- Elevance Health (Costa Mesa, CA)
- …is granted as required by law. A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies ... plan design, researching and resolving phone and written inquiries, resolving claims , benefit and enrollment issues. + Presents monthly, ad hoc, mid-year,… more
- Elevance Health (Walnut Creek, CA)
- …updates for proposal and sales activity. + Researches and resolves routine sales, claims and benefit issues. + Inputs and tracks sales data to ensure accuracy. ... $26.07/hr to $42.66/hr. Locations: California In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and… more
- Dignity Health (Rancho Cordova, CA)
- **Responsibilities** The Enrollment Supervisor reports to the Director of Claims Management. In this role, they oversee the eligibility department and are ... responsible for ensuring health plan enrollment EDI files are processed and loaded...in Flowcast (IDX) by obtaining accurate and timely HMO insurance and demographic information from a variety of sources… more
- Elevance Health (Los Angeles, CA)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically. **How you ... will make an impact:** + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs and a specific care… more
- Elevance Health (Walnut Creek, CA)
- …is granted as required by law. A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies ... plan design, researching and resolving phone and written inquiries, resolving claims , benefit and enrollment issues. + Coordinates open enrollment meetings, renewal… more
- Dignity Health (Bakersfield, CA)
- …with health plans and other key partners. Coordinates with Claims , UM, Compliance, and Finance for cross-functional integration and execution. - Ensures ... dental and vision plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability. We also offer a 401k… more
- Elevance Health (Sacramento, CA)
- …care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. **How you will make an impact:** + Responsible ... evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long...+ May also assist in problem solving with providers, claims or service issues. + Directs and/or supervises the… more
- Stanford Health Care (Palo Alto, CA)
- …A/R, cash-management requirements, managed care contractual terms and requirements, health insurance practices, industry regulatory requirements (compliance and ... Hour (United States of America) **This is a Stanford Health Care job.** Are you a seasoned revenue cycle...health plans and medical groups to support effective claims submission/resolution and contract compliance. Maintains a climate of… more
- Dignity Health (Rancho Cordova, CA)
- …individual patient health information records for data retrieval analysis and claims processing. This position is expected to perform duties in alignment with ... **We offer the following benefits to support you and your family:** + Health /Dental/Vision Insurance + Flexible spending accounts + Voluntary Protection: Group… more
- Alameda Health System (Oakland, CA)
- …degree in Nursing Required Experience: Three years of utilization review experience. Health insurance company and/or acute care hospital, post-acute and psych; ... Req #:40826-30155 + FTE:1 + Posted:March 14, 2025 **Summary** + 100% employer health plan for employees and their eligible dependents + Unique benefit offerings that… more