- Southern California Edison (Rosemead, CA)
- …job, you'll play a crucial role in accounting for legal reserves, claims , and settlements, collaborating with various stakeholders and leadership to ensure accurate ... ledger and month end close entries + Directs the annual financial statement audit by working directly with internal staff and external accounting firm + Manages… 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
- Dignity Health (Bakersfield, CA)
- …sets, division of financial responsibilities, and provider information. - Partner with Claims and Configuration teams to audit system inputs, reducing payment ... structures for operational clarity. - Collaborate with market leadership, finance, claims , and network teams to align contracting strategy with growth objectives.… more
- Walmart (Chino, CA)
- …evaluating air water and waste pollution Supports regulatory visits and prepares audit reports for management review Participates in evaluating pollution control and ... for accidents Reports safety violations and accidents Implements internal and external audit requirements within assigned area of work Creates action plans to… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …with Sales and Marketing on sample allocation and planning. + Support audit readiness and compliance reviews. **Operational Efficiency & Field Partnership** + ... 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
- Robert Half Accountemps (Brea, CA)
- …of construction-related credit practices, legal tools such as lien and bond claims , and the ability to work effectively in a fast-paced, project-driven environment. ... payment schedules. * Prepare and file Stop Payment Notices and Bond Claims in compliance with California construction laws. * Maintain detailed records of… more
- LA Care Health Plan (Los Angeles, CA)
- …within 2 hours of receipt; identify duplicate requests using the claims and verify existing authorization. Independently identifying and appropriately returning to ... claims or member services any file that is a...member information. Creating secure, complete, files. Interface with members, medical personnel and other internal and external agencies; ensure… more
- HCA Healthcare (Campbell, CA)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- UCLA Health (Los Angeles, CA)
- …groups. + Provide customized education and updating educational materials for providers and medical groups. + Participate in additional audit activities for CMS ... associated with the health plan. You will: + Conduct medical record audits for physicians (MD, DO, or NP)...and non-clinical staff, required + Understanding of RADV and audit processes, required + Detailed knowledge and understanding of… more
- CVS Health (Sacramento, CA)
- …R, Alteryx, Trifacta, Linux OS, GCP/ AWS/ Azure. + Experience working with medical and/or pharmacy claims data. + Experience in healthcare industry, including ... work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information… more