- 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
- 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
- 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
- Cardinal Health (Fresno, CA)
- …Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off ... responsible for the safe, efficient and effective coordination of Cardinal Health 's pharmacy operations that service acute care hospitals, hospital retail customers,… 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 :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs...internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of… more
- Elevance Health (Los Angeles, CA)
- …assurance for non-clinical configuration and aids in implementing pharmacy and medical programs related to prior authorization. **Minimum Requirements:** + Requires ... process improvement, project coordination in a high-volume managed care operation ( claims , customer service, enrollment and billing); or any combination of education… more
- Elevance Health (Walnut Creek, CA)
- …strategic planning as Third Party Administrator for the Children and Youth Behavioral Health Initiative (CYBHI). The CYBHI is part of Governor Gavin Newsom's Master ... Plan for Kids' Mental Health , a historic investment by the State of California...design, researching and resolving phone and written inquiries, resolving claims , benefit and enrollment issues. + Presents monthly, ad… more
- Elevance Health (Walnut Creek, CA)
- _Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, ... eliminate and prevent unnecessary medical -expense spending._ **Account Service Manager Senior - Carelon Payment Integrity Commercialization** **Locations:** +… more
- Elevance Health (Costa Mesa, CA)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically. **How you ... will make an impact:** + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs and a specific care… more
- Dignity Health (Bakersfield, CA)
- …with health plans and other key partners. Coordinates with Claims , UM, Compliance, and Finance for cross-functional integration and execution. - Ensures ... providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers...and vision plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and… more