- Humana (Sacramento, CA)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- CVS Health (Sacramento, CA)
- …Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning ... the negotiation role, and understanding (U&C) calculated rates and benchmarking of medical costs. The individual will be developing their role as a negotiator,… more
- Evolent (Sacramento, CA)
- …team at Evolent. This individual will be primarily focused on performing medical economics analysis in support of complex risk-based contract development and will ... into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant… more
- City National Bank (Los Angeles, CA)
- *FRAUD TEAM SUPPORT ANALYST * WHAT IS THE OPPORTUNITY? Responsible for analytical and project support for Fraud operations, including: conducting analysis of ... require ad hoc rule implementation; research and respond to escalated fraud claims ; malware alerts; review of department audit reports and other support activities… more
- Robert Half Office Team (Stockton, CA)
- Description We are looking for a Benefits and Leave Analyst to join our team in Stockton, California. This role involves managing key aspects of employee benefits, ... to optimize program offerings. * Oversee workers' compensation cases, including claims management and reporting. * Develop and implement procedures to enhance… more
- WTW (Los Angeles, CA)
- …of contact for your clients in all aspects of their insurance program, any claims , wording, coverage or industry news related queries are directed to you, so these ... Submission' document, containing in-depth information about a client's business including claims information, the classes of business needing renewal and any other… more
- UCLA Health (Los Angeles, CA)
- …or a related field + Five or more years of experience managing enrollment, claims , or encounters in a Medicare or managed care environment required + Five or ... of Medicine, a highly respected leader in the development of breakthrough medical research and outstanding clinical professionals. If you're looking to experience… more
- The County of Los Angeles (Los Angeles, CA)
- HOSPITAL MEDICAL ASSISTANT Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2534187) Apply HOSPITAL MEDICAL ASSISTANT Salary $52,794.72 - ... hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty...of filing or email a copy to the exam analyst , Gabriela Caudillo ###@dhs.lacounty.gov within 15 calendar days from… more
- The County of Los Angeles (Los Angeles, CA)
- HEAD, MEDICAL RADIATION PHYSICIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4713439) Apply HEAD, MEDICAL RADIATION PHYSICIST Salary ... (CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In… more
- The County of Los Angeles (Los Angeles, CA)
- MEDICAL RADIATION PHYSICIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4722455) Apply MEDICAL RADIATION PHYSICIST Salary $94,242.72 - ... (CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In… more