- Elevance Health (Walnut Creek, CA)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- Zurich NA (San Francisco, CA)
- …role will be filled at either the Senior or AVP Level. The hiring manager will determine the appropriate level based upon the selected applicant's experience and ... Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate… more
- Sedgwick (Sacramento, CA)
- …of accounting department or special projects as assigned by the Finance Manager or Director. + Process account collections/receivables. + Reconcile claims ... but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account,… more
- Sharp HealthCare (San Diego, CA)
- …and oversees the health care needs of the membership. Serves as a medical manager and policy advisor to SHP and its Chief Medical Officer. Is accountable for ... with medical management such as provider relations, member services, benefits and claims management, etc. Assists (as determined by the plan Chief Medical Officer)… more
- Zurich NA (Gold River, CA)
- …talent at any Zurich office location. We may, at the sole discretion of the Hiring Manager , be open to hiring remote talent This role will be filled at either the ... Liability Underwriter or VP, Construction Professional Liability Underwriter. The hiring manager will determine the appropriate level based upon the selected… more
- Evolent (Sacramento, CA)
- …to find the most valuable defects. The IQA reports to a associate director or a manager . One or many IQAs may be engaged in any testing effort **What You Will Be ... risks and issues in coordination with the lead / manager for status reporting + Responsible to enforce department...Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1… more
- Walgreens (San Bruno, CA)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- The County of Los Angeles (Los Angeles, CA)
- …of the projects within cost and schedule limitations. + Assists a Capital Projects Manager , PW or a higher-level manager in the coordination of larger and ... by the Construction Management Association of America as a certified construction manager is required. PHYSICAL EXPECTATIONS: Physical Class II - This class includes… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …from the "date posted" until the hiring manager has determined there is a sufficient applicant pool or until the position is filled. EOE including disability /vet ... subject to renewal on 11/28/2025.** JOB SUMMARY: Under the direction of the Manager Professional Billing & Coding, the Billing & Collections Representative II (BCII)… more
- Sharp HealthCare (San Diego, CA)
- …oversees the health care needs of the membership. Serves as a lead medical manager and policy advisor to SHP clinical and its' Chief Medical Officer. **Required ... with medical management such as provider relations, member services, benefits and claims management, IT management, etc. + Plans, organizes, and directs the… more