- TEKsystems (Fresno, CA)
- Job Title: Claims Examiner Location: Fresno, CA (On-site training required; 100% remote after training) Overview Our client is seeking a Claims Examiner to join ... patient and medical data to determine appropriate benefits, pricing, and prior authorizations. + Verify claim accuracy and eligibility; communicate with healthcare… more
- IBM (San Jose, CA)
- …of our products throughout their lifecycle. Security at HashiCorp is largely a remote team. While prior experience working remotely isn't required, we are ... looking for team members who perform well given a high level of independence and autonomy while also collaborating effectively across engineering, product, and security teams. In this role, your responsibilities will include: * Contribute to solutions that… more
- Magellan Health Services (San Diego, CA)
- This is a remote position in California, candidates must be licensed and reside in CA. This position is responsible for the assessment, reassessment, care planning ... and care management. Conducts initial and concurrent review for prior authorization of higher levels of care against medical...General Job Information Title Care Manager, Health Plan - Licensed/ Remote in CA Grade 25 Work Experience - Required… more
- Merck (Sacramento, CA)
- …+ Experience with UIPath, Power Automate, or similar orchestration platforms + Prior experience automating workflows in identity platforms (eg, SailPoint, Entra ID) ... by site or organization, with Friday designated as a remote -working day, unless business critical tasks require an on-site...not apply to roles that have been designated as " remote ". The salary range for this role is $114,700.00… more
- Merck (Sacramento, CA)
- …and protocols. + Reviews Investigator-Initiated Study proposals from key countries prior to headquarters submission (ex-USA). + Manages programs (patient support, ... by site or organization, with Friday designated as a remote -working day, unless business critical tasks require an on-site...not apply to roles that have been designated as " remote ". The salary range for this role is $206,200.00… more
- Actalent (Redlands, CA)
- Job Title: Remote LVN Case Manager - Utilization Management Job Description Join our dynamic Utilization Management team as an LVN Case Manager where you will assess ... with Medicare, MediCal, and Milliman Criteria Guidelines. + Proficiency in prior authorizations and case management. + Knowledge of NCQA standards. Additional… more
- Wolters Kluwer (Sacramento, CA)
- . **_ This is a remote position. You may work from a remote office location anywhere in the United States. Pacific or Eastern time zones preferred _** **Wolters ... years sales experience with on-premise/cloud software or SaaS business applications + Prior Tax & Accounting/Audit industry sales or relevant work experience +… more
- Robert Half Accountemps (Los Angeles, CA)
- Description We're seeking a Patient Collections Specialist to join our team in a remote work-from-home role. In this position, you'll play a pivotal role in ensuring ... + Competitive pay and benefits package. + A flexible remote work setup that allows you to work from...to effectively communicate with a diverse patient population. + Prior experience in patient collections, medical billing, or a… more
- GovCIO (Sacramento, CA)
- …enterprise within the government contracting space. This position is fully remote within the United States. **Responsibilities** + The Subcontracts Administrator III ... while following established guidelines and policies. If working in a remote environment, contributing to GovCIO programs in pursuit of fulfilling government… more
- GovCIO (Sacramento, CA)
- …the Health & Civilian Sector (HCS). This position will be fully remote within the United States. **Responsibilities** The Subcontracts Administrator (II) position is ... following established guidelines and policies. If working in a remote environment, contributing to GovCIO programs in pursuit of...degree in a related field with 2+ years of prior relevant experience. Additional years of relevant experience will… more