• Sr . Claims Specialist

    Sedgwick (Los Angeles, CA)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr . Claims Specialist , Medical Malpractice | Professional Liability ... | California **PRIMARY PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or… more
    Sedgwick (11/15/25)
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  • Sr . Data Scientist - AI/ML & LLM…

    UIC Government Services and the Bowhead Family of Companies (Corona, CA)
    **Overview** SR . DATA SCIENTIST - AI/ML & LLM (AR/PA IT) Bowhead seeks a Sr . Data Scientist - AI/ML & LLM Specialist to join our team supporting the AR/PA IT ... Surface Warfare Center - Corona in Corona, California. The Sr . Data Scientist - AI/ML & LLM Specialist...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
    UIC Government Services and the Bowhead Family of Companies (09/12/25)
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  • Sr Therapeutic Specialist , Oncology…

    Gilead Sciences, Inc. (Los Angeles, CA)
    …Join Gilead and help create possible, together. **Job Description** As a ** Senior Therapeutic Specialist , Oncology** , you are responsible for representing ... and a proven record of interacting with healthcare professionals. Additionally, Senior Therapeutic Specialists are responsible for developing an understanding of the… more
    Gilead Sciences, Inc. (11/20/25)
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  • Claims Research Specialist

    Dignity Health (Bakersfield, CA)
    **Job Summary and Responsibilities** The Claims Research Specialist will oversee and manage research efforts related to claims overpayments, underpayments, ... relationships with provider representatives. - Prepare and present detailed reports on claims research activities, findings, and outcomes to senior management. -… more
    Dignity Health (11/01/25)
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  • Senior Coding Denials Management…

    University of Southern California (Alhambra, CA)
    Specialist " analyze, investigate, mitigate, and resolve all coding-related ' claims denials' and ' claims rejections,' specific to ICD-10-CM, ICD-10-PCS, ... * Works cooperatively with HIM Coding Support and/or Clinical Documentation Improvement Specialist in obtaining documentation to complete medical records and… more
    University of Southern California (11/19/25)
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  • Senior Quality Specialist

    CVS Health (Sacramento, CA)
    …following: + Executes both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from ... in claim processing and customer service that impact customer satisfaction, medical cost management, and operational efficiency. + Consults cross-functionally with… more
    CVS Health (11/21/25)
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  • Senior Estimate Review Specialist

    Sedgwick (Sacramento, CA)
    …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Estimate Review Specialist **PRIMARY PURPOSE** **:** To review all ... services. + Monitors, assists, tracks, and provides approval for all claims that are re-inspected by the Carrier. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES**… more
    Sedgwick (09/28/25)
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  • Claims Examiner III

    Dignity Health (Bakersfield, CA)
    …field preferred. Equivalent work experience will be considered. + Certified Medical Reimbursement Specialist (CMRS), or similar certification is preferred. ... **Job Summary and Responsibilities** The Claims Examiner III is an advanced-level role responsible... processing, with at least 2 years in a senior or advanced role + Expert knowledge of CPT,… more
    Dignity Health (11/24/25)
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  • Senior Regulatory Affairs Specialist

    J&J Family of Companies (Irvine, CA)
    …Learn more at https://www.jnj.com/medtech We are searching for the best talent for a ** Senior Regulatory Affairs Specialist ** . This role will work a Hybrid/Flex ... a commutable distance of Irvine, CA or Milpitas, CA. **Purpose** : The Senior Regulatory Affairs Specialist provides regulatory support for product lifecycle… more
    J&J Family of Companies (11/21/25)
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  • Senior Benefits Specialist

    Allied Universal (Irvine, CA)
    …positively impacts the communities and customers we serve. Allied Universal(R) is hiring a Senior Benefits Specialist . The Senior Benefits Specialist ... qualifying life event changes, beneficiaries, disability, accident and death claims , and National Support Orders, Employee and Wage verifications, maintain… more
    Allied Universal (11/06/25)
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