- ICW Group (San Diego, CA)
- …Learn more about why you want to be here! **PURPOSE OF THE JOB** The Chief Claims Officer (CCO) is responsible for designing, overseeing, and directing ... procedures to guide the efficient resolution of claims . Additionally, the Chief Claims Officer collaborates with other senior executives to integrate … more
- City of Long Beach (Long Beach, CA)
- CHIEF RISK OFFICER (RISK MANAGER) Print (https://www.governmentjobs.com/careers/longbeach/jobs/newprint/4797842) Apply CHIEF RISK OFFICER (RISK ... DESCRIPTION THE PORT OF LONG BEACH IS SEEKING A CHIEF RISK OFFICER (RISK MANAGER) (This is...+ Assists the City Attorney's Office with handling of claims + Monitor industry trends, advancements, and best practices… more
- Public Consulting Group (Sacramento, CA)
- …and Supplemental Payment Strategies + Healthcare Access and Markets **Duties and Responsibilities** Chief Information Officer , Health Practice Area The Chief ... Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost… more
- The County of Los Angeles (Los Angeles, CA)
- …The Chief , Public Health, Administration position within the Office of the Health Officer serves as the Chief Advisor to the County Health Officer ... with additional duties as assigned by the County Health Officer . The Chief , Public Health, Administration reports...view correspondence. + Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
- The County of Los Angeles (Los Angeles, CA)
- …the Bureau of Disease Control that will report to the Bureau of Disease Control Director/ Chief Medical Officer . In this role, the SPA RHO, will manage Public ... that will report to the Bureau of Disease Control Director/ Chief Medical Officer . In this role, the...view correspondence. + Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
- City National Bank (Los Angeles, CA)
- *SETTLEMENT AND TERMINATION OFFICER * *Hybrid Schedule, 3 Days in Office: Los Angeles, CA. or NYC, NY. * WHAT IS THE OPPORTUNITY? Perform estate administration and ... held internally and at external financial institutions/custodians. Identifies and pays claims and expenses timely. Coordinates the preparation of estate, gift and… more
- Providence (CA)
- …procedures, policies; to improve efficiency of department work; and to assist the SVP Chief Risk Officer and Senior Manager Operations as needed **Provide Input ... empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional, general,… more
- Tutor Perini (Sylmar, CA)
- …Change Order and Claims Management reports to the Senior Vice President and Chief Financial Officer and will be an integral member of finance and operations ... Corporation is seeking a Director of Change Order and Claims Management to join our office in Sylmar, CA...be engaged in the ongoing review of complex projects, claims , disputed change orders, identifying early warning signs of… more
- Sharp HealthCare (San Diego, CA)
- …as a lead medical manager and policy advisor to SHP clinical and its' Chief Medical Officer . **Required Qualifications** + Doctor of Medicine (MD) - Internal ... and pharmacy needs. + Responsible and accountable to the Chief Medical Officer for helping to manage...management such as provider relations, member services, benefits and claims management, IT management, etc. + Plans, organizes, and… more
- Sharp HealthCare (San Diego, CA)
- …the position, and employer business practices. **What You Will Do** Working with the Chief Medical Officer , oversees medical care for Sharp Health Plan (SHP) ... medical manager and policy advisor to SHP and its Chief Medical Officer . Is accountable for and...management such as provider relations, member services, benefits and claims management, etc. Assists (as determined by the plan… more
- The County of Los Angeles (Los Angeles, CA)
- …direction of the Assistant Director, Public Services, Library or Departmental Chief Information Officer . Incumbents have responsibility for managing, through ... + Act for the Assistant Director, Library or Departmental Chief Information Officer in the latter's absence...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- Wider Circle (CA)
- …in need. You will collaborate with various stakeholders, including our informatics team, Chief Medical Officer , and local CHWs on the ground, to develop, ... this contract. Responsibilities: + Leveraging data from health plan claims in partnership with our informatics team, assess the...+ Familiarity and experience with the oversight requirements and claims submission process for CHW's in the state of… more
- Sharp HealthCare (San Diego, CA)
- …and grievance procedures in coordination with the Executive Medical Director and Chief Medical Officer . + Communicates directly with providers regarding problem ... patient management.Interaction with case management activities.Provides input on medical claims review to determine medical necessity, appropriateness of provider… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …practices, procedure codes, and patient insurances. Enlists the assistance of the Chief Financial Officer and/or her/his designee in questions of compliance, ... performance in a variety of areas, including, but not limited to, and claims submission and adjudication and follow-up on outstanding receivables and denials. Using… more
- Danaher Corporation (Sunnyvale, CA)
- …Cepheid's global healthcare ethics and compliance program. This role will report to the Chief Compliance Officer of Cepheid. This role will partner with Cepheid, ... and compliance requirements, including the US Foreign Corrupt Practices Act, False Claims Act, and Anti-Kickback Statute, with an understanding of how these… more
- The County of Los Angeles (Los Angeles, CA)
- …extraordinary care. DEFINITION: Under the direction of the Department of Health Services Chief Nursing Officer , the Nursing Director works closely with system, ... to take the above steps to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be a valid reason for a late… more
- The County of Los Angeles (Los Angeles, CA)
- …Provides legal advice and representation to the Board of Supervisors, the Chief Executive Officer , County departments and County-related agencies, concerning ... but not limited to, harassment, discrimination, disability, and retaliation claims . Represents the County in administrative proceedings regarding employment issues,… more
- UCLA Health (Los Angeles, CA)
- …environment that drives both financial and clinical success. Your Impact Reporting to the Chief Financial Officer of the Hospital System, you will: * Lead a ... negotiation skills. * Familiarity with CPT, HCPCS, revenue codes, hospital billing, and claims processing. Compensation & Benefits + Full salary range for this grade… more
- The County of Los Angeles (Los Angeles, CA)
- …extraordinary care. DEFINITION: Under the direction of the Department of Health Services Chief Nursing Officer , the Nursing Director works closely with system, ... to take the above steps to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be a valid reason for a late… more