- Humana (Sacramento, CA)
- …encompasses critical functions including care coordination, quality measurement, billing, claims processing, and customer service, each essential to delivering a ... operational knowledge of core functional areas (care coordination, quality, billing, claims , and customer service). + Collaborate with each Insurance Operations… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …to US payer and channel customers. This role is based in Princeton with remote work placement as an option and reports to the Vice President, CNS Business ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Zurich NA (Irvine, CA)
- …+ Work to have a timely resolution to matters by collaborating with the claims adjuster, developing a case strategy and escalating issues as appropriate + Ensure ... state and federal laws and regulations + Protect Zurich's reputation by keeping claims information confidential Basic Qualifications: + Juris Doctor and 5 or more… more
- Norstella (Sacramento, CA)
- Senior RWD Analytic Consultant Company: Norstella Location: Remote , United States Date Posted: Dec 9, 2025 Employment Type: Full Time Job ID: R-1541 **Description** ... unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be...* Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, to uncover actionable… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …or business required; advanced degree (MBA, PharmD, PhD, MD) strongly preferred. + Location: Remote , with ability to be in Princeton, NJ for moments that matter + ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- ICW Group (CA)
- …stakeholders in conducting research or accident investigations to sustain claims and underwriting initiatives. + Identifies and quantifies Workers' Compensation ... of formal service plans. + Collaborates with underwriting and claims teams to develop, draft and present large account...needed for the specific hazards at the locations. #LI-DS1 #LI- Remote The current range for this position is $78,678.61… more
- Humana (Sacramento, CA)
- …closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid ... with Optum WebStrat or PSI applications + Experience reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing basic… more
- Fujifilm (Sacramento, CA)
- …Code of Conduct, Interactions with Healthcare Professionals Policy, Anti-Kickback, False Claims Act, HIPAA, Anti-Corruption Policy and Antitrust Policy among others, ... + Strong understanding of healthcare regulations (eg, Anti-Kickback Statute, False Claims Act) and global compliance frameworks (eg, FCPA, UK Bribery Act).… more
- Humana (Sacramento, CA)
- …team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical ... of administrative processes and organizational knowledge. **This is a remote position from anywhere in the US.** **What Humana...**What Humana Offers** We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company… more
- Danaher Corporation (Los Angeles, CA)
- …which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE ) position is a provider / customer facing role responsible for ... Value and Access team. This position will be a remote position ideally located in the western part of...reimbursement. + Support customers with approved resources for denied claims , payer coverage expansion and inadequate reimbursement. + Respond… more