- Cognizant (Sacramento, CA)
- …health monitoring of: Claim adjudication jobs, ASP alerts, CPU alerts, Claims queue monitoring, Storage monitoring, Connect Direct subsystem. + Contact different ... + Ability to work in a flexible shift environment (24 x 7) This is a remote opportunity within the US. Candidate must be currently living in the US and must have… more
- Zurich NA (Los Angeles, CA)
- …Experience working with Lexis or Westlaw + Knowledge of the insurance industry, claims , and the insurance defense litigation legal environment + Knowledge of the law ... Location(s): AM - Pasadena, AM - Irvine, AM - Los Angeles Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter… more
- Humana (Sacramento, CA)
- …from either the state agency or payer perspective + Detailed understanding of healthcare claims Travel: While this is a remote position, occasional travel to ... Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay… more
- Humana (Sacramento, CA)
- …and Lucid. **Preferred Qualifications** + Minimum 1 year of experience medical claims payment and processing in a medical claim's environment + Experience creating ... if you will be moving forward to next round. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.… more
- Ankura (Los Angeles, CA)
- …processes, anatomy and pharmacology. + Intermediate to advanced understanding of in claims processing procedures, state and federal regulations, and Medicare Part D ... + Excellent written and verbal communication skills, ability to work in a remote environment, and time management skills. + Prior success in managing small projects… more
- J&J Family of Companies (Fresno, CA)
- …on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local ... + Demonstrated competence with salesforce.com CRM use, Microsoft Word, and Excel \#FRM2025 \#LI- Remote The expected base pay range for this position is $100,000 to… more
- J&J Family of Companies (San Jose, CA)
- …on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local ... competence with salesforce.com CRM use, Microsoft Word, and Excel \#FRM2025 \#LI- Remote Johnson & Johnson is an Equal Opportunity Employer. All qualified… more
- Humana (Sacramento, CA)
- …cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must ... be moving forward to next round of interviews. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more
- Lightsource bp (San Francisco, CA)
- …O&M, asset level expenses, and third-party services. * Manage warranty claims , performance guarantees, and equipment failure resolutions in collaboration with OEMs ... * Hybrid working environment (Tuesday, Wednesday & Thursday in office, Monday and Friday remote ) * Monthly personal phone bill reimbursement of up to $100 and a… more
- BrightSpring Health Services (Arroyo Grande, CA)
- …timely reporting of all service site injuries and assist with the management of claims + Monitors service site expenses relative to budgets + Trains staff on ... disability, behavioral/mental health support, in-home pharmacy solutions, telecare and remote support, supported employment and training programs, and day programs.… more