- Highmark Health (Sacramento, CA)
- **Company :** Highmark Health **Job Description :** **SUMMARY OF JOB RESPONSIBILITIES** We are seeking a highly motivated and skilled Graduate Intern to join the ... applicability to core healthcare payer operations (eg, utilization management, claims processing, member services). 3. Modeling & Experimentation: Conduct… more
- UCLA Health (Los Angeles, CA)
- …compliance in regulatory audits and appeals. Leverage your expertise to support UCLA Health 's commitment to accuracy and quality in claim processing. As an Audit and ... Support reporting on audit trends, outcomes, and compliance initiatives Join UCLA Health to uphold high standards in healthcare auditing and compliance, contributing… more
- Medtronic (Irvine, CA)
- …of US and International promotional labeling material, including the creation of a claims matrix database and claims objects. + Lead AI/ML adoption in ... content and claims management to support automation and enhance process efficiency....those regular employees who work 20+ hours per week: Health , Dental and vision insurance, Health Savings… more
- Highmark Health (Sacramento, CA)
- …Process Analyst role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + Experience in a financial analysis, ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- UCLA Health (Los Angeles, CA)
- …Representative, you will oversee a designated portfolio of inpatient and outpatient claims to maximize collection outcomes. In this role, you will conduct thorough ... of collection techniques, laws, and regulations, including AB1455, the Knox-Keene Act, Health & Safety Codes, and other applicable statutes + Extensive familiarity… more
- Highmark Health (Sacramento, CA)
- …ensure they utilize various means of automated communication, as well as, claims and electronic data interchange and electronic funds transfer. Collaborate with ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- BrightSpring Health Services (San Luis Obispo, CA)
- …employee data for corrective action/termination requests + Responds to unemployment claims and participates in unemployment hearings + Provides guidance and support ... About our Line of Business ResCare Community Living, an affiliate of BrightSpring Health Services, has five decades of experience in the disability services field,… more
- Magellan Health Services (San Diego, CA)
- …in one of the following disciplines: Military Pay, Military Personnel, Travel Claims or Navy Transportation. Substitutions for HR background can be from similar ... Contract Act (SCA) covered position. The pay rate and health and welfare allowance are specified in the applicable...are specified in the applicable wage determination agreement. Magellan Health , Inc. is proud to be an Equal Opportunity… more
- Defense Health Agency (Oceanside, CA)
- …for federal civilian healthcare providers as they are covered by the Federal Tort Claims Act (28 USC | 1346(b)) while acting within the scope of their employment. ... acute and chronic conditions. + Provide Pre-and Post Deployment health assessments as well as Preventive Health ...Deployment health assessments as well as Preventive Health Assessments (PHA). + Provide direct primary outpatient care… more
- UCLA Health (Los Angeles, CA)
- …Medicine is seeking applicants for a Staff position as a Health Sciences Attending Physician for an innovative and comprehensive interventional community ... events, and clinic social events. + Complete medical documentation and visit claims data in the clinic's electronic medical record (EMR) system promptly and… more