- CH Robinson (Visalia, CA)
- CH Robinson is looking for an **Order Management Analyst** . In this role you will be responsible for ensuring flawless execution of the order process from point of ... across a broad range of tasks, which include order planning, exception management , inventory management , payment resolution, and ongoing process improvement… more
- Sedgwick (Sacramento, CA)
- …you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase ... with a wide range of clients across the globe, handling complex cases and claims + Collaborate with a talented and supportive team of professionals who are dedicated… more
- Kemper (Cerritos, CA)
- …policies and knowledge of relevant state laws and regulations governing auto insurance claims . + Time management skills ensuring deadlines are met for claim ... every day. We believe a high-performing culture, valuable opportunities for personal development and professional challenge, and a healthy work-life balance can be… more
- Alameda Health System (Oakland, CA)
- …criteria, policies and procedures, and service standards for the utilization management operations. Evaluate utilization reviews and determine program ... Director, Utilization Management + Oakland, CA + Highland General Hospital...Their responsibilities span from managing admissions to ensuring clean claims , identifying trends, and optimizing resource utilization. This role… more
- The Cigna Group (Los Angeles, CA)
- …of communication with matrix partners including but not limited to, Claims Operations, Medical Management . Credentialing, Legal, Medical Economics, Compliance, ... in the Glendale/Los Angeles, CA area.** The **Manager, Provider Contracting Network Management ** serves as an integral member of the Provider Contracting Team and… more
- Western Digital (Sacramento, CA)
- …of data storage. **Job Description** Responsible for the support, development , interpretation, coordination, and administration of the corporation's policies ... relative to property and casualty insurance, self-insurance, captive insurance and risk management . The principal objective is to have effective management of… more
- HUB International (Pleasanton, CA)
- …ID Assessments, Contract Reviews, Claims Reviews (in coordination with Claims Management ), Market Analysis, Stewardship Reports, Deductible Analysis, etc.; ... Coordinating the value-added services being provided by our Risk Services and Claims Management Divisions. + Acts as liaison between clients and insurance… more
- Sharp HealthCare (San Diego, CA)
- …the continuum of care foundation for our NCQA required population health management program . Additionally, this position provides the representation of ... such as provider relations, member services, benefits and claims management , IT management , etc....functions. + Responsible and accountable for implementing the Utilization/Cost Management Program and Quality Improvement Program… more
- BrightSpring Health Services (Union City, CA)
- …knowledge of Medicaid claim regulations and processes. + Produces reports and keeps management informed of unpaid claims and claims pending follow-up. ... Prior supervisory experience. Skills/Knowledge: + Required: Knowledge of Medicaid claims regulations and processes. Basic understanding of drugs, medication… more
- Walmart (Apple Valley, CA)
- …leadership to ensure a high quality customer experience Provides supervision and development opportunities for hourly associates by hiring training and mentoring of ... safety and risk controls within a facility by ensuring an effective safety program is in place Supervises safety team members Identifiesaccident trends to develop… more