- CenterWell (Sacramento, CA)
- …first** The Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve ... factors. The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- LA Care Health Plan (Los Angeles, CA)
- …stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other ... (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by...additional service needs according to specific program guidelines. Uses claims processing and care management software to look up… more
- Insight Global (Santa Barbara, CA)
- …accurate ledger entries. The ideal candidate will have hands-on experience with health plan financials, claims systems, and advanced data analysis tools. ... Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and Requirements Health Plan Experience - deep understanding of claims… more
- Sutter Health (Sacramento, CA)
- …Directs the strategic advancement and upkeep of the risk financing portfolio for Sutter Health , manages all claims and litigation, and serves as an advisor to ... We are so glad you are interested in joining Sutter Health ! **Organization:** SHSO-Sutter Health System Office-Valley **Position Overview:** Develops,… more
- Herc Rentals (San Jose, CA)
- …as a field-based clinical resource, supporting employees and management regarding health -related incidents, claims , and injury management. + Assess work-related ... America as of September 30, 2025. **Job Purpose** The Herc Rentals Occupational Health Nurse strengthens our field medical support and employee health … more
- The County of Los Angeles (Los Angeles, CA)
- …our patients and our communities by providing extraordinary care. DEFINITION: Prepares reimbursement claims for health and/or mental health care provided ... HEALTH CARE FINANCIAL ANALYST/COMMUNITY PROGRAMS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4827547) Apply HEALTH CARE FINANCIAL… more
- The County of Los Angeles (Los Angeles, CA)
- …successfully pass the assessment will be considered for permanent appointment to Health Care Financial Analyst. DEFINITION: Prepares reimbursement claims for ... HEALTH CARE FINANCIAL ANALYST / EMERGENCY APPOINTMENT HOMELESSNESS...for Federal, State, and/or Special Programs to determine if claims for reimbursement conform to applicable rules and regulations… more
- Humana (Sacramento, CA)
- …health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex ... as well as a focus on collaborative business relationships, value based care, population health , or disease or care management. Medical **Use your skills to make an… more
- Humana (Sacramento, CA)
- …health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex ... as well as a focus on collaborative business relationships, value based care, population health , or disease or care management **Use your skills to make an impact**… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Research Specialist will oversee and manage research efforts related to claims overpayments, underpayments, and ... and working collaboratively with providers and internal departments to enhance claims processes and improve financial outcomes. **Essential Functions:** - To… more