- Elevance Health (Los Angeles, CA)
- …with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable ... + Utilizes guidelines and review tools to conduct extensive research and analyze the grievance and appeal issue(s) and...and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize… more
- Walgreens (Brea, CA)
- …until satisfied, etc.). + Develops strong relationships with most valuable customers. Operations + Under the supervision by the pharmacist, assist in the practice ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Fortrex (CA)
- …Full Time **FLSA Status:** Salary Exempt **Reports To:** Regional Customer Service Manager **Work Schedule:** Monday - Friday **Amount of Travel Required:** 70-80% ... Exercise independent judg e ment in administrative and general business operations decisions (eg, equipment replacement, delivery concentration targets, warranty … more
- Cardinal Health (Fresno, CA)
- **_What Revenue Cycle Management (RCM) contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative operations of a ... and pursuing payment for all unpaid and delinquent denied claims . They also act as a liaison between the...opportunities for improvement on Power BI. + Provide executives, manager , and center support with denial trends and presentations.… more
- City and County of San Francisco (San Francisco, CA)
- …Family and Children's Services (FCS), Investigations, SF Benefits Net, Program Support Operations , Alignment & Guidance as well as the Department of Homelessness and ... to the general duties above: + Detects, investigates, and prevents fraudulent claims for public assistance to avoid welfare fraud and other financial crimes.… more
- Cedars-Sinai (Los Angeles, CA)
- …organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing ... and Denials Management unit. Responsible for handling the day-to-day departmental operations , assigning and reviewing work assignments for staff members. Team Lead… more
- Sacramento Municipal Utility District (Sacramento, CA)
- …type of inspection; and pre-assesses inspection projects with the Project Manager to determine level of inspection needed, checks environmental issues and ... and maintains job site records and progress reports; informs the Engineer/Project Manager on construction progress. + Various projects may be Distribution and… more
- Sacramento Municipal Utility District (Sacramento, CA)
- …and maintains job site records and progress reports; informs the Engineer/Project Manager on construction progress. + Various projects may be Distribution and ... landscaping, sheet metal, drywall, shoring, roofing, testing methods, hazardous waste operations , and labor compliance. SMUD Field Representative: + Reviews and… more
- Ankura (Los Angeles, CA)
- …health care team is comprised of clinicians, certified coders, revenue cycle, and operations professionals. Our practice leaders each have over 25 years of health ... their experience and knowledge related in coding, revenue cycle and clinical operations , along with their project management capabilities, to contribute to complex… more
- UCLA Health (Los Angeles, CA)
- Description As a member of the Medicare Advantage Operations team, Business Data Analyst is instrumental in independently developing the detailed requirements ... update training documentation + generate adhoc reports to support operations team as needed This is a flex-hybrid role...Each employee must complete a FlexWork Agreement with their manager which will outline arrangement parameters and aids both… more