- LA Care Health Plan (Los Angeles, CA)
- Manager , Claims Job Category: Claims ... claims . Skills Required: Solid understanding of standard claims processing systems and claims data ... net required to achieve that purpose. Job Summary The Manager , Claims directs the efforts of others...Health Plan. Provides direct supervision to a team of claims examiners, data entry clerks and … more
- Ryder System (Sacramento, CA)
- … are being handled appropriately according to the applicable jurisdiction. + Alerts the Claims Manager to changes and proposed changes in laws that could impact ... Ryder s Liability program. + Assists Claims Manager in the identification of exposures...with Law Department on significant cases, and updates field operations personnel on claims status. + Recommends… more
- BeiGene (San Mateo, CA)
- **General Description:** The Senior Manager Business Data Operations will partner with Global business teams across BeiGene for building & maintaining a ... maintain high level of integrity, trust & quality of data + Develop Operations Support framework for...to manage key business processes for customer alignment, channel data (3PL/SP/SD/Voucher/Copay), patient journey, patient claims , VA… more
- Abbott (Alameda, CA)
- …working with data vendors, managing diabetes market related master data , prescription data and claims data and supporting data consumption. In ... analyze glucose levels. **We are recruiting for a Commercial Data Management Manager to work in our...analytics and KPIs. + Perform adhoc sales, marketing, formulary, claims data analysis for root cause identification… more
- Amgen (Thousand Oaks, CA)
- …worldwide. It's time for a career you can be proud of. **CDnA - Sr Manager Commercial Data Platforms** **Live** **What you will do** Let's do this. Let's ... leader will play a key role in the day-to-day operations of the platform to enable analytics across the...Claims datasets + Experience with handling large size data platforms ( data warehouses) catering to multiple… more
- LA Care Health Plan (Los Angeles, CA)
- Data Governance Program Manager I Job Category: Information Technology Department: IT Executive Administration Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Data Governance Program Manager I is a...Director promptly for specific domains (Provider, Clinical, Member, and claims and encounter). Under the mentorship and direction of… more
- Deloitte (Sacramento, CA)
- Manager , Operations and Technology Transformation, Guidewire Application Solution Architect What we do Operations and Technology Transformation delivers ... efficiency. We implement innovative technology solutions spanning core, digital, data , analytics, cloud and AI. Deloitte's Financial Services Industry consulting… more
- Walgreens (Elk Grove, CA)
- …with the Store Manager **Job ID:** 1418284BR **Title:** Pharmacy Operations Manager **Company Indicator:** Walgreens **Employment Type:** Full-time **Job ... federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations , administrative activities; Ensures efficient pharmacy workflow and a… more
- Deloitte (Costa Mesa, CA)
- What we do Operations and Technology Transformation delivers market leading expertise and industry depth by harnessing deep sector knowledge, scaling the power of ... efficiency. We implement innovative technology solutions spanning core, digital, data , analytics, cloud and AI. Deloitte's Financial Services Industry consulting… more
- ThermoFisher Scientific (Carlsbad, CA)
- **Job Description** **Position Summary:** The Manager , Biologics Proposals is the process owner and strong people leader for all activities and team management ... a strong team. It is the expectation that the Manager , Biologics Proposals will spend their time with the...high quality, timely proposal generation. + Supports the accuracy, data integrity and continued optimization of SalesForce.com and other… more
- Axtria, Inc. (Thousand Oaks, CA)
- …as sales data (IQVIA XPONENT, NPA, NSP, 867, and others) and most of all claims data + Knowledge and expertise in claims data (anonymized ... for sales and marketing planning, and manage end-to-end commercial operations . With customers in over 30 countries, Axtria is...patient-level claims data ) and EHR data is of specific interest for this role. +… more
- Amgen (Thousand Oaks, CA)
- …various payer datasets based on detailed understanding of related datasets ie Patient level claims data ; Payer claims data ; Formulary coverage; Specialty ... professionals in this meaningful role. **Value & Access Insights, Manager ** **Live** **What you will do** Let's do this....value and access strategy + Understand pharmaceutical ecosystem and data sets including medial and pharmacy claims … more
- Sysco (Modesto, CA)
- …Frequently interacts with other functions (Sales, Merchandising, Operations to collect data for Sysco's legal team during claims issues to ensure relevant ... For information on Sysco's Benefits, please visit https://SyscoBenefits.com JOB SUMMARY The Manager , Food Safety Program (Food Safety Program Manager (FSPM)) is… more
- Stanford Health Care (Palo Alto, CA)
- …Stanford Health Care job.** **A Brief Overview** Under the direction of ACO Operations Management, the Eligibility and Enrollment (E&E) Data Analyst performs ... integrity for ACO members and collaborate closely with team Lead and/or Manager on work assignment prioritization and maintain assigned process and procedure… more
- Microsoft Corporation (Santa Clara, CA)
- …culture of inclusion where everyone can thrive at work and beyond. Microsoft's Cloud Operations & Innovation (CO+I) is the engine that powers our cloud services. As ... a **Supply Chain Execution Manager ** within the US Government Airgap team, you will...the US Government. While our US Government dedicated datacenter operations team has a sharp focus on serving our… more
- LA Care Health Plan (Los Angeles, CA)
- …Initiatives team include analysis of housing data on enrollment, payment, or claims data to identify operational problems or issues. Make recommendations to ... communication skills. Demonstrated ability to synthesize and analyze qualitative and/or quantitative data . Knowledge of health care operations or health care… more
- Walmart (Riverside, CA)
- Position Summary What you'll do Data and Digital Literacy Possesses knowledge of: Data collection modes, techniques, and tools; data analytics and data ... digital applications and systems; technology innovation trends and industry benchmarks; and data governance. To be able to carry out the following responsibilities:… more
- LA Care Health Plan (Los Angeles, CA)
- …etc. Collaborates with internal departments (Member Services, Provider Network Operations , Claims , Utilization Management, Pharmacy, and Quality Management) ... Manager , Customer Solution Center Appeals and Grievances Job...of care issues and work collaboratively with multiple departments ( Claims , Provider Network Operations , Utilization Management, Quality… more
- Allied Universal (Irvine, CA)
- …Services, an Allied Universal(R) Company, is hiring a Regional Human Resources Manager . The Regional Human Resources Manager is responsible for assisting ... This position supports multiple locations across the United States. The Regional Manager , Human Resources also manages recruitment for multiple offices and business … more
- Federal Express Corporation (North Palm Springs, CA)
- …filing, faxing, emailing and answering telephone + Reviews, researches and/or enters data in various systems to support respective functional area + Compiles ... data and provides various regular and adhoc reports to...management review + Reviews and trends loss and damaged claims filed to identify improperly charged claims … more