• Medicaid Grievance and Appeals Intake Analyst

    Elevance Health (Costa Mesa, CA)
    …to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to ... + Demonstrated business writing proficiency, understanding of provider networks, the medical management process, claims process, the company's internal business… more
    Elevance Health (08/27/25)
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  • Lead Prior Authorization Specialist

    Polaris Pharmacy Services, LLC (Covina, CA)
    …change as determined by the needs of the business. BENEFITS for full time Employees + Medical , Dental , and Vision insurance + 401 (k) (available for Part ... for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...by working with national Medicare D plans, third party insurance companies, and all state Medicaid plans to ensure… more
    Polaris Pharmacy Services, LLC (08/23/25)
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  • Telephonic Case Manager

    Sedgwick (Sacramento, CA)
    …towards the same vision/goals. + We offer a diverse and comprehensive benefits including medical , dental vision, 401K, PTO and more beginning your first day. ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:**...benefits package is offered including but not limited to, medical , dental , vision, 401k and matching, PTO,… more
    Sedgwick (09/06/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Walnut Creek, CA)
    …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles,...bonus programs (unless covered by a collective bargaining agreement), medical , dental , vision, short and long term… more
    Elevance Health (08/23/25)
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  • Accounting Associate - Pooling

    Sedgwick (Sacramento, CA)
    …per hour. A comprehensive benefits package is offered including but not limited to, medical , dental , vision, 401k and matching, PTO, disability and life ... as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Accounting Associate - Pooling Are you looking for an impactful job where you… more
    Sedgwick (08/19/25)
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  • Return-to-Work Specialist

    Sedgwick (Sacramento, CA)
    …vision/goals. + We offer a diverse and comprehensive benefits package including: + Three Medical , and two dental plans to choose from. + Tuition reimbursement ... **_._** _A comprehensive benefits package is offered including but not limited to, medical , dental , vision, 401k and matching, PTO, disability and life … more
    Sedgwick (09/06/25)
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  • Assistant Vice President

    Sedgwick (Sacramento, CA)
    …new business plan with goals and objectives for assigned locations/offices; provides expert medical and product support to Sedgwick claims and clinical staff. ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Assistant Vice President **PRIMARY PURPOSE** : To provide...a diverse and comprehensive benefits package including: + Three Medical , and two dental plans to choose… more
    Sedgwick (09/05/25)
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  • Healthcare Specialist

    Actalent (Redlands, CA)
    …eligible, the benefits available for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and Hospital * ... Job Title: Provider Data Analyst - Credentialing & Claims Support Position Overview: We are seeking a...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more
    Actalent (09/06/25)
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  • AR Physician Follow Up

    Cognizant (Sacramento, CA)
    …following benefits for this position, subject to applicable eligibility requirements: + Medical / Dental /Vision/Life Insurance + Paid holidays plus Paid Time ... **Technical Skills** : Proficiency in Excel, payer portals, and claims clearinghouses. + **Accounts Receivables** : AR follow up...office **These will help you stand out** + **Examine Claims ** : Analyze denied and underpaid claims … more
    Cognizant (09/06/25)
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  • Employment Attorney

    Robert Half Legal (Oakland, CA)
    …are available to contract/temporary professionals, including medical , vision, dental , and life and disability insurance . Hired contract/temporary ... cases, with a focus on plaintiff-side matters and disability claims . * Conduct thorough legal research and draft compelling...and trials. * Collaborate with clients to assess their claims and provide strategic legal guidance. * Utilize case… more
    Robert Half Legal (08/16/25)
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