- AECOM (Fresno, CA)
- …world. Join us. **Job Description** **AECOM** is seeking a **Senior Scheduler - Forensic Claims ** for one of our offices in **Fresno** **, CA** . **JOB SUMMARY** ... Rail project by performing forensic delay analyses, schedule evaluations, and claims assessments. Working within the Risk Management Office, this role helps… more
- Fluor (Fresno, CA)
- …employee health , wellness, and financial security. Our offerings include medical , dental and vision plans, EAP, disability coverage, life insurance, AD&D, ... direction of the Director and Deputy Director of the PMO/forensics & Claims , this role is responsible for developing forensic analyses and providing oversight… more
- Conduent (Los Angeles, CA)
- …part of a culture where individuality is noticed and valued every day. **Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification?** **Would you like to ... audit pharmacy claims for accuracy?** **About the Role** Conduent Payment Integrity...For You** Perks and rewards designed for you: + Health and Welfare Benefits: Our health and… more
- Cognizant (Sacramento, CA)
- …will:** . Design and execute comprehensive test plans and test cases for ETE - Health Care Claims / Membership based applications. . Perform Automation testing of ... the role As a **Quality Analyst with Healthcare - Claims & Membership experience** . You will make an...considered** . 6 to 8 years of experience in Health Care with ETE testing. . Strong proficiency in… more
- Sedgwick (Orange, CA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Assistant | In-office (Orange, CA) Are you looking for an impactful job ... growth opportunities + A diverse and comprehensive benefits offering including medical , dental vision, 401K, PTO and more Work environment requirements for… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... as well as a focus on collaborative business relationships, value-based care, population health , or disease or care management. Medical Directors support Humana… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …payment policies & methodologies that are consistent with and recognized by Health Plans nationally recognized medical organizations federal regulatory bodies & ... purpose of this position is to examine & process claims from the UB04 & CMS-1500 claim forms into...from the UB04 & CMS-1500 claim forms into the claims adjudication system for all capitated & shared services… more
- Banc of California (Santa Ana, CA)
- …from fraud-related losses and improve customer experience: ACH & Check Claims /Disputes, Deposit Reviews from ATM/Mobile/RDC/In- Mail deposits, Mobile & Online ... the company's goals and values. + Performs the position safely, without endangering the health or safety to themselves or others and will be expected to report… more
- NTT DATA North America (Merced, CA)
- …include medical , dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, ... years (or a Master's degree and three years) of claims systems configuration experience which included some experience related...Minimum of 3 years of experience in a managed health care environment + Bachelor's degree in Business Administration,… more
- Public Consulting Group (Chula Vista, CA)
- …public sector solutions implementation and operations improvement firm that partners with health , education, and human services agencies to improve lives. Founded in ... Feasibility Studies PCG is seeking highly motivated and dependable Claims Specialist payment processing clerk with an interest in...provides a range of benefits for this role, including medical and dental care benefits, 401k, PTO, parental leave,… more