- Humana (Sacramento, CA)
- …skills to make an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience ... cross functional teams and support analyzing business processes, error processing , issues and ticket creations with the product management...analyzing and researching medical claims + Proficient in Microsoft Office… more
- Otsuka America Pharmaceutical Inc. (Palo Alto, CA)
- **Position Summary:** The Staff, Preclinical Scientist will join the Medical Affairs Team with the responsibilities of supporting the design, conduct, and analysis ... The position requires a strong understanding of anatomy, physiology, and medical devices. Critical thinking, report writing skills, strong data analysis skills,… more
- Sedgwick (Sacramento, CA)
- …payable for risk pool clients, including coding checks, verifying signatures, processing checks, filing, and related journal entries. + Interfaces with clients ... the Finance Manager or Director. + Process account collections/receivables. + Reconcile claims activity between general ledger and claims system and investigate… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... of multiple parties. + Influencing and negotiation skills. + Up to 10% travel is required based upon business needs. **Education / Experience** Required + Bachelor's… more
- Highmark Health (Sacramento, CA)
- …relationships hold the key to uncovering society's most complex challenges? Do you see medical records not just as disparate facts, but as a vast, dynamic network of ... leverage comprehensive healthcare knowledge graphs, integrating diverse patient, provider, claims , and clinical data to uncover hidden patterns, propagate insights… more
- Wells Fargo (San Francisco, CA)
- …decisioning and business process management solutions which advance fraud detection and claims processing products. This position reports directly to the Head ... these groups to support modernization and optimization. Within TCOO, the Fraud and Claims Technology team is seeking a Principal Architect. The ideal candidate will… more
- Humana (Sacramento, CA)
- …**Use your skills to make an impact** **Required Qualifications** **5+ years of medical claims processing /auditing or encounter data management experience** ... team leadership experience** **Demonstrated experience in managing projects effectively** ** Medical claims experience** **Additional Information** **_This position… more
- AECOM (Los Angeles, CA)
- …to be based in the state of CA, plus up to 25% travel ._ **Responsibilities** + Manage the Company's high-volume asbestos litigation docket from initial intake ... discovery by researching AECOM's historical project records. + Proactively manage claims to resolution, including advancing case analysis and strategy, setting… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …drug development programs, including: + Understanding pharmacology of drugs and unmet medical needs. + Formulating a rationale to develop the drug in accordance ... quality. + Developing and leading formal presentations of results to the medical community, in written, verbal, andvisual formats. + Analyzes and interprets the… more
- Sharp HealthCare (San Diego, CA)
- …level of service and interaction is provided, including accurate and timely claims processing , issue resolution, performance recognition, education and training ... 3 Years experience in a managed care or healthcare environment interfacing with medical providers. + Driver's License - CA Department of Motor Vehicles -REQUIRED… more