- Cognizant (Sacramento, CA)
- ** Claims Process Executive ( remote )** **JOB PURPOSE:** Claim Processors will review claim submissions, verify information, adjudicate the claim as per ... the business requirements. **ESSENTIAL FUNCTIONS** : + Examining and entering basic claims for appropriateness of care and completeness of information in accordance… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- **Job Summary** We are seeking an experienced and dynamic Executive Director of R&D Global Quality to join our team. This pivotal role will be responsible for ... reported periodically to Senior Management through the Management Review process to ensure alignment with Company policy and strategy...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Sharp HealthCare (San Diego, CA)
- …with medical management such as provider relations, member services, benefits and claims management, etc. Assists (as determined by the plan Chief Medical Officer) ... practice of medicine. + Previous experience as a physician executive in a managed care environment, preferably as an...analysis of Plan performance from summary data of paid claims , encounters, authorization logs, complaint and grievance logs and… more
- Stanford Health Care (Palo Alto, CA)
- …and physician leadership. This role is ideal for a dynamic healthcare executive who thrives at the intersection of financial operations, innovation, and regulatory ... with contracted health plans and medical groups to support effective claims submission/resolution and contract compliance. Maintains a climate of confidence in… more
- Ankura (CA)
- …structured, defensible processes for fiduciaries, courts, and stakeholders in high-volume claims environments. Role Overview The Trust and Mass Torts Senior Managing ... Director role is an executive level position that sells, leads and manages complex...the firm's activities and initiatives + Manage the invoicing process , including collections, for consulting engagements + Build relationships… more
- Stanford University (Stanford, CA)
- …pricing, and forecast modeling and costing.** + **Provide operational program and process oversight to ensure effective delivery of executive compensation, staff ... consultants and leads strategy and operations for university-wide staff compensation, executive compensation, and benefits. The role is responsible for oversight,… more
- J&J Family of Companies (Santa Clara, CA)
- …Strategic Marketing **Job Category:** People Leader **All Job Posting Locations:** Remote (US), Santa Clara, California, United States of America **Job ... of Product Marketing, Monarch Urology. This role will be based in Santa Clara, CA. Remote work options may be considered on a case-by-case basis and if approved by… more
- San Francisco Federal Credit Union (San Francisco, CA)
- …maintain files. Process credit/debit card and ATM fraud and dispute claims . Have a thorough understanding of Mastercard rules and regulations and regulatory ... and verification of outgoing wires. Must understand the recall and tracing process . Exception processing and research and adjustment for deposits, drafts, and ACH,… more
- Norstella (Sacramento, CA)
- Senior Analytic Consultant Company: MMIT Location: Remote , United States Date Posted: Aug 21, 2025 Employment Type: Full Time Job ID: R-1436 **Description** **About ... offerings leveraging Norstella's unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be joining an organization… more
- Ford Motor Company (Sacramento, CA)
- …if you need a reasonable accommodation for the online application process due to a disability, please call ###. \#LI-WC #LI- Remote **Requisition ID** : 49381 ... to exceed Ford's customer service expectations throughout the buying/servicing/renewal process **Portfolio Optimization & Technical Underwriting:** . Provide deep… more