- Zurich NA (Gold River, CA)
- …talent at any Zurich office location. We may, at the sole discretion of the Hiring Manager , be open to hiring remote talent This role will be filled at either the ... Liability Underwriter or VP, Construction Professional Liability Underwriter. The hiring manager will determine the appropriate level based upon the selected… more
- Empirical Systems Aerospace, Inc. (San Luis Obispo, CA)
- …the goal of maximizing financial and operational performance and minimizing risk . + Review and/or prepare subcontracts, contracts, agreements, amendments, change ... and make presentations at meetings + Support negotiations of claims , manage contractual changes and resolve disputes or conflict...on items out of the ordinary or carrying significant risk + Support supply chain in supplier and vendor… more
- Sharp HealthCare (San Diego, CA)
- …and oversees the health care needs of the membership. Serves as a medical manager and policy advisor to SHP and its Chief Medical Officer. Is accountable for ... with medical management such as provider relations, member services, benefits and claims management, etc. Assists (as determined by the plan Chief Medical Officer)… more
- Parker Hannifin Corporation (Carson, CA)
- …making. Conducts Request for Proposal review and development, conducts contract risk review, negotiates contract terms and conditions, receives and responds to ... customer correspondence on complex issues including claims . Provides or supports planning activities for assigned programs, conducts contract risk management… more
- Evolent (Sacramento, CA)
- …the manage and report risk , issues, and decisions with the lead / manager + Responsible to attend and if required, lead test team meetings for technical testing ... The IQA reports to a associate director or a manager . One or many IQAs may be engaged in...Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1… more
- Sharp HealthCare (San Diego, CA)
- …oversees the health care needs of the membership. Serves as a lead medical manager and policy advisor to SHP clinical and its' Chief Medical Officer. **Required ... with medical management such as provider relations, member services, benefits and claims management, IT management, etc. + Plans, organizes, and directs the… more
- Sedgwick (San Francisco, CA)
- …the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating ... YOU AN IDEAL CANDIDATE?** We are seeking a dynamic and collaborative project manager and training specialist with direct experience in law enforcement and risk… more
- DoorDash (San Francisco, CA)
- …key areas of our risk strategy. You will report to the Senior Manager , Actuary. You're excited about this opportunity because you will + Contribute to the ... About the Team The Risk & Insurance team at DoorDash is responsible...automation of recurring workflows + Collaborate with cross-functional teams-including Claims , Finance, and Legal-to incorporate operational insights into actuarial… more
- Stanford University (Stanford, CA)
- …cost and performance, and ensure accurate and timely plan administration, claims payment, manage escalated issues, etc. Manage monthly billings, enrollments, ... posted on the Global HR website, within the HR Manager Toolkit and the Stanford Admin Guide. Reporting, finance,...coordinate data gathering for audits; oversight of benefit plan claims , funding, and premium payments. Assist in preparing financial… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …offices), answering the phone (including all provider calls regarding authorization processing, claims related phone calls, and any other calls received via the ... such as hospital, medical group, health insurance, or other Risk Bearing Organization (RBO) Knowledge of medical terminology, ICD-10...codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims **The current salary range for this position is… more