- CVS Health (Sacramento, CA)
- …internal operation requirements, policies, and procedures. **Key Responsibilities:** + Review provider dispute resolutions according to organizational guidelines. + ... provider participation and pricing inquiries. + Analyze post-paid healthcare claims as it relates to pricing needs. + Apply...internal departments as it related to the cases under review . + Coordinate with other departments as necessary to… more
- The County of Los Angeles (Los Angeles, CA)
- …permanent appointment to Health Care Financial Analyst. DEFINITION: Prepares reimbursement claims for health and/or mental health care provided under Federal, State ... and Special medical aid programs or prepares yearly budget requests, annual...for Federal, State, and/or Special Programs to determine if claims for reimbursement conform to applicable rules and regulations… more
- The County of Los Angeles (Los Angeles, CA)
- …Experience may include laws and regulations relating to healthcare providers; False Claims Act; Anti -Kickback Statute; consent and confidentiality of medical ... Portability and Accountability Act (HIPAA); Public Health Services Act; medical staff issues; health facility licensing, healthcare organization certification and… more
- The County of Los Angeles (Los Angeles, CA)
- …provided to patients in a range of settings such as acute medical , psychiatric, or rehabilitation hospitals, out-patient clinics, or in California Children's ... Services Medical Therapy Units. Incumbents assigned to children's clinics or...decisions; participates as the occupational therapy representative on inter-disciplinary treatment/ review teams; advises and reports on the patient's condition… more
- Datavant (Sacramento, CA)
- …positions and perform compensation analysis for different jobs. + Assists with EEOC/DOL claims and any other claims filed against the company, including ... will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or… more
- Harris & Associates (Monterey Park, CA)
- …schedule + Perform time impact analysis of project schedule delays and potential claims + Participate in change order negotiations + Perform Critical Path and Earned ... solutions + Conduct construction/project site visits for progress reporting. + Review contractor's weekly and monthly schedule progress, prepare narrative of… more
- Samsung SDS America (Cerritos, CA)
- …in supply chain management and transportation law. You will draft, review , and negotiate commercial contracts for multimodal transportation and warehousing services ... SDS America, Inc. please visit www.samsungsds.com/en/logistics/logistics.html Responsibilities: + Draft, review , and negotiate complex logistics contracts covering multimodal transportation,… more
- The County of Los Angeles (Los Angeles, CA)
- …eligible register. Once you complete the assessment, you are not able to review them per Civil Service Rule 7.19. NOTE: All notifications including invitation ... from being filtered as spam/junk/clutter mail. Los Angeles County will not consider claims of not viewing or receiving notification to be a valid reason for… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …Include: Answering calls from provider offices and members of the medical group Performing PCP assignment updates Providing or scheduling translation services ... payment status Any other questions they may have Skills Required: Knowledge of medical terminology, ICD-10 codes, CPT Codes, HCPC Codes, Health Plan benefits, or … 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