- Humana (Sacramento, CA)
- …Engineer will be an integral part of the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. ... pricers including: + Reviewing pricing software vendor specifications; + Identifying system changes needed to accommodate state-specific logic; + Assisting with… more
- Educational Testing Service (Sacramento, CA)
- …Summary** ETS is the state testing contractor for the California Assessment System which includes the California Assessment of Student Performance and Progress ... testing (User Acceptance Testing and Operational Trials) prior to systems releases each year. This role works with our...our operations team in support of the ongoing technology services required to administer the CAASPP and ELPAC programs.… more
- City National Bank (Beverly Hills, CA)
- …Provides clients with accurate, timely and extensive information to ensure quality service and client retention. Oversees the risk associated with the operational ... up-to-date knowledge of account activity by reviewing various reports and systems . Identify potential problems and take appropriate action necessary to avoid… more
- LA Care Health Plan (Los Angeles, CA)
- …collects information required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management department in meeting regulatory ... performs data entry and processing of referrals/authorizations in the system , authorizes request consistent with auto authorization criteria, maintains… more
- City National Bank (Los Angeles, CA)
- …DO? * Deliver towards fraud product strategy with direction of Fraud product manager to ensure comprehensive coverage of internal and external fraud. * Understand ... requirements for fraud prevention, fraud detection and fraud mitigation and related systems . Analyze and prioritize requirements based on long term roadmap, business… more
- ICF (Los Angeles, CA)
- …project lifecycle. This includes technical advisory and due diligence services for projects during development, construction, and operation, including ... with our other teams across ICF to provide comprehensive advisory services include strategic, investment, and portfolio management, operational planning, market… more
- Live Nation (CA)
- …etc.). + Maintain and improve existing reports based on stakeholder feedback, system changes, or business priorities. + Ensure reports align with data privacy ... and best practices. + Train HR users and other stakeholders on self- service reporting and dashboards as appropriate. + Troubleshoot report data discrepancies and… more
- US Bank (San Diego County, CA)
- …operated by the US Citizenship and Immigration Services . Learn more about the E-Verify program ... and insurance + Deliver economic and market views, investment strategy, manager /fund/security research, and due diligence + Portfolio construction resulting in… more
- ADP (San Dimas, CA)
- …is hiring a **Claims Lead Examiner** . **_RESPONSIBILITIES:_** + Assist Claims Manager in monitoring the workers compensation program within the ADPTS/PEO structure. ... could be problematic and take steps along with Claims Manager to take steps to develop processes to correct....TPA for reserves, settlements, and other items per Special Service Instructions. + Consistently consult and collaborate with TPA… more
- CenterWell (Sacramento, CA)
- …of senior-focused primary care, one of the largest providers of home health services , and fourth largest pharmacy benefit manager , CenterWell is focused on ... care + Ability to manage end-to-end-processes + Understand Humana's business processes, systems , tools, regulations and structure and how they interrelate to provide… more