- LA Care Health Plan (Los Angeles, CA)
- …laws & regulations, policies, and industry standards which provide medical , hospital, vision, dental, behavioral health, transportation and telehealth services. ... vendors. Manages the design, implementation, and reporting of special projects such as Medical Loss Ratio. Manages the design and implementation of reports and tools… more
- The County of Los Angeles (Los Angeles, CA)
- …(CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In ... addition, to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency response system, as well as… more
- The County of Los Angeles (Los Angeles, CA)
- …provided to patients in a range of settings such as acute medical , psychiatric, or rehabilitation hospitals, out-patient clinics, or in California Children's ... Services Medical Therapy Units. Incumbents assigned to children's clinics or...treatment; identifies patients for specific treatment eligibility; provides comprehensive follow -up care; initiates referrals for other services; and provides… more
- Veterans Affairs, Veterans Health Administration (Palo Alto, CA)
- …is requested. The incumbent will also supervise trainees, including but not limited to medical students and residents, in all of these settings The incumbent will be ... on-call services and other duties as needed. B. Administrative: The incumbent will follow VAPAHCS Policies and National Directives. The incumbent will serve on at… more
- UIC Government Services and the Bowhead Family of Companies (Travis AFB, CA)
- …role in ensuring uninterrupted mission-essential communications for base operations, medical facilities, and tenant organizations. The Telecommunications Mechanic II ... per the contractor's Quality Control Plan. + **Safety & Compliance** - Follow OSHA standards, confined space protocols, hazardous materials controls, and accident… more
- AON (San Francisco, CA)
- …Aon resources to support clients in unusual circumstances such as large claims , etc. + Involves others across geographic (including international), functional and ... to opportunities to grow the business. + Manages input to and follow -up on invoicing and receivables process for assigned clients, ensuring timely collections.… more
- Sedgwick (San Francisco, CA)
- …**This position will be responsible for negotiating California Worker's Compensation medical liens. Preferred candidate must have experience working on California ... medical liens.** **PRIMARY PURPOSE** : To represent client employers...WCAB Court procedures, and setting + Timely resolution and follow up on pending files + Must be organized… more
- Stanford Health Care (Palo Alto, CA)
- …Denial Analysis: Conduct thorough analyses of denials, evaluating the appropriateness of medical services and procedures. Ensure accurate coding with ICD, HCPCS, CPT ... while identifying instances of overpayments and underpayments. Proficiency in healthcare claims analysis, including the ability to review, interpret, and evaluate … more
- The County of Los Angeles (Los Angeles, CA)
- …proof of vaccination against COVID-19 or request an exemption for qualifying medical or religious reasons during the onboarding process. Candidates should not ... (CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In… more
- Cognizant (Sacramento, CA)
- …the Health Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a valued member ... accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well as timely filing deadlines and… more