- LA Care Health Plan (Los Angeles, CA)
- Manager , Claims Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11073 ... support the safety net required to achieve that purpose. Job Summary The Manager , Claims directs the efforts of others in the achievement of the strategic,… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Claims Integrity Provider Remediation Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full ... safety net required to achieve that purpose. Job Summary The Manager , Claims Integrity Provider Remediation is responsible for development and implementation of… more
- AIG (Los Angeles, CA)
- …and professional service with empathy and efficiency. How you will create an impact As the Claims Account manager , you will be the p rimary Claims contact ... Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our… more
- Marriott (Costa Mesa, CA)
- …and complexity of Worker's Compensation and General Liability cases as determined by Claims Unit Manager .) **Expected Contributions** + Investigate claims ... Number** 24069181 **Job Category** Finance & Accounting **Location** Western Casualty Claims Office, 3100 Bristol Street Suite 425, Costa Mesa, California, United… more
- Elevance Health (Los Angeles, CA)
- ** Manager II Grievance/Appeals - Claims Support** **Location: *CA Residential Requirement** This position will work a hybrid model (remote and office). Ideal ... California within 50 miles of one of our PulsePoint locations. The ** Manager II Grievance/Appeals** is responsible for management oversight of grievances and appeals… more
- Crawford & Company (Brea, CA)
- …is not a job post. Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims . Documents and ... and ensures proper and timely closing of files. Makes decisions on claims within delegated limited authority. Responsibilities + Conducts investigations of claims… more
- Illumination Foundation (Santa Ana, CA)
- …Orange County, Los Angeles County and the Inland Empire. Job Description The Claims Specialist is responsible for accuracy of claims submission, benefits and ... eligibility verification, accuracy of client information. In addition, the Claims Specialist is also responsible for keeping up to...continuing with the claim close out process. + Assist Manager and Associate Director in any projects related to… more
- Guidehouse (Gardena, CA)
- …You Will Do** **:** The **Insurance Patient Account Representative - Commercial Claims ** is an extension of a client's business office staff. Representatives are ... from home._** **_Questions regarding this position, you may contact Chris Rivera ( Manager , Talent Acquisition) at ###_** **Essential Job Functions** + Commercial … more
- Emanate Health (Covina, CA)
- …the #19 ranked company in the country. **J** **ob Summary** The Ambulatory Billing Manager is responsible for ensuring all professional claims are billed out to ... requesting bridge routines, and building account checks. The Ambulatory Billing Manager is responsible for evaluating employee work performance, timekeeping, and… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Shared Services Program Manager II (Limited Duration- 12 months)) Job Category: Administrative, HR, Business Professionals Department: Claims Data and ... required to achieve that purpose. Job Summary The Enterprise Shared Services Program Manager II is responsible for leading and managing a portfolio of strategic and… more
- HUB International (Westlake Village, CA)
- …with others **THE OPPORTUNITY:** We are seeking an experienced Account Manager to support our middle-market, commercial accounts. Our service team plays ... not limited to, Pre-Renewal Strategic Planning, Risk ID Assessments, Contract Reviews, Claims Reviews (in coordination with Claims Management), Market Analysis,… more
- Axtria, Inc. (Thousand Oaks, CA)
- …minds in the industry. Position Description: We are currently hiring for Manager /Senior Manager level professionals for our Decision Science practice who ... XPONENT, NPA, NSP, 867, and others) and most of all claims data + Knowledge and expertise in claims data (anonymized patient-level claims data) and EHR data… more
- Amgen (Thousand Oaks, CA)
- …other innovative, driven professionals in this meaningful role. **Value & Access Insights, Manager ** **Live** **What you will do** Let's do this. Let's change the ... pharmaceutical ecosystem and data sets including medial and pharmacy claims (ex. IQVIA LAAD, Symphony Claims ), prescription...and pharmacy claims (ex. IQVIA LAAD, Symphony Claims ), prescription (ex. IQVIA NPA), outlet (ex. IQVIA DDD)… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Customer Solution Center Appeals and Grievances Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... support the safety net required to achieve that purpose. Job Summary The Manager , Customer Solution Center Appeals and Grievances is responsible for the centralized… more
- LA Care Health Plan (Los Angeles, CA)
- Community Health Program Manager II (ALD) Job Category: Clinical Department: Community Health Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... net required to achieve that purpose. Job Summary The Community Health Program Manager II is responsible for supporting Community Health projects designed to improve… more
- HUB International (Encino, CA)
- …play a vital role in supporting our clients with day-to-day account management, claims management, and underwriting services that ensure they have what they need to ... and provide them with innovative insurance solutions. We are seeking an experienced Account Manager who is able to manage small groups under 100 and large groups… more
- HUB International (Encino, CA)
- …play a vital role in supporting our clients with day-to-day account management, claims management, and underwriting services that ensure they have what they need to ... and provide them with innovative insurance solutions. The Personal Lines Account Manager provides critical support to clients, manages 2 books of insurance business… more
- Dignity Health (Los Angeles, CA)
- …requests and collaborates with other key stakeholders to implement learnings from claims . Oversees the coordination of all legal documents related to hospital ... appropriate. + Coordinates the requests from the system office claims team (related to litigated claims ) and...system office claims team (related to litigated claims ) and collaborates with other key stakeholders to implement… more
- HUB International (Los Angeles, CA)
- …play a vital role in supporting our clients with day-to-day account management, claims management, and underwriting services that ensure they have what they need to ... play a vital role in supporting our clients with day-to-day account management, claims management, and underwriting services that ensure they have what they need to… more
- Unilever (West Hollywood, CA)
- Manager , Product Development West Hollywood,CA HOURGLASS COSMETICS - Product Development Manager Connected by creativity and driven by purpose. Hourglass ... and mission on our website hourglasscosmetics.com The Product Development Manager reports to the Director of Product Development. The...at the start of new development to ensure desired claims and copy are supported by formulation and ingredients… more