- AECOM (San Francisco, CA)
- …Litigation Attorney to support our Corporate Legal team. _This position offers flexibility for remote work schedules to be based in the state of CA, plus up to ... discovery by researching AECOM's historical project records. + Proactively manage claims to resolution, including advancing case analysis and strategy, setting… more
- Humana (Sacramento, CA)
- …team is seeking an Encounter Data Management Professional that has experience with business processing and data entry to join working remote anywhere in the US. ... problems within the encounter process between Humana and CMS using data analysis, claims research, and other resources to provide insight and ensure data integrity… more
- Otsuka America Pharmaceutical Inc. (San Francisco, CA)
- …innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health. In ... the respective Area Business Lead, coordinating with cross-functional colleagues in Medical (MSLs), Market Access (HSAMs), and Patient Support (PELs) under… more
- Humana (Sacramento, CA)
- …**Use your skills to make an impact** **Required Qualifications** **5+ years of medical claims processing /auditing or encounter data management experience** ... team leadership experience** **Demonstrated experience in managing projects effectively** ** Medical claims experience** **Additional Information** **_This position… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health. This ... expected 20% of the time based on business needs. Remote options may be considered within the US. As...with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic… more
- Dignity Health (Bakersfield, CA)
- **Responsibilities** This position is remote , but will be expected to work PST business hours.** **Position Summary:** The Manager, Network Strategy and Contracting ... structures for operational clarity. - Collaborate with market leadership, finance, claims , and network teams to align contracting strategy with growth objectives.… more
- Robert Half Office Team (Los Angeles, CA)
- …Collaborate with healthcare providers and insurance companies to facilitate accurate and timely processing of claims . * Monitor and update patient records in the ... our clients team in Southern California. In this fully remote role, you will play a vital part in...medical record systems. * Ability to ensure accurate processing of insurance payments and referrals. * Excellent organizational… more
- Amgen (Thousand Oaks, CA)
- …drug products to patients through demonstrated excellence in aseptic processing , technology transfer, process characterization, process validation and continuous ... clinical and commercial drug product manufacturing operations during sterile processing , process characterization, tech transfer, process validation, and on-going… more
- Humana (Sacramento, CA)
- …of experience researching MS-DRG, APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- LA Care Health Plan (Los Angeles, CA)
- …Excel and Power Point. Requires strong knowledge of regulatory standards and claims processing ; strong analytical, oral, written and presentation skills, able ... Care Services (DHCS), Department of Managed Health Care (DMHC), Managed Risk Medical Insurance Board (MBMIB) and National Committee for Quality Assurance (NCQA)… more