denial management , and ... and modernize health systems globally. We are seeking a Senior Software Director to lead our AI engineering efforts across healthcare reimbursement, patient… more
- Evolent (Sacramento, CA)
- …outcomes and a more connected care journey. We are hiring for a Managing Director , Actuarial Services to join our Finance Team. The candidate selected for this role ... to ensure clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for communication to key… more
- Gilead Sciences, Inc. (Foster City, CA)
- …improve the lives of patients with life-threatening illnesses worldwide. As the **Associate Director of Consumer Strategy & Activation** , you will play a pivotal ... collaboration across multiple data sources for more effective audience creation. **Data Management & Governance:** + Ensure data quality and accuracy when leveraging… more
- NBC Universal (Universal City, CA)
- …to be completed during 2025. We are seeking a strategic, results-oriented Director , Residuals to lead our global residuals reporting function for both scripted ... residuals compliance across all distribution platforms, overseeing payments, managing claims , and driving key departmental initiatives. The ideal candidate is… more
- Evolent (Sacramento, CA)
- …of our specialty programs and administrative platform. **Role Overview** The Senior Director role on Client Analytics will lead the development and execution of ... diverse teams and stakeholders. + Deep understanding of healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including prior authorisation data… more
- Amgen (Thousand Oaks, CA)
- …us and transform the lives of patients while transforming your career. **CD&A - Director Media Analytics** **What you will do** Let's do this. Let's change the ... senior partners for data-driven decisions. + Apply pharma‑specific data (TRx, NBRx, claims , EHR, copay, hub data, etc.) to improve and contextualize digital… more
- Ankura (CA)
- …structured, defensible processes for fiduciaries, courts, and stakeholders in high-volume claims environments. Role Overview The Trust and Mass Torts Senior Managing ... Director role is an executive level position that sells,...that generate $3 - $5 million+ annually + Project management , development of expert testimony and reports, and quantitative… more
- Molina Healthcare (San Bernardino, CA)
- …health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure ... care at the most effective setting. *Evaluates effectiveness of utilization management (UM) practices - actively monitoring for over and under-utilization. *… more
- Dignity Health (Carmichael, CA)
- …events reporting process, root cause analyses, investigations and requests from the claims team (including management of subpoenas, Summons and Complaints, and ... This position is responsible for the design, coordination, implementation and management of the Performance Improvement (PI) plan and identifies opportunities for… more