- Norstella (Sacramento, CA)
- Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Jan 5, 2026 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more
- Robert Half Accountemps (Los Angeles, CA)
- …a must. Requirements HealthCare Revenue Cycle, Medical Billing, Revenue Cycle Processes, Medical Claims , Billing Functions, UB-04 form, HMO PPO, Medical ... National Healthcare Organization is in the need of a Medical Revenue Cycle Analyst to join its...and analyze financial and operational performance metrics related to claims processing, denial management, and payment posting. + Collaborate… more
- Amazon (San Francisco, CA)
- …of actuarial reserving, forecasting and medical economics -Expertise in working with medical claims data and using programming languages such as SQL, R, SAS, ... Description Amazon One Medical is hiring a Actuarial Manager Analyst . Actuarial rigor is one of the keys to our success. This candidate will responsible… more
- Highmark Health (Sacramento, CA)
- …:** **JOB SUMMARY** This pivotal role drives the full lifecycle of medical policies, from initial development and evidence-based criteria writing to publication, ... analysis. The incumbent will act as a primary owner of assigned medical policies, ensuring their accuracy, clinical soundness, and operational feasibility. A core… more
- Highmark Health (Sacramento, CA)
- … terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim...years of prior experience processing 1st dollar health insurance claims + 3 years of experience with medical… more
- WelbeHealth (Los Angeles, CA)
- …Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate ... pre-payment or denial of claims while meeting federal/state regulations, provider agreements terms, and/or...accuracy prior to payment while maintaining acceptable levels of claim 's aged inventory by verifying various aspects of the… more
- Highmark Health (Sacramento, CA)
- …including but not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims , and Medical Policy. The person in this position must ... resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a...of the job. Assess benefit limitations in accordance with Medical Policy Guidelines. + Monitor and identify claim… more
- Morley (CA)
- …case details? If so, this role could be a perfect fit for you! As a Legal Claims Analyst at Morley, you'll play a key role in managing small automotive claims ... to support the client's defense strategies, including lemon law claims + Serve as the "Person Most Knowledgeable" (PMK)...work and in life. **_Health & Wellness Benefits_** + Medical and prescription coverage, including free annual physicals +… more
- Fluor (Fresno, CA)
- …direction of the Director and Deputy Director of the PMO/forensics & Claims , this role is responsible for developing forensic analyses and providing oversight ... also responsible for reviewing and analyzing Contractors' Time Impact Analyses and claims and assisting with the rebuttal responses. In addition to forensic analysis… more
- Ventura County (Ventura, CA)
- …resources management) AND two (2) years' experience handling workers' compensation claims , including experience with claim evaluation, management, or adjustment, ... MB4, MS3, MT3, MT4, MU3, MU4 01 Please describe your workers' compensation claims handling experience, including experience with claim evaluation, management, or… more