- Cognizant (Sacramento, CA)
- …sector where you will utilize your expertise in MS Excel to efficiently manage and process commercial claims . This remote position offers the flexibility of ... from 8-5pm EST._ **Key Responsibilities-** + _Claims Processing:_ Review, validate, and process healthcare claims submitted by providers in accordance with US… more
- TEKsystems (Martinez, CA)
- …regulatory compliance, and the financial integrity of the health plan. The Claims Director works closely with executive leadership and cross-functional partners ... into sustainable operational strategies * A Strong Communicator: Clearly conveys complex claims , financial, and compliance issues to executive leadership, staff,… more
- Humana (Sacramento, CA)
- …while meeting membership objectives. + Seeks opportunities and partner with Specialty Sales Executive to execute cross sell strategies by adding new Humana lines of ... business. + Coordinates the renewal process , including the formal Request for Proposal ...proposal team; developing proposal strategy; reviewing proposal responses; developing Executive Summary and timely submission. + Maintains the contractual… more
- Cardinal Health (Sacramento, CA)
- …broader access to innovative therapies. + ** Claims Adjudication:** Oversee the claims adjudication process , ensuring timely and accurate processing of ATSP ... cell & gene space (among other areas). The _Sr. Advisor, Payor Engagement Executive (Cell & Gene Specialty Pharmacy)_ will focus on payor engagement and negotiation.… 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
- Norstella (Sacramento, CA)
- Senior RWD Analytic Consultant Company: Norstella Location: Remote , United States Date Posted: Jan 6, 2026 Employment Type: Full Time Job ID: R-1665 **Description** ... 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
- CalSTRS (Sacramento, CA)
- …of the Teachers' Retirement Board and the administrative direction of the Chief Executive Officer, the Office of the General Counsel provides advice on legal issues ... and creating legislation, statutes and regulations; advising CalSTRS staff and executive management on the Teachers' Retirement Law; felony forfeiture; and providing… more
- LA Care Health Plan (Los Angeles, CA)
- Senior Manager, Clinical and Regulatory Operations Job Category: Management/ Executive Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... UM Medical Director, physician reviewers, Compliance, Member Services, Provider Network Management, claims teams, and the Center of Quality & Excellence to support… more
- Amazon (Sunnyvale, CA)
- …orientation and is responsible for working within the local and remote operations, engineering and other cross-functional teams driving development, implementation ... achievement of all financial targets. They will support regular business and executive reviews outlining performance and status. Key job responsibilities Key job… more
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