• Workers Compensation Claim Representative Trainee

    Travelers Insurance Company (Diamond Bar, CA)
    …customer service experience OR Bachelor's Degree. **What Is in It for You?** + ** Health Insurance ** : Employees and their eligible family members - including ... Claim team is committed to partnering with our business insurance customers to help their injured employees return to...you will handle all aspects of a workers compensation claims . In this role, you will learn how to… more
    Travelers Insurance Company (05/21/25)
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  • Associate Clinical & Population Health

    Highmark Health (Sacramento, CA)
    …knowledge about the shifting healthcare environment including trends concerning health insurance , healthcare delivery, provider relationships and regulatory ... all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the… more
    Highmark Health (05/31/25)
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  • Lead Clinical & Population Health Analyst

    Highmark Health (Sacramento, CA)
    …knowledge about the shifting healthcare environment including trends concerning health insurance , healthcare delivery, provider relationships and regulatory ... coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 5 years...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996… more
    Highmark Health (03/13/25)
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  • Health Information Consultant Senior

    Elevance Health (Los Angeles, CA)
    …analysis preferred. + Practical business experience preferred. + Experience in healthcare claims , health care benefits/total rewards and data analysis preferred. ... ** Health Information Consultant Senior** **Location:** This role requires...term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name… more
    Elevance Health (05/31/25)
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  • Clinical Quality Analyst - Population…

    Tiburcio Vasquez Health Center (Hayward, CA)
    Reporting to the Senior Director of Population Health , this role will work across the organization to help improve the health and well-being of our patients and ... performance measures and serves as the main technical liaison between Population Health , providers, staff, IT and analytics and reporting vendors. Tiburcio Vasquez … more
    Tiburcio Vasquez Health Center (05/26/25)
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  • Behavioral Health Provider Quality Manager

    Elevance Health (Walnut Creek, CA)
    **Title:** Behavioral Health Provider Quality Manager **Candidates must posses a licensure for the state of California.** **Location:** This role requires associates ... out to the field as needed. **Build the Possibilities. Make an Extraordinary Impact.** Carelon Health is a proud member of the Elevance Health family of brands,… more
    Elevance Health (05/20/25)
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  • Quality and Population Health Coordinator…

    LA Care Health Plan (Los Angeles, CA)
    Quality and Population Health Coordinator I (ALD) Job Category: Administrative, HR, Business Professionals Department: Health Education Location: Los Angeles, ... (Mid.) - $62,270.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by...or on-site visits if needed. (15%) Review medical records, claims , and encounter data to identify key information to… more
    LA Care Health Plan (04/22/25)
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  • Manager Benefit Administration - Sharp…

    Sharp HealthCare (San Diego, CA)
    …absence of the Director. **Required Qualifications** + 5 Years in HMO or Health Insurance Management. + 2 Years leadership experience working collaboratively ... prior experience in education and training. + 3 Years in a health insurance product implementation, benefit/coverage policy development, benefit configuration,… more
    Sharp HealthCare (05/11/25)
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  • Benefit Administration Analyst - Sharp…

    Sharp HealthCare (San Diego, CA)
    … testing activities. **Required Qualifications** + 3 Years in HMO or Health Insurance Management. + Experience working collaboratively across multiple functional ... fostering teamwork. **Preferred Qualifications** + 2 Years experience in a health insurance product implementation, benefit/coverage policy development, benefit… more
    Sharp HealthCare (05/11/25)
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  • Payment Integrity Nurse Coder RN III

    LA Care Health Plan (Los Angeles, CA)
    …and Medicaid rules and regulations. Knowledge of healthcare reimbursement concepts, health insurance business, industry terminology, and regulatory guidelines. ... (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of California… more
    LA Care Health Plan (04/11/25)
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