- Zurich NA (Woodland Hills, CA)
- …**This role will be filled at either the** ** Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate level based ... + Microsoft Office experience + Knowledge of insurance regulations, markets, and products OR Senior Claims Professional: + Bachelor's Degree and 6 or more years… more
- Elevance Health (Los Angeles, CA)
- **Pharmacy Benefit Manager Process Expert Senior ** **Hybrid:** This role requires associates to be in-office **1 - 2 days per week** , fostering collaboration ... Monday - Friday, 8:00am - 5:00pm Eastern Time The **Pharmacy Benefit Manager Process Expert Senior ** supports multiple operations departments by participating… more
- Gilead Sciences, Inc. (Foster City, CA)
- …that will improve the lives of patients with life-threatening illnesses worldwide. The Senior Manager , Contract Process Excellence, will report to the Senior ... appropriate customer slotting to contract tiers + Lead research and resolution of exceptions/errors coordinating cross functionally with Market Access and Market… more
- Travelers Insurance Company (Irvine, CA)
- …. Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity where ... + Collaborate with our internal nurse resources (Medical Case Manager ) in order to integrate the delivery of medical...jurisdiction. Apply deep technical expertise to assist in the resolution of highly complex claims . Mentor other… more
- University of Southern California (Alhambra, CA)
- …Denials Management Specialist" analyze, investigate, mitigate, and resolve all coding-related ' claims denials' and ' claims rejections,' specific to ICD-10-CM, ... the denial management process for coding-related denials, triage denied claims to distinguish coding-related denials versus clinical-related denials, evaluating … more
- Ventura County (Ventura, CA)
- Senior Medical Management Nurse - VCHCP Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5113983) Apply Senior Medical Management Nurse - ... safer, more efficient, and patient-centered care. Under general direction, the Senior Medical Management Nurse is responsible for performing utilization review, case… more
- Ankura (Los Angeles, CA)
- …issues that arise during a construction project. Role Overview: We're seeking a Senior Director level team member for our Los Angeles, California office to support ... complex construction dispute resolution and advisory projects. The ideal candidate will bring...candidate will bring 7+ years of relevant experience in claims consulting to serve as a key technical expert… more
- Cardinal Health (Sacramento, CA)
- …cycle process. This includes, billing follow up, collections, payment posting, denial resolution , and responding to patient inquiries in a professional and timely ... + Review aging reports and work patient accounts to ensure timely resolution and reimbursement. + Contact patients regarding past due balance and/or billing… more
- Allied Universal (Orange, CA)
- …Allied Universal is looking to hire a Regional Human Resources Manager . This position is responsible for employee relations, employment compliance, unemployment ... claims , and monitoring of employment status for the employees...of that designated area. With a focus on investigations, manager and supervisor training, and compliance. This position will… more
- Fujifilm (Sacramento, CA)
- **Position Overview** The Regulatory Compliance Manager (Corporate) is a member of the FUJIFILM Holdings America Corporation ("HLUS") Department reporting to the ... Corporate Compliance Director. The Compliance Manager will be responsible for managing the day-to-day operations of the company's compliance programs related to laws… more