- Highmark Health (Sacramento, CA)
- …**EXPERIENCE** **Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + ... prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. +...in Financial Analysis in an acute care hospital or health insurance setting + 1 year in… 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
- Defense Health Agency (Davis, CA)
- …Hire Solicitation. + A recruitment or relocation incentive _may_ be authorized. Medical malpractice liability insurance is not required for federal civilian ... providers as they are covered by the Federal Tort Claims Act (28 USC | 1346(b)) while acting within...+ Provide a full range of primary and preventive health care services, including military-specific medical care,… more
- LEGOLAND (Carlsbad, CA)
- …To enhance guest and employee experience we are on the lookout for our Next Health & Safety Manager!** **ROLE OVERVIEW** The Health and Safety Manager plays a ... vital role in supporting the Health and Safety Director in developing, implementing, and continuously...actions. + Provide insight into liability and workers' compensation claims and collaborate with stakeholders on effective case resolution.… more
- Sutter Health (San Francisco, CA)
- …and obtaining preauthorization for all services. Ensures that all patient issues regarding insurance claims and cost of care are handled properly. Gains ... are so glad you are interested in joining Sutter Health ! **Organization:** CPMC-California Pacific Med Center Van Ness **Position...insurance or other third-party coverage. + Knowledge of insurance and medical terminology. + Ability to… more
- Dignity Health (Rancho Cordova, CA)
- …individual patient health information records for data retrieval analysis and claims processing. This position is expected to perform duties in alignment with ... following benefits to support you and your family:** + Health /Dental/Vision Insurance + Flexible spending accounts +...and selected candidate must reside in California.** **Overview** Mercy Medical Center a Dignity Health member has… more
- Sedgwick (Rancho Cucamonga, CA)
- … medical , dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and other ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Executive General Adjuster (Remote in California) As an adjuster at Sedgwick,… more
- Evolent (Sacramento, CA)
- …compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...Evolent. This individual will be primarily focused on performing medical economics analysis in support of complex risk-based contract… more
- Dignity Health (San Luis Obispo, CA)
- …Ability to interpret patient invoices Knowledge of payer and regulatory guidelines for medical insurance claims processing and reimbursement. Knowledge of ... serves as the liaison for patients and provides education to patients regarding insurance coverage and guidelines. The Financial Services Associate I will evaluate … 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
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