- 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
- County of El Dorado (Placerville, CA)
- Sr . Engineering Technician-Engineering Print (https://www.governmentjobs.com/careers/edcgov/jobs/newprint/4992652) Apply Sr . Engineering Technician-Engineering ... of paved roadway, 76 bridges, a multitude of storm drainage systems , and related transportation facilities. ENGINEERING DIVISION The Engineering Division provides… more
- Envista Holdings Corporation (Pomona, CA)
- …management systems , regulatory requirements, and risk management principles. The Sr . Quality Engineer will report directly to the Quality Engineering Manager. ... **Job Description:** The ** Sr . Quality Engineer** plans and conducts activities concerned...RESPONSIBILITIES:** + Actively participates in defining customer requirement, product claims and target markets early in the product development… 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
- Canon USA & Affiliates (Sacramento, CA)
- **Mgr Medical Affairs - Clinical Development Sr - HIT - req1494** **OVERVIEW** Works independently and as part of a dynamic and fast-paced team of clinical and ... and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business,… more
- Cushman & Wakefield (San Jose, CA)
- **Job Title** Sr Facilities Manager **Job Description Summary** This position has managerial oversight of multiple facilities, an entire campus, or a portfolio of ... Facilities Manager and/or Assistant Facilities Manager reporting into it. The Senior Facilities Manager has the overall responsibility for overseeing the… more
- Sumitomo Pharma (Sacramento, CA)
- …computer systems . + Identifies and resolves discrepancies in submitted data invoices to ensure legitimacy of contract discounts. + Ensures detailed accuracy ... highly motivated, and experienced individual for the position of Sr . Manager, Medicaid Contract Administration. This position is responsible...of correct data input into company systems . + Maintains… more
- Evolent (Sacramento, CA)
- …mission. Stay for the culture. **What You'll Be Doing:** Evolent Health is looking for a Sr . Product Owner within our Common Data portfolio to be a key member of ... a technical field or relevant related field + Understanding of healthcare data formats (eg, eligibility, claims , configuration, authorizations, clinical data… more
- NBC Universal (Universal City, CA)
- …entertainment content. The spin-off is expected to be completed during 2025. The Sr . Manager, Project Director is responsible for directing and managing all aspects ... 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)
- …data using industry-standard metrics. + Process and validate raw unadjudicated claims data . **Qualifications Required and Preferred:** + Bachelor's degree, ... Familiarity with value-based care and utilization management is preferred + Understanding of data systems and the critical thinking skills to solve new problems… more
- Evolent (Sacramento, CA)
- …Familiarity with value-based care and utilization management is preferred + Understanding of data systems and the critical thinking skills to solve new problems ... interactions fostering expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. **Qualifications… more
- Evolent (Sacramento, CA)
- …skills + Microsoft Office experience (Excel, Visio) + Understanding of healthcare data formats (eg, eligibility, claims , configuration, authorizations, clinical ... You'll Be Doing:** Evolent Health is looking for a Senior Product Owner to be a key member of...key member of the Product team, focused on client data integrations. This individual will play a critical role… more
- Abbott (Pleasanton, CA)
- …clinical case manager and coordinates an individual client's health care services across multiple systems from the onset of injury or illness to a safe return to ... broad spectrum of client needs, including physical and psychosocial factors, using data from various sources including, but not limited to aggregate case/ claims… more
- Southern California Edison (Rosemead, CA)
- Join the Clean Energy Revolution Become a Senior Workers' Compensation Claims Adjuster at Southern California Edison (SCE) and build a better tomorrow. At ... to a culture of care and recovery. As a Senior Workers' Compensation Claims Adjuster, your work...Party Recovery. + Demonstrated proficiency in a variety of Claims Management computer programs and systems . Strong… more
- Ventura County (Ventura, CA)
- …Recommended and Adopted Budget to the Board of Supervisors and State Controller ( Sr Only). + Performs fiscal management systems administration, systems ... of governmental and departmental operations. + Principles of business management. + Data processing systems applicable to accounting operations. + Principles and… more
- Highmark Health (Sacramento, CA)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... of applications he/she supports, how users use the application, and what other systems integrate with the application. Understands how work is being conducted, and… more
- Cedars-Sinai (Beverly Hills, CA)
- … Data systems is needed. Knowledge of electronic health records (EHR), claims data , and health information systems (e.ge., Epic, Cerner); Familiarity ... of patient care we strive for. **What will you be doing:** The Senior Financial Analyst is responsible for assisting with the development, design, maintenance,… more
- WelbeHealth (CA)
- ** Senior Applications Analyst - TPA Systems & Claims Processing** WelbeHealth is a value-based healthcare organization that's transforming the future of ... senior care by providing an all-inclusive care option to...solve systems problems, as well as ensure data accuracy across claims , eligibility, and provider… more
- Ventura County (Ventura, CA)
- …of governmental and departmental operations; principles of business management; data processing systems applicable to accounting operations; principles ... Senior /Principal Accountant-MB Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4946844) Apply Senior /Principal Accountant-MB Salary… more
- Tutor Perini (Los Angeles, CA)
- …depending on experience.** Fisk Electric, a Tutor Perini Company, is seeking a ** Senior Project Engineer** to join our Los Angeles, CA office. **About Fisk ... leading providers for the design, installation and maintenance of electrical systems , structured cabling applications, integrated electronic security systems ,… more