- Philadelphia Insurance Companies (Mission Viejo, CA)
- …underwriting techniques necessary to make an accurate evaluation of acceptability of risk . May evaluate credit quality . + Prepares and participates in ... underwrites and markets assigned products by providing high levels of risk assessment and technical underwriting expertise to determine underwriting acceptability.… more
- Parker Hannifin Corporation (Irvine, CA)
- …& Conditions, compliance with contract requirements, and mitigation of business risk . Performs negotiations, monitors cost and schedule status, prepares Estimates to ... and preparing appropriate responses. + Investigates and resolves assertions and claims or complaints by collecting and analyzing information. Coordinates with… more
- Humana (Sacramento, CA)
- …to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This team ensures that healthcare providers align ... cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must… more
- AECOM (Los Angeles, CA)
- …write-downs or multiplier erosion. + Typically manages projects involving RTF ( Risk Triggering Factors). + Has decision-making authority and directs other Project ... Managers in recognizing risk and uncertainty with plans to mitigate and eliminate...+ Directs staff to operate and minimize exposure to claims . + Supervises and directs Project Managers with multiple… more
- Curtiss-Wright Corporation (Santa Clarita, CA)
- …deferred revenue balances by program + Prepare adhoc analyses such as termination claims for programs under a stop work notification **What you Bring:** + Previous ... Analyst experience. + Understanding of financial regulations, compliance requirements, and risk management practices relevant to financial analysis. + Ability to… more
- Alameda Health System (Oakland, CA)
- …Their responsibilities span from managing admissions to ensuring clean claims , identifying trends, and optimizing resource utilization. This role supports ... as needed. In essence, they orchestrate efficient utilization management to deliver high- quality patient care. **DUTIES & ESSENTIAL JOB FUNCTIONS** : NOTE: Following… more
- NBC Universal (Universal City, CA)
- …& Risk Management + Uphold technical principles to ensure quality and successful project deliverables. + Advise Attraction leadership on technical challenges ... and commissioning required to open the Project within the assigned budget, quality , schedule, creative and guest experience targets. Organize and establish effective… more
- Molina Healthcare (San Diego, CA)
- …Molina policies/procedures or CMS guidelines/regulations, or to assess the non-clinical quality of customer service provided to Molina members. * Provides ... discuss and resolve issues related to utilization management, pharmacy, quality of care, and correct coding. * Independently delivers...2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working… more
- Stanford Health Care (Menlo Park, CA)
- …for the unique needs of every patient. Responsibilities include Cost, Schedule and Quality management of the $1.5B Renovation of the 300 Pasteur Drive Stanford ... the identification, prevention and/or resolution of major construction issues and claims , and is responsible for working with construction consultants and attorneys… more
- BrightView (San Fernando, CA)
- …dealerships. + Work closely with vendors to ensure timely delivery, high service quality , and favorable pricing. + Identify, vet, and build relationships with high- ... quality equipment and vehicle maintenance vendors, including on-site mobile...including on-site mobile maintenance service providers. + Support warranty claims , repair escalations, and issue resolution with dealers and… more