- NTT DATA North America (San Francisco, CA)
- …including benefits, provider contracts, pricing, accumulators, authorization rules, and claims processing . -Collaborate with configuration analysts, business ... test scripts for functional, regression, and integration testing. -Create test data using Claims test Pro, testing tool created by Cognizant. -Identify test data and… more
- The County of Los Angeles (Los Angeles, CA)
- …departments and the landlord, and manage schedules and budgets. Familiar with processing change orders and payment requests. Works with County Counsel to review ... steps to view correspondence, and we will not consider claims of missing notices to be a valid reason...may be required to submit documentation from a qualified medical provider or other qualified professional to support your… more
- Oura (San Francisco, CA)
- …this role will be responsible for advising on regulatory risk, marketing claims , product labeling, corporate compliance initiatives, and will oversee the privacy ... health products, including wearable devices and related software, including Software as a Medical Device (SaMD), Software in a Medical Device (SiMD), and… more
- Elevance Health (Los Angeles, CA)
- …the Data Team in leading complex data projects, building and scaling processing capabilities, conducting data analysis and expanding reporting. This role will center ... around mining complex claims , diagnosis, eligibility and patient data for valuable insights...findings into high quality, data driven decisions to improve processing capabilities and expand the use of client data… 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)
- …in the operation of main or dormitory control booths. + Assists in processing inmates for court appearances. + Assists in performing administrative and operation ... or other Type l jail facility to assist in receiving and processing inmates: eg, searching, booking, photographing, fingerprinting, maintaining inmate records, and… more
- The County of Los Angeles (Los Angeles, CA)
- …Los Angeles County, CA Job Type Full time Job Number P4886A-R Department MEDICAL EXAMINER Opening Date 10/09/2024 Closing Date Continuous + Description + Benefits + ... service are met and is subject to closure without prior notice. About the Medical Examiner: The Department of Medical Examiner investigates and determines the… more
- Sharp HealthCare (San Diego, CA)
- …and responding to internal and external benefit inquiries, and supporting claims testing activities. Provides training to new and less experienced Benefit ... fostering teamwork. + Experience with spreadsheets, data reporting, and word processing applications. **Preferred Qualifications** + Other Course work or prior… more
- LA Care Health Plan (Los Angeles, CA)
- …Advanced understanding of managed care operations (including but not limited to, claims processing , population health, appeals and grievances, etc.) and the ... root causes, etc. that impact member access to care, claims payments, etc.; and assessment and roll-out of key...Off (PTO) + Tuition Reimbursement + Retirement Plans + Medical , Dental and Vision + Wellness Program + Volunteer… more
- LA Care Health Plan (Los Angeles, CA)
- …Compliance Reports. In addition, the position performs data entry and processing of referrals/authorizations in the system, authorizes request consistent with auto ... as assigned. Duties Functional Elements: Technical Support to UM Specialist: Processing of time sensitive authorization and pre-certification requests to meet… more