- Robert Half Accountemps (Los Angeles, CA)
- …discrepancies to maintain the integrity of patient accounts. This is a Hybrid/ Remote role someone with expertise in medical billing, collections, and insurance ... processes. Responsibilities: * Review submitted claims to confirm accuracy and ensure they are sent...discrepancies, including reversing balances when necessary. * Resubmit corrected claims and prepare appeals in compliance with payer guidelines,… more
- Oracle (Sacramento, CA)
- **Job Description** **Evidence Generation Lead/Snr Research Consultant, RWE, Health Outcomes** ** Remote /Work from home** Oracle Life Sciences is seeking a qualified ... studies (eg, patient survey studies, large database studies electronic health records, claims , etc.) and provide research consultation to both internal and external… more
- BrightSpring Health Services (Yuba City, CA)
- …personnel costs, consultant services + Monitors worker's compensation and unemployment claims for assigned service site(s). Is proactive in efforts to reduce ... claims and minimize risk/exposure of agency in these areas...disability, behavioral/mental health support, in-home pharmacy solutions, telecare and remote support, supported employment and training programs, and day… more
- Scripps Health (San Diego, CA)
- *This is a full-time, benefit eligible remote position located in San Diego. Must be local or willing to relocate.* The Data Scientist will provide advanced, ... degree. * Experience with different healthcare data sources (medical claims , authorizations, pharmacy, provider, membership). * Experience with statistical modeling… more
- Centene Corporation (Sacramento, CA)
- …+ Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics + Perform ... care or medical group experience, provider relations, quality improvement, claims , contracting utilization management, or clinical operations. Project management… more
- Zurich NA (San Francisco, CA)
- …Diploma or Equivalent and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 12 or more years of experience in the Claims or Underwriting Support area + Knowledge of Casualty...- Schaumburg, AM - Seattle, AM - Washington DC Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered:… more
- J&J Family of Companies (Santa Clara, CA)
- …within the Johnson & Johnson MedTech organization. This is a field-based remote role available in all states/cities within the United States. While specific ... utilization review, health outcomes, risk management, provider contracting, and claims processing. + Develop relationships with Advisory Committee members and… more
- The Hartford (Walnut Creek, CA)
- …and services. Qualifications + 10+ years of Property and Casualty experience in Claims , Underwriting, Sales, or related role is preferred. + Expertise in multiline ... claims with a minimum of 5 years of functional claim...Western Region. This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our… more
- Cognizant (Sacramento, CA)
- …flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in the United States. Regardless of ... firms * Strong background in Healthcare industry, including health plans, claims , and provider operations * Project management and people management experience… more
- Sedgwick (Sacramento, CA)
- …rewarding career making an impact on the health and lives of others, and a remote work environment. + Enjoy flexibility in your career path while advocating for the ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more