- Prime Healthcare (Ontario, CA)
- …Responsibilities This position requires relocating to Ontario, California. TheVice President of Health Plan Operations and Claims is responsible for the ... to improve the quality and minimize process cost of Claims for all Prime Healthcare's self-insured Employee Health... Claims for all Prime Healthcare's self-insured Employee Health Plans. Through in-depth audit and review of … more
- Stanford Health Care (Palo Alto, CA)
- …Claims Manager is primarily responsible for handling Employment Practices Liability (EPL) claims for Stanford Health Care, Stanford Health Care ... Tri-Valley, and Stanford Children's Health . Claims include those involving allegations of discrimination, retaliation, hostile work environment, and wrongful… more
- Stanford Health Care (Palo Alto, CA)
- … & Litigation Strategy, the Claims Manager oversees the workers' compensation claims program for Stanford Health Care, Stanford Health Care Tri-Valley, ... Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** Under the direction...and Stanford Children's Health . The Claims Manager acts as the primary liaison with the… more
- Highmark Health (Sacramento, CA)
- …activities; disseminates necessary information to the management. Follows up on pended claims in accordance with department standards. HNAS ( Health Now ... degree **EXPERIENCE** **Required** + 5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience processing 1st dollar … more
- UCLA Health (Los Angeles, CA)
- …Take your career to the next level. You can do all this and more at UCLA Health . The Claims Quality Auditor will be responsible for the daily audit of all ... + Knowledge of claims adjudication systems + Flexibility and adaptability UCLA Health is a world-renowned health system with four award-winning hospitals and… more
- TEKsystems (Martinez, CA)
- …Description: Contra Costa Health is offering an excellent opportunity for a Claims Director. The Claims Director plays a leadership role within CCGP, ... positive provider relationships, regulatory compliance, and the financial integrity of the health plan. The Claims Director works closely with executive… more
- Molina Healthcare (Long Beach, CA)
- …(including Excel), and applicable software programs proficiency. **Preferred Qualifications** * Health care claims analysis experience. * Project management ... JOB DESCRIPTION Job Summary Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory requirements… more
- Prime Healthcare (Victorville, CA)
- …- Qualifications Education and Work Experience + 2-3 years relevant experience in health care claims and customer service. + Knowledge of Medical Terminology, ... Reimbursement + Many more Voluntary Benefit Options! (https://www.primehealthcare.com/careers/benefits/) Responsibilities Claims Examiner processes routine and non-routine claims … more
- Highmark Health (Sacramento, CA)
- …or a related field **EXPERIENCE** **Required** + 3 years of customer service, health insurance benefits and claims experience. + Working knowledge of Highmark ... resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- Providence (CA)
- … role is responsible for management and supervision of a team handling multi-line health provider and institutional claims . This position is responsible for file ... **Description** **Senior Manager Claims \*Remote * Candidates residing in Alaska, Washington,...collaboration with key system leadership throughout Providence St. Joseph's Health . Also, the role is responsible for ensuring accurate… more