- Providence (CA)
- …update and create Coding Policies and associated edit configurations within the PHP claims editing system. In addition, the Coding Policy Analyst will be responsible ... specialty societies, and assists with implementation of such changes to the claims adjudication and editing software. **Providence Health Plan** caregivers are not… more
- Elevance Health (Los Angeles, CA)
- …Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Investigator Senior** is responsible for the independent ... in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health insurance policies,… more
- Dignity Health (Bakersfield, CA)
- …deep familiarity with the complexities of delegated services, including claims , utilization management, provider data, and network operations. Essential Functions ... Optimization: Identify high-impact manual processes across departments such as Claims , UM, Credentialing, and Provider Data. Facilitate automation readiness… more
- United Site Services (Fresno, CA)
- …for all safety issues in the field + Work directly with branch management, claims adjusters, injury counselors, etc. to ensure complete claims management for ... as safety rules, operating and maintenance instructions, and procedure manuals + Claims Management Experience a plus + Ability to perform simple arithmetic using… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …this deep-rooted dedication that drives us to uncover answers to complex, underserved medical needs, so that patients can push past the limitations of their disease ... with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Wounded Warrior Project (San Diego, CA)
- …schedule (three days in the office, two days' work from home) . Full medical , dental, and vision coverage for both teammates AND family members . Competitive pay ... (NSO) educates and advocates for warriors and their families as they pursue claims for injuries sustained during active duty military service. The NSO guides and… more
- Sedgwick (Los Angeles, CA)
- …IDEAL CANDIDATE?** If you have a strong background in handling cargo claims , hull and machinery, yacht damage assessments, or investigating marine equipment ... growth opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K and PTO. + Wellness benefits including wellness… more
- Dignity Health (Bakersfield, CA)
- …structures for operational clarity. - Collaborate with market leadership, finance, claims , and network teams to align contracting strategy with growth objectives. ... sets, division of financial responsibilities, and provider information. - Partner with Claims and Configuration teams to audit system inputs, reducing payment errors… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …of the global regulatory team (GRL, regional leads, CMC-RA, labeling, medical writing, regulatory operations, etc.) to develop global regulatory plans, address ... with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- The County of Los Angeles (Los Angeles, CA)
- …inbox, which saves a copy of MOST notices. Los Angeles County will not consider claims of not viewing or receiving notification to be a valid reason for late test ... (40 and over); ancestry; color; ethnicity; religious creed; protected family or medical leave status; disability; marital status; medical condition; genetic… more