- CVS Health (Sacramento, CA)
- … and/or pharmacy claims data * Experience in healthcare industry, including health insurance , PBM or pharmacy services **Education** * Bachelor's degree or ... At CVS Health , we're building a world of health...a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and… more
- LA Care Health Plan (Los Angeles, CA)
- …Services (DHCS), Department of Managed Health Care (DMHC), Managed Risk Medical Insurance Board (MBMIB) and National Committee for Quality Assurance (NCQA) ... $60,778.00 (Min.) - $75,950.00 (Mid.) - $91,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of California… more
- EFI Global (Los Angeles, CA)
- …buildings or residences. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Investigates assigned claims suspected of insurance fraud, this includes large loss, ... large fire loss, and multiple claims . + Ensures that assigned cases are investigated and...dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health … more
- Sedgwick (Sacramento, CA)
- … medical , dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and other ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Legal Support Specialist | Hybrid | Sacramento, CA...provide analysis and legal support to the litigation and claims management team. To be responsible for maintaining and… more
- Centene Corporation (Sacramento, CA)
- …and Medicare members, as well as to individuals and families served by the Health Insurance Marketplace. Looking for a compelling opportunity to move beyond ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a...Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans,… more
- Providence (Irvine, CA)
- …a retirement 401(k) Savings Plan with employer matching, health care benefits ( medical , dental, vision), life insurance , disability insurance , time off ... torts, and regulatory enforcement. + Coordinate closely with Risk Management and insurance carriers on pre-litigation claims and insured matters. + Oversee… more
- Humana (Sacramento, CA)
- …us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate ... Qualifications** + Medical utilization management experience + Working with health insurance organizations, hospitals and other healthcare providers, patient… more
- Humana (Sacramento, CA)
- …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... + Medical utilization management experience, + working with health insurance organizations, hospitals and other healthcare providers, patient… more
- J&J Family of Companies (Santa Clara, CA)
- …of medical delivery systems, reimbursement, market access conditions and health policy trends in major global markets. + Solid knowledge of evidence ... At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation...participate in the following Company sponsored employee benefit programs: medical , dental, vision, life insurance , short- and… more
- Highmark Health (Sacramento, CA)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** Are you...to uncovering society's most complex challenges? Do you see medical records not just as disparate facts, but as… more