- Dignity Health (Bakersfield, CA)
- …. Submission, Claim Payment, Eligibility, Appeals for Commercial, MediCare and MediCal lines of business. + Bachelor's Degree - Bachelor's Degree or equivalent ... teams as needed when questions arise. The Provider Data Analyst partners with Configuration Claims and Enrollment to ensure end to end accuracy to pay claims … more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- The Manager, Medical Core Content is a team-level operational role responsible for the development, maintenance, and day-to-day quality assurance of all core ... scientific and medical content for the relevant therapeutic area. This role...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- As a senior leader within Medical Affairs, the Executive Director will serve as a strategic thought partner and Chief of Staff to the Vice President of Medical ... internal priorities, this individual will shape the development of best-in-class medical excellence capabilities aligned with Otsuka's vision, direction, and growth… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- **Job Summary** The Senior Director, Medical Communications, Nephrology & Immunology directs and provides strategic leadership for the global scientific ... directing the development and dissemination of all core scientific and medical content (eg, global slide decks, congress abstracts/presentations, publications, … more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- The Director, Strategic Planning & Operations is a pivotal role within the Medical Excellence & Operations team within Global Medical Affairs. This role is ... responsible for overseeing 3 medical business unit specific Strategic Planning roles (CNS, Nephrology...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- The Associate Director, Congress and Medical Education Strategy & Execution is responsible for executing and contributing to the global medical strategy and ... with global and regional cross-functional stakeholders - including Global Medical Affairs, Clinical Development, Global Integrated Evidence & Innovation (GIE&I)… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- The Senior Director, Medical Communications, CNS directs and provides strategic leadership for the global and US scientific communication strategy for the assigned ... directing the development and dissemination of all core scientific and medical content (eg, global slide decks, congress abstracts/presentations, publications, … more
- Robert Half Accountemps (Irvine, CA)
- …by adhering to established policies and procedures. Requirements * Proficiency in medical collections processes, including appeals and claim administration. * ... Description We are looking for a skilled Medical Collections Lead to join our team in...with expertise in managing accounts receivable and resolving insurance claim issues. The ideal candidate will demonstrate strong communication… more
- Humana (Sacramento, CA)
- …in identification of cost drivers, utilization patterns, and anomalies in Medicaid medical claims data. The Actuary, Analytics/Forecasting ensures data integrity ... community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to… more
- Sedgwick (West Hills, CA)
- …payments and/or adjustments for client paid leave plans ensuring that on-going claim management is within company service standards and industry best practices. ... and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow… more