- Banner Health (CA)
- …different focuses (Facility vs Profee)._ In this **Inpatient Facility-based HIMS Coding Quality Associate** position, you bring your **5 years of acute care ... team that values growth and development! This is a Quality position, not a day-to-day coding production role but...to resolve issues and support appropriate reimbursement. Proficiency in claims software to address coding edits and claim denials… more
- Envista Holdings Corporation (Pomona, CA)
- …The Sr. Quality Engineer will possess a deep understanding of quality management systems, regulatory requirements, and risk management principles. The Sr. ... **Job Description:** The **Sr. Quality Engineer** plans and conducts activities concerned with...RESPONSIBILITIES:** + Actively participates in defining customer requirement, product claims and target markets early in the product development… more
- Sedgwick (West Hills, CA)
- …reviews, and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service ... contract requirements, and quality standards. + Acts as second level of appeal...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Evolent (Sacramento, CA)
- …for the culture. **What You'll Be Doing:** Job Description **Analyst, Integration Quality ** Integration testing in the healthcare ecosystem requires complete end to ... test execution + Consult with the manage and report risk , issues, and decisions with the lead / manager...Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1… more
- Travelers Insurance Company (Irvine, CA)
- …negotiating and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle ... **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and...external resources for specific activities required to effectively evaluate claims , such as Subrogation, Risk Control, nurse… more
- Sedgwick (Orange, CA)
- …and documentation standards. + Provides technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected.… more
- Sedgwick (San Diego, 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 ... your adjuster knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...others and understands the urgency to provide timely and quality reports to their customers. The ideal candidate also… more
- Sedgwick (West Hills, 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 ... and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations;… more
- Ontic (Los Angeles, CA)
- …Reduce quality costs, primarily focusing on manufacturing process controls and warranty claims reduction using quality tools such as RCCA, SPC, MSA, PFMEA, ... precision engineering, MRO, and new solutions for parts at risk of obsolescence. With over 1,400 employees across four...pace. Our team is looking for a Director of Quality Control to join them. You will report to… more
- Subaru of America (Los Angeles, CA)
- SUMMARY Serves as Subaru of America's (SOA's) Service and Quality representative in the SOA Field. Travels to retailers on a regular basis to proactively monitor and ... investigate the product quality and effectiveness of product improvements. Assists retailers with...vehicle issues. + Reviews retailer pre-authorization requests for warranty claims over ten thousand dollars, or straight time or… more
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