- TEKsystems (Santa Barbara, CA)
- …the benefits available for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement ... AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time… more
- Datavant (Sacramento, CA)
- …be beneficial. + Experience in the following fields would be beneficial: Data Entry, Medical Records, Health Care, Insurance Claims Processing and Proof ... a data platform company and the world's leader in health data exchange. Our vision is that every healthcare...exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist III/IV - Behavioral Health Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5037514) Apply Medical Billing ... Insurance, they ensure accuracy, efficiency, and regulatory adherence in all mental health billing operations. Medical Billing Specialist III ( $ 25.10… more
- Providence (Anaheim, CA)
- …we must empower them. **Required Qualifications:** + 1 year Experience in a health care setting or medical claims /insurance operations. **Preferred ... benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits ( medical , dental, vision), life insurance, disability… more
- Sharp HealthCare (San Diego, CA)
- …for identifying Potential Quality Issues. + Supervises Physician Reviewer(s) and Medical Directors including Behavioral Health Medical Directors.Shares ... Senior Medical Director position provides critical management and oversight for Sharp Health Plan's (SHP) physicians ( Medical Directors (both medical and… more
- Sharp HealthCare (San Diego, CA)
- …practices. **What You Will Do** Working with the Chief Medical Officer, oversees medical care for Sharp Health Plan (SHP) products and services and oversees ... management such as provider relations, member services, benefits and claims management, etc. Assists (as determined by the plan...Reports all issues of clinical quality management to the health plan Chief Medical Officer. To ensure… more
- Scripps Health (San Diego, CA)
- …and Thoracic Surgery Center (SCTSC) * SHPS also adjudicates some institutional claims for Mercy Physicians Medical Group (MPMG), Primary Care Associates ... in 4S Ranch/Rancho Bernardo. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits.… more
- Elevance Health (Walnut Creek, CA)
- …healthcare analytics, and/or financial services highly preferred. + Comprehensive understanding of medical claims data. + Intermediate to Advanced expertise with ... **Senior Health Economist - Managed Care** **Location:** This role...Senior) measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed… more
- Molina Healthcare (Long Beach, CA)
- …standards. **Knowledge/Skills/Abilities** * Performs clinical/ medical reviews of retrospective medical claim reviews, medical claims and previously ... years clinical nursing experience. Minimum one year Utilization Review and/or Medical Claims Review. **Required License, Certification, Association** Active,… more
- Ventura County (Ventura, CA)
- …vacancies . There is currently one (1) Full-Time Regular position open in Health Care Agency - Patient Financial Services. Medical Billing Specialist II ... Medical Billing Specialist II - Patient Financial Services...Job Type Full-Time Regular Job Number 0839HCA-25AA (YM) Department Health Care Agency (recruitment by CEO-HR) Opening Date 05/28/2025… more