- Sedgwick (Sacramento, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance (Remote) Director National Technical Compliance - Casualty **PRIMARY PURPOSE** : To ... to research technical issues + In-depth technical knowledge of claims management, managed care or call center operations +...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Allied Universal (Fairfield, CA)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services ... $20 - $24** **/** **hr** **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage types, including workers'… more
- AON (San Francisco, CA)
- …employee stock purchase plan; consideration for long-term incentive awards at Aon's discretion; medical , dental and vision insurance , various types of leaves of ... employee stock purchase plan; consideration for long-term incentive awards at Aon's discretion; medical , dental and vision insurance , various types of leaves of… more
- Robert Half Accountemps (Atwater, CA)
- …financial matters, payment options, and account resolutions. * Review and analyze medical claims for accuracy and compliance with healthcare guidelines. * ... billing and collections for commercial, Medi-Cal, Medicare, and third-party payers. * Verify insurance coverage and ensure claims are submitted accurately and on… more
- UCLA Health (Los Angeles, CA)
- …team and support accurate and timely processing of inpatient and outpatient claims . This role requires expertise in billing guidelines, customer service, and appeals ... skills. In this role, you will: + Accurately process inpatient and outpatient claims to third-party payers, adhering to all mandated billing guidelines. + Ensure… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …to internal and external KOLs/stakeholders, various stakeholders in the medical /healthcare community, Otsuka's partners, and clinical trial personnel credibly, ... for a minimum of 5 business days. **Company benefits:** Comprehensive medical , dental, vision, prescription drug coverage, company provided basic life, accidental… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …insights. + **Cross-Functional Collaboration:** Work closely with R&D, market access, medical affairs, and business development teams to shape evidence generation ... for a minimum of 5 business days. **Company benefits:** Comprehensive medical , dental, vision, prescription drug coverage, company provided basic life, accidental… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …of the global regulatory team (GRL, regional leads, CMC-RA, labeling, medical writing, regulatory operations, etc.) to develop global regulatory plans, address ... for a minimum of 5 business days. **Company benefits:** Comprehensive medical , dental, vision, prescription drug coverage, company provided basic life, accidental… more
- Dignity Health (Bakersfield, CA)
- …deep familiarity with the complexities of delegated services, including claims , utilization management, provider data, and network operations. Essential Functions ... Optimization: Identify high-impact manual processes across departments such as Claims , UM, Credentialing, and Provider Data. Facilitate automation readiness… more
- The County of Los Angeles (Los Angeles, CA)
- …Provides technical and administrative direction to staff performing reviews of patients' medical charts to ascertain the medical necessity for services and ... admission and certified hospital days, and inclusion of all relevant supporting medical information. + Develops procedures for the compilation of information from … more