- Pivot OnSite Innovations (Hayward, CA)
- …our unique culture. Job Summary: Under the direction of the Medical Director and Overseeing Physician, the Nurse Practitioner manages the day-to-day operations of ... arthrocentesis, and x-ray interpretation Case management of workman's compensation claims in conjunction with the employer representative and insurance carrier… more
- Ryder System (Sacramento, CA)
- …clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and ... third-party provider relationships (including consultants, legal counsel, insurers, and external claims administrators). The Director manages and oversees the… more
- Elevance Health (Los Angeles, CA)
- ** Director II, Digital Claims Operations (Dir II Digital Ops)** Location: This role requires associates to be in-office **3 days per week** , fostering ... resides within a commutable distance from an office._ The ** Director II, Digital Claims Operations** oversees a combined digital and operations unit(s); executes… more
- Humana (Sacramento, CA)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Providence (Mission Hills, CA)
- **Description** Working under the general supervision of the Claims Director , provide an effective education program to advance the quality and production level ... of the Claims Department by developing and delivery claims training programs that continuously improves the Claims Department performance to meet the NSS… more
- Fluor (Fresno, CA)
- …Central Valley. Under the general direction of the Director and Deputy Director of the PMO/forensics & Claims , this role is responsible for developing ... also responsible for reviewing and analyzing Contractors' Time Impact Analyses and claims and assisting with the rebuttal responses. In addition to forensic analysis… more
- CenterWell (Sacramento, CA)
- … Director , Primary Care relies on medical background and reviews health claims . The Medical Director , Primary Care work assignments involve moderately complex ... Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where the… more
- Humana (Sacramento, CA)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Sacramento, CA)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Sacramento, CA)
- …The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director works on problems of diverse scope and ... complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Zurich NA (Sacramento, CA)
- Senior Professional Liability Claims (Attorney), Claims Construction 128423 **Zurich North America is expanding its nationwide Construction Professional ... Liability Claims Team with the addition of a dedicated ...Working: Yes Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-LC1 #LI- DIRECTOR #LI-HYBRID EOE Disability /… more
- Zurich NA (Gold River, CA)
- AVP, Claims General Liability 126572 Zurich is currently seeking an AVP to direct and oversee the operations of our Claims General Liability leadership team. ... dynamic leader to guide and support a high-performing team of Managers and Claims Professionals within our General Liability Specialty Team. In this pivotal role,… more
- University of Southern California (Newport Beach, CA)
- …scan/email ABNS to front area reception for signatures as needed. + Coordinate with Director on denied or disputed claims to obtain documentation to support ... area of service. + Pref Medical Prior Authorizations or Claims experience in a managed care setting. + Pref...+ Pref Knowledge of the health insurance industry and claims processing. Required Licenses/Certifications: + Req Fire Life Safety… more
- Providence (Anaheim, CA)
- …the administrative and operational support necessary to manage medical malpractice risk, claims , and patient safety interface functions. The Director will ... Role:** Providence Clinical Network (PCN) is seeking an experienced and collaborative Director of Medical Group Risk Management & Malpractice for oversight of a… more
- Zurich NA (Sacramento, CA)
- …experience in the Claims or Underwriting Support are OR AVP, Underwriting Director - Energy, Oil, Gas and Chemicals Requirements: + High School Diploma or ... Executive Underwriter OR AVP, Underwriting Director - Energy, Oil, Gas & Chemicals 128378...and 10 or more years of experience in the Claims or Underwriting Support area OR + Zurich Certified… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- The Senior Director Translational Medicine will be responsible for design, execution and reporting of First in Human (FIH), Translational Medicine (TM) and Proof of ... scientific capabilities in support of Otsuka's pipeline. The Senior Director TM works closely with Head of TM as...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- University of Southern California (Los Angeles, CA)
- …(USC) Keck School of Medicine/Office of SVP for Health Affairs is seeking an Associate Director to join its Health Plans team! The Work You Will Do The Associate ... Director , Health Plans manages major components of the University's...and innovation. Manages and resolves human resource and member claims and plan related issues. . Plans and conducts… more
- BD (Becton, Dickinson and Company) (San Diego, CA)
- …become your best self. Become a **maker of possible** with us. Director of Regulatory Affairs is responsible for developing and implementing regulatory strategies ... with the Senior Director , Regulatory Management, WW IPD ("Sr Director ...Regulatory Leadership Team + Responsible for product labeling, promotional claims , and advertisements to ensure compliance with US and… more
- Horizon Services, Inc. (Hayward, CA)
- JOB TITLE: Associate Director of Outpatient & Prevention Program Operations LOCATION: Administration - Hayward CA Employment Type: Full-Time (Salary) POSITION START ... where our collective experiences enrich each other's growth. The Associate Director of Outpatient & Prevention Programs (ADOPPO) position is instrumental in… more
- Ross Stores, Inc. (Dublin, CA)
- …with continuous learning opportunities and development for our teams\. **GENERAL PURPOSE:** This Director level attorney position will work on the Ross Legal team as ... Employment Law team primarily assessing, handling, and managing employment claims including defending Ross in agency hearings and in...other employment law team members on the handling of claims and other tasks as assigned\. The base salary… more
