- Deloitte (Los Angeles, CA)
- …vendors by reviewing services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against ... Pharmacy Benefit Manager/ Health & Group Benefits Senior Consultant Human CapitalOur...plan offerings and design. + Manage RFP processes for medical , dental, pharmacy, life, and disability programs, including development,… more
- Kemper (Cerritos, CA)
- …metrics. **POSITION RESPONSIBILITIES:** + Manages the day-to-day operations for assigned claims staff by establishing schedules and priorities, coaches employees in ... reviewing, analyzing, investigating, negotiating and settling claims in compliance with Kemper Claims Standards....job is also eligible for our Kemper benefits package ( Medical , Dental, Vision, PTO, 401k, etc.) Kemper is proud… more
- Marriott (San Francisco, CA)
- …* Works with the unemployment services provider to respond to unemployment claims ; reviews provider reports for accuracy and corrects errors. * Prepares, audits ... and ensure compliance with the Privacy Act. * Ensures medical records are maintained in a separate, secure and...orientation, property meetings, bulletin boards, etc. * Conducts periodic claims reviews with Regional Claims office to… more
- Elevance Health (Los Angeles, CA)
- …projects in various stages to completion strongly preferred. + Experience with medical billing guidelines, and regulations preferred. + Experience with medical ... experience strongly preferred. + Previous experience in high-volume operations ( claims , customer service, enrollment and billing) strongly preferred. For candidates… more
- CVS Health (Sacramento, CA)
- …**Position Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves ... At CVS Health , we're building a world of health...role, and understanding (U&C) calculated rates and benchmarking of medical costs. The individual will be developing their role… more
- Evolent (Sacramento, CA)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...Evolent. This individual will be primarily focused on performing medical economics analysis in support of complex risk-based contract… more
- Cedars-Sinai (Los Angeles, CA)
- …meet the needs of all customers, ensure the timely submission and collections of claims and support the Medical Center philosophies. The Manager assumes fiscal ... **Job Description** **Grow your career at Cedars-Sinai!** **Cedars-Sinai Medical Center has been named to the Honor Roll in US News & World Report's "Best Hospitals… more
- Terumo Medical Corporation (San Francisco, CA)
- …20, 2025 Req ID: 4313 Location: San Francisco, CA, US Company: Terumo Medical Corporation Department: TIS Sales - Pacific Northwest Terumo Medical Corporation ... (TMC) develops, manufactures, and markets a complete, solutions-based portfolio of high-quality medical devices used in a broad range of applications for numerous… more
- Robert Half Office Team (Long Beach, CA)
- Description We are looking for a dedicated and detail-oriented Medical Insurance Verifier to join our team in Long Beach, California. The Medical Insurance ... programs. The ideal candidate will have a strong background in medical billing, insurance verification, and financial counseling. Responsibilities: * Conduct… more
- Oura (San Francisco, CA)
- …with legal requirements while maintaining competitive positioning, and advise on permissible health claims , ensuring compliance with FDA, FTC, and global ... a Medical Device (SaMD), Software in a Medical Device (SiMD), and AI/ML-enabled health solutions,...for biometric tracking, AI-driven diagnostics, real-world data applications, and health and wellness claims . + Provide legal… more