• Utilization Review Nurse Supervisor I

    The County of Los Angeles (Los Angeles, CA)
    …Los Angeles County, CA Job Type Full time Job Number Y5125L Department HEALTH SERVICES Opening Date 05/21/2025 + Description + Benefits + Questions Position/Program ... qualified candidates. Why Join the LA County Department of Health Services? The Los Angeles County Department of ...revised procedures. + Works with Professional Standards Review Organization representative to orient new staff to Federal laws and… more
    The County of Los Angeles (10/06/25)
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  • Pharmacy Clerk

    Polaris Pharmacy Services, LLC (Covina, CA)
    …the pharmacy team in administrative tasks such as filing, data entry, and processing insurance claims . + Collaborate with team members to improve workflow and ... each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
    Polaris Pharmacy Services, LLC (11/12/25)
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  • Collection Rep / Billing/Collections / Full-time…

    Children's Hospital Los Angeles (Glendale, CA)
    …for commercial and managed care payers. Familiarity with medical billing processes, insurance claims , and understanding of medical coding (such as ICD-10, ... are a perfect match for every patient. And together, CHLA team members will turn health care into health transformation. Join a hospital where the work you do… more
    Children's Hospital Los Angeles (11/08/25)
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  • Senior Regional Field Educator, CAS - California

    Medtronic (San Diego, CA)
    …compensation are available to those regular employees who work 20+ hours per week: Health , Dental and vision insurance , Health Savings Account, Healthcare ... Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through… more
    Medtronic (11/22/25)
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  • Benefits Verification Specialist

    Polaris Pharmacy Services, LLC (Covina, CA)
    …GED required . 1-3 years of experience in benefit verification, medical billing, health insurance , or specialty pharmacy. . Familiarity with commercial ... access to specialty medications. This role is essential in verifying insurance coverage, identifying payer requirements, and facilitating prior authorizations. The… more
    Polaris Pharmacy Services, LLC (11/19/25)
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  • Associate Director of Outpatient & Prevention…

    Horizon Services, Inc. (Hayward, CA)
    …fees. Responsible for coordinating with Finance Department for submission of third-party insurance claims . Personnel Recruitment & Management: + Coordinates with ... with the goal of reducing substance use and mental health related challenges for people from all walks of...Leverages the service line's Compliance Manager as the Safety Representative for assigned program location(s) and ensure attendance in… more
    Horizon Services, Inc. (10/28/25)
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  • Senior Program Manager - vertical construction

    AECOM (Los Angeles, CA)
    …a $1.5B, 100 courtroom courthouse in Los Angeles, CA. Act as the owner's representative and work directly within the Program as part of staff augmentation. The ... + Manage a complex project acting as an Owner's Representative as part of a program management team for...Review and respond to amendments, change orders and potential disputes/ claims (cost/extension of time). + Perform field visits to… more
    AECOM (09/20/25)
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  • Director, Payor Strategy & Analytics

    Fresenius Medical Center (Sacramento, CA)
    …project specifications and review methodologies. Analyses will include review of claims data, analysis of medication utilization for global contracts and analysis ... of rate structure conversion. + Consolidates patient insurance download data including developing standards for field review...markets and competitive provider activity. + Maintains database on health plan membership by product. + Other duties as… more
    Fresenius Medical Center (11/21/25)
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  • CM Area Manager

    Carollo Engineers (Costa Mesa, CA)
    …lives. Carollo's benefits package includes paid time off and holidays, comprehensive health insurance coverage, pre-tax savings account options for healthcare, ... to ensure personal safety and that of fellow employees by implementing company health and safety guidelines, practices and policies. + Lead the development of… more
    Carollo Engineers (10/14/25)
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  • Senior Safety Manager

    Clark Construction Group, LLC (San Francisco, CA)
    …is responsible for creating a culture of care while enforcing Clark's Safety and Health Policy, as well as, local and federal safety standards on jobsites. This role ... partners, and the general public. * Enforce corporate and project-specific safety and health programs as well as federal, state, and local safety standards. * Manage… more
    Clark Construction Group, LLC (11/05/25)
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