• Customer Solution Center Appeals and Grievances…

    LA Care Health Plan (Los Angeles, CA)
    …member and provider complaint and appeals issues, including eligibility, access to care, claims , benefit, and quality of care concerns. Experience working with ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...Services (DHCS), Department of Managed Health Care (DMHC), Managed Risk Medical Insurance Board (MBMIB) and National Committee for… more
    LA Care Health Plan (09/03/25)
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  • Accounts Receivable Specialist

    Grifols Shared Services North America, Inc (Los Angeles, CA)
    …based on data regarding posting, processing, and verification of receipts, credit claims , refunds, or other similar records. 3. Prepare and share monthly reporting ... to Management, including DSO, CEI, Overdue, high- risk customers, targets set and met. 4. Prepares Ad...7. Make recommendations to the Credit Manager on the quality of the receipts postings. 8. Participates in Supporting… more
    Grifols Shared Services North America, Inc (09/03/25)
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  • Clinical Scientist II

    Abbott (Alameda, CA)
    …reviewing contents for Clinical/Medical and Scientific Affairs functions to ensure claims are substantiated appropriately and consistent with medical terminology and ... conferences. *Interfaces with key stakeholders on tasks (eg, Regulatory, R&D, Quality , Marketing, Medical Affairs). *Creates/updates technical documents for medium … more
    Abbott (08/20/25)
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  • Sr. Director, Global Social Responsibility

    Terumo Neuro (Aliso Viejo, CA)
    …Governance (ESG). Ensure regulatory compliance, operational efficiency, sustainability, and risk mitigation across all company facilities in California, Costa Rica, ... local processes to protect associates and mitigate workers compensation claims . + Provide leadership with ISO 14001, 45001 &...as a senior leader in Business Continuity Planning and Risk Management. + Collaborate closely with HR, Legal, R&D,… more
    Terumo Neuro (07/08/25)
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  • Senior Actuarial Analyst

    DoorDash (San Francisco, CA)
    About the Team The Risk & Insurance team at DoorDash is responsible for all things corporate insurance at the company. We are a rapidly growing and exciting function ... that helps DoorDash manage risk and safety with a close lens on the...automation of recurring workflows + Collaborate with cross-functional teams-including Claims , Finance, and Legal-to incorporate operational insights into actuarial… more
    DoorDash (06/06/25)
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  • Case Management Coordinator - Inpatient Specialty…

    Cedars-Sinai (Beverly Hills, CA)
    …with all team members of Utilization Management, Patient and Provider Services, Claims Department and other Care Coordination Department staff. In addition, the ... Group and IPA's to ensure the delivery of high quality , cost-effective healthcare and aligned with all state and...arranging services for members. + Provides assistance to the Claims Department, when requested. + Documents all patient specific… more
    Cedars-Sinai (08/08/25)
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  • Qualified Intellectual Disabilities Professional…

    BrightSpring Health Services (Yuba City, CA)
    …unemployment claims for assigned service site(s). Is proactive in efforts to reduce claims and minimize risk /exposure of agency in these areas + Other duties ... lines of business. If your passion is to ensure quality care to help our clients live their best...or cognitive disability. We provide a comprehensive range of high- quality services, including: community living, adult host homes for… more
    BrightSpring Health Services (09/02/25)
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  • Scheduler

    Atlas (Los Angeles, CA)
    …at any and every step of the project, and with a heart-led approach that puts quality and safety at the center of everything we do. We're just built to be better. ... objectives are successfully met. **Key Responsibilities:** + **Contract Compliance & Risk Management:** + Review contractor schedules for compliance with project… more
    Atlas (09/03/25)
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  • Project Manager - Construction - Food & Beverage

    Burns & McDonnell (Brea, CA)
    …Manager is responsible for managing the construction project safety, quality , schedule, cost control, contracts, subcontractors, suppliers, proposals, estimates, ... proposal and project related items. + Participate in internal and external project risk reviews and consult with Legal Department as required. + Negotiate prime… more
    Burns & McDonnell (08/17/25)
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  • Remote Medical Director - California HealthNet

    Centene Corporation (Sacramento, CA)
    …of recommendations to providers that would improve utilization and health care quality . + Reviews claims involving complex, controversial, or unusual or ... a leading provider of government-sponsored healthcare coverage, providing access to affordable, high- quality services to Medicaid and Medicare members, as well as to… more
    Centene Corporation (08/15/25)
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