- Molina Healthcare (Long Barn, CA)
- …functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received ... support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains...claims to identify billing issues that will impact claims processing and payment. Monitor new solutions implemented to… more
- Amazon (Sunnyvale, CA)
- …for product launches and ongoing support, grow the capabilities of our current systems and supply chain to meet our needs, and drive continuous improvement for ... the company. As a Senior Materials Program Manager (MPM) that will be responsible...ensuring diversified continuity of supply for the product(s). The Sr . MPM must have a strong business orientation and… more
- Southern California Edison (Rosemead, CA)
- …Energy Revolution** Become a **Finance Integration, Business Transformation and Readiness, Sr Specialist** at Southern California Edison (SCE) and build a better ... activities. As a **Finance Integration, Business Transformation and Readiness, Sr Specialist** , your work will help power our...looking at an approach that not only upgrades the systems but also transforms our business processes to enhance… more
- Parker Hannifin Corporation (Carson, CA)
- …in standard business application software and specialized purchasing and/or materials systems (eg electronic data interface (EDI) or manufacturing resource ... Sr . Buyer Location : Carson, CA, United States...suppliers and company personnel. 6. Negotiates and settles damage claims , rejections, losses, return of materials, over-shipments, cancellations and… more
- Gilead Sciences, Inc. (San Bernardino, CA)
- …Join Gilead and help create possible, together. **Job Description** As a ** Sr ** **Therapeutic Specialist** you are responsible for representing Gilead's products and ... includes Palm Springs, Loma Linda, Barstow, Corona** As the Senior Therapeutic Specialist, you will be responsible for: **Job...acts as a mentor for junior staff. + Initiates systems to regularly measure sales progress and action plans.… more
- Evolent (Sacramento, CA)
- …manner that fosters expertise and cooperation.** **Process and validate raw unadjudicated claims data .** **Use programming skills to explore, examine and ... **Familiarity with value-based care and utilization management- Preferred.** **Understanding of data systems and the critical thinking skills to solve… more
- NBC Universal (Universal City, CA)
- …entertainment content. The spin-off is expected to be completed during 2025. The Sr . Manager Projects is responsible for directing and managing all aspects of the ... and manage design decisions and construction document production; avoid contract claims and disputes; minimize change orders; effectively manage changes in the… more
- Evolent (Sacramento, CA)
- …care/service + Familiarity with value-based care and utilization management + Understanding of data systems and the critical thinking skills to solve new ... activities as well as Product Development efforts. **What You'll Be Doing:** + Analyse claims and authorization data to identify trends, calculate cost of care,… more
- ENFRA (Los Angeles, CA)
- …of relevant data from all internal stakeholders and subcontractors. The Senior Project Scheduler is considered the technical expert in planning/scheduling and is ... Angeles, Phoenix, Dallas, Orlando, Nashville, New Jersey or Charlotte office. The Senior Project Scheduler is responsible for the development and maintenance of the… more
- MetLife (Irvine, CA)
- …and possess in-depth knowledge of plan designs, benefit features and how claims are paid * Strong understanding of industry marketplace and legal developments. ... all levels of the organization * Ability to analyze data to influence and execute on renewal decisions *...computer navigation skills and ability to work in multiple systems simultaneously (Microsoft suite, different company platforms) * Strong… more
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