- University of Southern California (Newport Beach, CA)
- …+ Pref Knowledge of medical terminology. + Pref Knowledge of the health insurance industry and claims processing. Required Licenses/Certifications: + Req ... for signatures as needed. + Coordinate with Director on denied or disputed claims to obtain documentation to support chemotherapy treatment + Exhibit sensitivity to… more
- Datavant (Sacramento, CA)
- …in the following fields would be beneficial: Data Entry, Medical Records, Health Care, Insurance Claims Processing and Proof Reading/Editing of Documents ... a data platform company and the world's leader in health data exchange. Our vision is that every healthcare...Our platform is powered by the largest, most diverse health data network in the US, enabling data to… more
- Oracle (Sacramento, CA)
- …expertise around the Health Data Intelligence platform and the solutions of Health Data Warehouse, Claims Analytics, and Determinants of Health among ... to comply with applicable requirements, such as immunization and occupational health mandates.** **Range and benefit information provided in this posting are… more
- Abbott (Alameda, CA)
- …across disciplines and cultures, with excellent networking capabilities + **Insurance claims / Health Care Industry experience** **Misc: This role is based ... career you dream of. + Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year + An excellent… more
- Abbott (Alameda, CA)
- …you will do:** + Analyze large real-world datasets including device data, electronic health records (EHR), claims data, labs, and patient registries. + Analyze ... systems **Preferred Qualifications:** + Prior experience in real world evidence, health economics, or outcomes research, in the medical device/pharma/CRO industry. +… more
- Abbott (Alameda, CA)
- …you will do:_** + Analyze large real-world datasets including device data, electronic health records (EHR), claims data, labs, and patient registries. + Lead ... the design and execution of RWE studies including but not limited to: + Treatment optimization and understanding treatment patterns + Comparative effectiveness analyses + Drug and device utilization + Natural history and burden of disease + Healthcare resource… more
- Highmark Health (Sacramento, CA)
- …achieve successful and measurable outcomes. Will monitor and analyze the delivery of health care services in accordance with claims submitted, and analyzes ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the… more
- The Cigna Group (San Francisco, CA)
- …with technical and non-technical partners to implement solutions with measurable value + Health care data (eg, claims , EHR) knowledge preferred If you will ... and operationalization of transformer based deep learning models trained on health insurance data sources. **Responsibilities** + Support high-value enterprise Data… more
- Centene Corporation (Sacramento, CA)
- …implementation of recommendations to providers that would improve utilization and health care quality. + Reviews claims involving complex, controversial, ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive… more
- Gilead Sciences, Inc. (Foster City, CA)
- …activity. . Expertise in commonly used pharma datasets such as IQVIA, Symphony, Komodo claims , Optum, Definitive health , Health Verity, EMR/HER . Expertise ... across the globe. We continue to fight against the world's biggest health challenges, and our mission requires collaboration, determination and a relentless drive… more