- TEKsystems (Canoga Park, CA)
- …this role, you will conduct retrospective reviews of inpatient and outpatient claims to ensure medical necessity, compliance, and timely processing within a managed ... + Perform comprehensive utilization reviews for inpatient and outpatient claims . + Prepare medical records for review by medical...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …Degree Previous experience in the health care field, such as hospital, medical group , health insurance , or other Risk Bearing Organization (RBO) Computer ... our members and find purpose in supporting them. The insurance process can be frustrating and we are here...of medical terminology, ICD-10 codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims Positive, friendly… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …improvement **Qualifications** **Education and Experience:** + Bachelor's degree in Life Sciences, Health Economics, Public Health , or related field required + ... teams with a pharmaceutical or biotech company, CRO, academic research, or HEOR group + Prior experience in Independent Medical Education (IME) / Grants Management… more
- CenterWell (Sacramento, CA)
- …medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. + ... first** The Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve… more
- Amgen (Thousand Oaks, CA)
- …designing and producing analyses using a wide range of data sources (eg claims data, specialty pharmacy data, demand data, electronic medical records data, etc) to ... analyses using complex data sources including HCP-level prescribing data, demand data, claims data, electronic medical records data, etc. to generate a detailed… more
- Horizon Services, Inc. (Hayward, CA)
- …changes are processed accordingly. + Administers benefits program, such as group health , dental and vision, life insurance , 401k, UI, COBRA etc., and ... and vendors requests for information. + Assist employees with health , dental, life and other related benefit claims... health , dental, life and other related benefit claims . + Coordinate workers' compensation claims with… more
- The County of Los Angeles (Los Angeles, CA)
- …Act; Anti -Kickback Statute; consent and confidentiality of medical information; the Health Insurance Portability and Accountability Act (HIPAA); Public ... the Eligible Register in the order of their score group from a period of 12 months following the...in the practice of healthcare law pertaining to the Health Insurance Portability and Accountability Act (HIPAA).… more
- HUB International (Encino, CA)
- …play a vital role in supporting our clients with day-to-day account management, claims management, and underwriting services that ensure they have what they need to ... guide and support our customer's needs and provide them with innovative insurance solutions. The **Personal Lines Account Executive** manages an assigned book of… more
- J&J Family of Companies (Irvine, CA)
- …dental, vision, life insurance , short- and long-term disability, business accident insurance , and group legal insurance . Employees may be eligible ... At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation...positioning, channel, pricing and lifecycle management. + Lead clinical claims and evidence strategy and working professional education and… more
- UNUM (Sacramento, CA)
- …and rewards that are competitive and comprehensive including healthcare benefits ( health , vision, dental), insurance benefits (short & long-term disability), ... + Performance Based Incentive Plans + Competitive benefits package that includes: Health , Vision, Dental, Short & Long-Term Disability + Generous PTO (including paid… more