- Travelers Insurance Company (Diamond Bar, CA)
- …customer service experience OR Bachelor's Degree. **What Is in It for You?** + ** Health Insurance ** : Employees and their eligible family members - including ... Claim team is committed to partnering with our business insurance customers to help their injured employees return to...you will handle all aspects of a workers compensation claims . In this role, you will learn how to… more
- Cardinal Health (Sacramento, CA)
- …+ Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance claims ; properly resolves by follow-up & disposition. ... account receivables performance and client satisfaction. + Resolves complex insurance claims , including appeals and denials, to...a wide variety of benefits and programs to support health and well-being. + Medical , dental and… more
- LA Care Health Plan (Los Angeles, CA)
- …and Medicaid rules and regulations. Knowledge of healthcare reimbursement concepts, health insurance business, industry terminology, and regulatory guidelines. ... relevant coding elements. Audits can include inpatient, outpatient, and professional claims . Serves cross functionally with Utilization Management, Medical … more
- Highmark Health (Sacramento, CA)
- …knowledge about the shifting healthcare environment including trends concerning health insurance , healthcare delivery, provider relationships and regulatory ... 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… more
- Sharp HealthCare (San Diego, CA)
- …absence of the Director. **Required Qualifications** + 5 Years in HMO or Health Insurance Management. + 2 Years leadership experience working collaboratively ... prior experience in education and training. + 3 Years in a health insurance product implementation, benefit/coverage policy development, benefit configuration,… more
- Sharp HealthCare (San Diego, CA)
- … testing activities. **Required Qualifications** + 3 Years in HMO or Health Insurance Management. + Experience working collaboratively across multiple functional ... fostering teamwork. **Preferred Qualifications** + 2 Years experience in a health insurance product implementation, benefit/coverage policy development, benefit… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- Reporting to the Senior Director of Population Health , this role will work across the organization to help improve the health and well-being of our patients and ... performance measures and serves as the main technical liaison between Population Health , providers, staff, IT and analytics and reporting vendors. Tiburcio Vasquez … more
- Elevance Health (Walnut Creek, CA)
- **Title:** Behavioral Health Provider Quality Manager **Candidates must posses a licensure for the state of California.** **Location:** This role requires associates ... out to the field as needed. **Build the Possibilities. Make an Extraordinary Impact.** Carelon Health is a proud member of the Elevance Health family of brands,… more
- Elevance Health (Los Angeles, CA)
- …analysis preferred. + Practical business experience preferred. + Experience in healthcare claims , health care benefits/total rewards and data analysis preferred. ... ** Health Information Consultant Senior** **Location:** This role requires...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
- Sedgwick (Sacramento, CA)
- …Good technical knowledge of claims management procedures + Knowledge of current medical practices in health care management in a variety of areas (including, ... work restrictions/accommodations. + Performs standard disability clinical reviews of referred medical claims based on client requirements to ensure accurate… more