- CVS Health (Sacramento, CA)
- …in the United States. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), ... abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants, and customers. + Research and… more
- WTW (Los Angeles, CA)
- …Risk, including adjustments for model limitations, near-term climate conditions, and claims experience. + Working with clients, jointly with other Willis commercial ... not limited to location of the role, individual competencies, education/ professional certifications, qualifications/experience, performance in the role and potential… more
- Element Consulting (Los Angeles, CA)
- Job Description Element Consulting, Inc. is looking for a Senior Project Estimator to join our team at Los Angeles Unified School District. The ideal candidate has ... in price negotiations + Prepares claim analyses and estimates + Reviews contractor's claims and proposals for merit and accountability + Performs related duties as… more
- AECOM (Los Angeles, CA)
- …and schedules. + Review and respond to amendments, change orders and potential disputes/ claims (cost/extension of time). + Perform field visits to site for quality ... ability to effectively present ideas and gain consensus from senior leaders. + Be well versed in the design...committed to delivering a better world. As a trusted professional services firm powered by deep technical abilities, we… more
- Cardinal Health (Sacramento, CA)
- …payment posting, denial resolution, and responding to patient inquiries in a professional and timely manner. **_Responsibilities:_** + Review aging reports and work ... billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs)… more
- CVS Health (Sacramento, CA)
- …and security requirements. **Required Qualifications** + 1 year minimum of claims processing experience + Experience with system testing and post go-live ... solving and decision making skills + Certified Information Systems Security Professional (CISSP) preferred. + Certified Analytics Professional (CAP) preferred.… more
- Royal Electric (Sacramento, CA)
- …documentation including but not limited to submittals, RFI's, delay notices, potential claims , and extended overheads. + Maximize cash flow by balancing project cost ... + Safety training: Getting Everyone Home Safely (https://youtu.be/jJdY1JRqsYY?si=29ImzDtXUE7Lq7u3) + Professional & Leadership Development Training + Skill Development Training… more
- Essel (Burbank, CA)
- …pay applications, Requests for Information, Purchase Orders, Submittals, Change Orders, Claims , Request for Proposals, Request for Qualifications, and any other ... & subcontractor documents, materials, means and methods. + Project Management Professional (PMP) certification is plus. Benefits + Health Care Plan (Medical,… more
- The County of Los Angeles (Los Angeles, CA)
- STUDENT PROFESSIONAL WORKER I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3129834) Apply STUDENT PROFESSIONAL WORKER I Salary $24.00 ... you to gain experience in building employment skills and establishing a professional network while continuing your education. This is temporary, part-time position,… more
- Humana (Sacramento, CA)
- …part of our caring community and help us put health first** The Senior Provider Reimbursement Professional - Certified Medical Coder performs research, analysis, ... reimbursement programs for an organization that provides health insurance. The Senior Provider Reimbursement Professional works assignments involve moderately… more