- Travelers Insurance Company (Walnut Creek, CA)
- …customer service experience OR Bachelor's Degree. **What Is in It for You?** + ** Health Insurance ** : Employees and their eligible family members - including ... Travelers Workers Compensation Claim team is committed to partnering with our business insurance customers to help their injured employees return to work as soon as… more
- Travelers Insurance Company (Diamond Bar, CA)
- …within three months of starting the job. **What Is in It for You?** + ** Health Insurance ** : Employees and their eligible family members - including spouses, ... such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of… more
- Alameda Health System (Oakland, CA)
- …Preferred Education: Master's degree in Nursing Required Experience: Three years of utilization review experience. Health insurance company and/or acute care ... effective communication and collaboration with internal departments, external agencies, and insurance providers to facilitate the utilization review process. +… more
- Veterans Affairs, Veterans Health Administration (Fresno, CA)
- …delivery of Social Work services is time limited. The Social Worker has general medical knowledge regarding health and mental health diagnoses. Maintaining ... the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible...services is time limited. The Social Worker has general medical knowledge regarding health and mental … more
- Highmark Health (Sacramento, CA)
- …action to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + ... and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery...+ 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations… more
- Dignity Health (Bakersfield, CA)
- …is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business ... medical , dental and vision plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability. We also… more
- Veterans Affairs, Veterans Health Administration (Mcclellan, CA)
- …vesting) and federal 401K with up to 5% in contributions by VA Insurance : Federal health /vision/dental/term life/long-term care (many federal insurance ... the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible...and Pension (C&P) Service is a member of the medical staff who practices under their approved clinical privileges.… more
- Veterans Affairs, Veterans Health Administration (Yuba City, CA)
- …vesting) and federal 401K with up to 5% in contributions by VA Insurance : Federal health /vision/dental/term life/long-term care (many federal insurance ... no significant restriction on moonlighting The VA Northern California Health Care System (NCHCS) is currently recruiting for full-time,...excellence to join our team. The psychiatrist will conduct review of medical history, physical exams when… more
- Deloitte (Los Angeles, CA)
- …a model to value the impact of health care reform on an health plan client- Review trend forecasting and predictive modeling tools-Assist clients to define ... reserves in support of Deloitte & Touche audits of health care liabilities-Communicate ROI for medical management...you serve Preferred: + 6+ years of consulting and/or health plan/ insurance company experience + 4+ years… more
- Humana (Sacramento, CA)
- …us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate ... Qualifications** + Medical utilization management experience + Working with health insurance organizations, hospitals and other healthcare providers, patient… more