- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …+ Strategic thinker with a results-oriented mindset. + Experience working in remote or hybrid teams is a plus **Competencies** **Accountability for Results -** ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more
- TEKsystems (Canoga Park, CA)
- …this role, you will conduct retrospective reviews of inpatient and outpatient claims to ensure medical necessity, compliance, and timely processing within a managed ... Key Responsibilities + Perform comprehensive utilization reviews for inpatient and outpatient claims . + Prepare medical records for review by medical directors and… 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 ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… 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 + ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated ... claims that contain a code editing related denial or...of administrative processes and organizational knowledge. **This is a remote position from anywhere in the US.** **What Humana… more
- WTW (San Francisco, CA)
- …experience in professional services, ideally gained in a benefit consulting/brokerage firm or health underwriting / actuarial function of an insurance company + ... and measurement and financial analysis of the full spectrum of employer health and group benefit programs including medical, dental, life, disability, voluntary… more
- Humana (Sacramento, CA)
- …health -related actuarial work experience + 1 or more years of experience with health insurance valuation topics + Independent consulting ability + Ability to ... part of our caring community and help us put health first** The Actuary, Valuation is responsible for estimates...short term and long term reserves required for unpaid claim liability, active life reserves, and other actuarial items… more
- Danaher Corporation (Los Angeles, CA)
- …at the speed of life. At Cepheid, we are passionate about improving health care through fast, accurate, molecular diagnostic systems and tests. As a member ... to develop groundbreaking solutions for the world's most complex health challenges. Together, we bring MORE change to the...makes everything possible. The Senior Field Reimbursement Manager (US REMOTE ) position is a provider / customer facing role… more
- Kemper (Fresno, CA)
- …on our promises. **Position Summary:** If you're interested in or have experience in insurance defense, this opportunity may be for you. We are seeking an Associate ... Aggressively pursues files referred to Staff Counsel by the Claims Department. + Creates and maintains a documented strategy...of experience as a trial attorney. + Handling of insurance defense work is preferred. + Member of the… more
- Humana (Sacramento, CA)
- … first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director works on problems of diverse ... experiences **Preferred Qualifications** + Medical management experience, working with health insurance organizations, hospitals and other healthcare providers,… more