- UCLA Health (Los Angeles, CA)
- Description As a member of the Medicare Advantage Operations team, Business Data Analyst is instrumental in independently developing the detailed requirements ... requirements are understood and implemented consistent with the Business Data Analyst 's vision + perform testing, design and delivery requirements + work… more
- Mondelez International (Ontario, CA)
- …Lead the Future of Snacking. Make It Possible.** You will execute warehouse operations in term of service, cost, health and safety, quality, food defense, ... (iDoc management, stock reconciliation), interfaces monitoring, track and trace, claims management, invoice management, compliance execution (HSE, quality, risk… more
- Highmark Health (Sacramento, CA)
- …to assess the accuracy of client reports submitted to the organization, efficiency of claim operations , and adequacy of systems and procedures. + Approves ... claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim...+ 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to… more
- Highmark Health (Sacramento, CA)
- …is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various ... including but not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims , and Medical Policy. The person in this position must fully… more
- The County of Los Angeles (Los Angeles, CA)
- STAFF ANALYST , HEALTH SERVICES/ EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4657737) Apply STAFF ... ANALYST , HEALTH SERVICES/ EMERGENCY APPOINTMENTS HOMELESSNESS Salary $97,552.32 -...deployment of resources and the implementation and refinement of operations and programs in major health service areas. Additional… more
- LA Care Health Plan (Los Angeles, CA)
- …Continued Domain Specific Experience and Skills: Domain Focus: Authorization & Claims Operations Analytics Required: Experience with Utilization Management (UM) ... Enterprise Data Analyst II Job Category: Administrative, HR, Business Professionals...authorization workflows and prior authorization metrics. Knowledge of claims operations , including receiving, adjudication, and provider… more
- LA Care Health Plan (Los Angeles, CA)
- …Continued Domain Specific Experience and Skills: Domain Focus: Authorization & Claims Operations Analytics Required: Experience with Utilization Management (UM) ... Solutions and Data Analyst III Job Category: Administrative, HR, Business Professionals...authorization workflows and prior authorization metrics. Knowledge of claims operations , including receiving, adjudication, and provider… more
- The County of Los Angeles (Los Angeles, CA)
- DISASTER SERVICES ANALYST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4684863) Apply DISASTER SERVICES ANALYST Salary $87,086.16 - ... and State subventions for disaster/emergency preparedness planning, training, and operations . Participates or conducts audits on grant purchases and maintains… more
- LA Care Health Plan (Los Angeles, CA)
- …Continued Domain Specific Experience and Skills: Domain Focus: Authorization & Claims Operations Analytics Required: Experience with Utilization Management (UM) ... Enterprise Data Analyst III Job Category: Administrative, HR, Business Professionals...authorization workflows and prior authorization metrics. Knowledge of claims operations , including receiving, adjudication, and provider… more
- Sharp HealthCare (San Diego, CA)
- …Abilities** + Demonstration of professional level of knowledge of health plan operations , health plan software configuration, enrollment and claim file ... Do** Under the direction of the Manager of EDI Management, the Systems Analyst -EDI Mgmt will use technical and analytic skills to complete monitoring, reviewing,… more