- Evolent (Sacramento, CA)
- …of best practices. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations (peer to peer phone calls) with requesting physicians ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more
- Executive Office for US Attorneys and the Office of the US… (Bakersfield, CA)
- …cases with substantial responsibility for all aspects of discovery, trial, and appeals . Applicants must demonstrate a quick analytical ability and the facility to ... that includes, in part, paid vacation; sick leave; holidays; telework; life insurance ; health benefits; and participation in the Federal Employees Retirement System.… more
- Executive Office for US Attorneys and the Office of the US… (Fresno, CA)
- …cases with substantial responsibility for all aspects of discovery, trial, and appeals . Applicants must demonstrate a quick analytical ability and the facility to ... that includes, in part, paid vacation; sick leave; holidays; telework; life insurance ; health benefits; and participation in the Federal Employees Retirement System.… more
- Centene Corporation (Sacramento, CA)
- …Prior experience with issue management in Call Center environment and/or Appeals & Grievances + Reporting knowledge **Education/Experience:** Bachelor's degree in ... Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid time off… more
- Executive Office for US Attorneys and the Office of the US… (Sacramento, CA)
- …cases with substantial responsibility for all aspects of discovery, trial, and appeals . Applicants must demonstrate a quick analytical ability and the facility to ... that includes, in part, paid vacation; sick leave; holidays; telework; life insurance ; health benefits; and participation in the Federal Employees Retirement System.… more
- Evolent (Sacramento, CA)
- …of the request and provides clinical rationale for standard and expedited appeals . + Utilizes medical/clinical review guidelines and parameters to assure consistency ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more
- The County of Los Angeles (Los Angeles, CA)
- …heard in the Superior Court. Handles routine workers compensation and unemployment insurance proceedings for purposes of asserting liens or claims for the recovery ... use in the preparation of child support cases. Makes recommendations for appeals of routine child support cases. Confers with custodial parents, non-custodial… more
- City and County of San Francisco (San Francisco, CA)
- …programs or under the provisions of private or public health care plans; verifies insurance and arranges for billing of the appropriate agency or health care plan. + ... The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 S… more
- Robert Half Legal (Santa Barbara, CA)
- …Support the development of legal strategies for clients in impactful cases, including appeals and Supreme Court filings. * Contribute to the firm's mission of ... professionals, including medical, vision, dental, and life and disability insurance . Hired contract/temporary professionals are also eligible to enroll in… more
- Sharp HealthCare (San Diego, CA)
- …management, and discharge planning, as specified by Sharp, federal, state, and private insurance guidelines. + Core principlesThe RN CM I will make timely referrals ... to Revenue Cycle/HIM regarding RAC decision to appeal, denials, input into appeals , share findings with providers.Review all cases with readmission within 30 days;… more