- Robert Half Accountemps (Los Angeles, CA)
- …National Healthcare Organization is seeking a knowledgeable and detail-oriented Quality Assurance/Risk Analyst to join its Los Angeles Team. This position is a vital ... to enhance the effectiveness of insurance and risk management programs. + Claims Management: Collaborate with the Risk Management team to process and resolve… more
- Highmark Health (Sacramento, CA)
- …:** GENERAL OVERVIEW: Applicants Must Be Able to Read and Comprehend Spanish Medical Terminology The Quality analyst is responsible for compiling and analyzing ... data relevant to the handling of all types of complex adjusted claims ; conducting reviews of all organizational or functional activities related to fraud/abuse… more
- Highmark Health (Sacramento, CA)
- … terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim...years of prior experience processing 1st dollar health insurance claims + 3 years of experience with medical… more
- Providence (CA)
- …Directors and Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the Claims ... and regulations pertaining to self-insured health care organizations. The Senior Quality Analyst is also responsible for maintaining a claims quality assurance… more
- Molina Healthcare (Long Beach, CA)
- …SKILLS & ABILITIES:** + 1-3 years claims analysis experience + 5+ years medical claims processing experience across multiple states, markets, and claim ... **PREFERRED EXPERIENCE:** + 1-3 years claims analysis + 6+ years medical claims processing experience + Project management + Expert in Excel and PowerPoint… more
- Cognizant (Sacramento, CA)
- …IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge of the business ... + 3+years Medicare/Medicaid regulatory healthcare experience + Knowledge of claim adjudication processes and Facets platform experience preferred + Experience… more
- Deloitte (Los Angeles, CA)
- …who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ideas and ... + Certified in Epic Hospital Billing Administration/Professional Billing Administration and Claims + Experience in performing configuration changes and system builds… more
- Cedars-Sinai (Los Angeles, CA)
- …Maintaining interim claim billing profile. + Generate regular reports on claims status, rejections, and payments for partners. + Address inquiries and provide ... 19 years in a row for providing the highest-quality medical care in Los Angeles. We off an outstanding...be doing in this role?** The Financial Business System Analyst will have the primary responsibility of assisting in… more
- The County of Los Angeles (Los Angeles, CA)
- …areas: risk transfer/insurance, tort liability claims , workers' compensation claims , audit, finance, medical management, loss control and prevention, ... ANALYST , CEO Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4866423) Apply ANALYST...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- AIG (San Francisco, CA)
- …Manages an active claims portfolio of the most complex and high exposure medical malpractice (and some GL) claims at primary and excess coverage layers, ... and work product expectations. + Keeps abreast of significant changes in the law, claims and industry trends (not limited to medical malpractice), and regulatory… more