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325 Jobs in California

  • Claims Quality Auditor II

    L.A. Care Health Plan - Los Angeles, California
    ... .e. Payment Integrity and Claims Compliance. This position works to ensure claims are being processed ... the Claims Quality Auditing Manager. The Claims Quality Auditor II maintains up-to-date knowledge of ...
  • Investigator I - Carelon Payment Integrity

    Elevance Health - Los Angeles, California
    ... Investigator I - Carelon Payment Integrity Location: This position will work a ... locations. Carelon Payment Integrity is a proud member of the Elevance Health family of ...
  • Product Manager

    HealthEdge Software Inc - Sacramento, California
    ... ’rechanging the industry narrative, providing a moreholistic approachto payment integrity that focuses on ... platform offers the ability for clients to unlock transformation at the reimbursement, payment integrity ...
  • Field Engineer

    Tutor Perini - Fresno, California
    ... ** As a Field Engineer at TPZP JV, reporting to the Project Manager, you will have the ... performance records; Maintains accurate payment records. Assist in preparing monthly reporting for ...
  • Manager, Market Research

    Norstella - Sacramento, California
    ... Manager, Market Research Company: MMIT Location: Remote, United States Date Posted: Sep 24 ... entire drug development journey. Job Description As a Manager, Market Research, you will ...
  • Financial Services Risk Transformation - Financial Crimes Compliance - Manager Consultant

    EY - Los Angeles, California
    ... EY focuses on high-ethical standards and integrity among its employees and expects all candidates ... Consulting, Financial Services, Manager – Financial Crimes: This position could be located in NY, NC ...
  • Patent Counsel

    TP-Link North America, Inc. - Irvine, California
    ... , this position might be for you. TP-Link is seeking an experienced patent portfolio manager to ... . Oversee the maintenance of issued patents, including payment of annuities and decisions on patent renewals ...
  • Contracts Manager

    Teledyne - Thousand Oaks, California
    ... Contracts Manager to the team! The Contracts Manager will support Teledyne Scientific & Imaging (TS&I)’s Contract department and report to a Senior Contract Manager. The Contracts Manager will be expected to ...
  • Bilingual Account Manager, Personal Lines (Spanish)

    Hub International - Oakdale, California
    ... Spanish Personal Lines Account Manager is responsible for providing exceptional service to our clients and ... a Licensed Account Manager who possesses the ability to read, write and speak Spanish ...
  • Pre-Registration Coordinator- Day Shift

    Guidehouse - VENTURA, California
    ... policies that govern the revenue cycle, the amount owed by the patients and explains hospital payment ... Federal, State, and local laws and regulations, Community Memorial Healthcare Organizational Integrity ...
  • Contracts Manager

    Teledyne - Camarillo, California
    ... Contracts Manager to the team! The Contracts Manager will support Teledyne Scientific & Imaging (TS&I)’s Contract department and report to a Senior Contract Manager. The Contracts Manager will be expected to ...
  • Claims Examiner - Workers Compensation (Hybrid in any CA Office)

    Sedgwick - Orange, California
    ... . Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Claims Examiner ... technically difficult workers' compensation claims to determine benefits due; to work with high exposure ...
  • Claims Examiner - Workers Compensation (Hybrid in any CA Office)

    Sedgwick - Roseville, California
    ... . Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Claims Examiner ... technically difficult workers' compensation claims to determine benefits due; to work with high exposure ...
  • Claims Examiner Workers Compensation (Hybrid Rancho Cordova, CA)

    Sedgwick - Rancho Cordova, California
    ... . Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Claims Examiner ... technically difficult workers' compensation claims to determine benefits due; to work with high exposure ...
  • Payment Integrity Clinician

    Highmark Health - Sacramento, California
    ... satisfaction. The incumbent is responsible for the implementation of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review of medical ...
  • Financial Services Risk Transformation - Financial Crimes Compliance - Manager Consultant

    EY - San Francisco, California
    ... EY focuses on high-ethical standards and integrity among its employees and expects all candidates ... Consulting, Financial Services, Manager – Financial Crimes: This position could be located in NY, NC ...
  • Lead Claims Specialist - Claims Recovery

    Providence - Mission Hills, California
    ... Description Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Monitor check run process for accuracy. Develop policies ...
  • Claims Quality Auditor - Remote in CA

    UnitedHealth Group - Los Angeles, California
    ... Optum CA is seeking a Claims Quality Auditor to join our team in California. Optum is a ... . The Claims Quality Auditor performs quality assurance functions as they pertain to Claims pre ...
  • Workers Compensation Claims Representative - (Hybrid Schedule)

    Sedgwick - Rancho Cucamonga, California
    ... Compensation Claims Representative - (Hybrid Schedule) PRIMARY PURPOSE : To process low level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within ...
  • Workers Compensation Claims Representative - (Hybrid Schedule)

    Sedgwick - Long Beach, California
    ... Compensation Claims Representative - (Hybrid Schedule) PRIMARY PURPOSE : To process low level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within ...
  • Workers Compensation Claims Team Lead - Assistant

    Sedgwick - Ontario, California
    ... Compensation Claims Team Lead - Assistant PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure workers ...
  • Property Director - Diamond Bar, CA

    Travelers Insurance Company - Diamond Bar, California
    ... of staff. This position is a manager of managers. What Will You Do? Attract, Retain ... Unit Manager development. Makes certain training needs are identified and addressed on an ongoing ...
  • Claims Associate Workers Compensation - (In-Office)

    Sedgwick - Orange, California
    ... . Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Claims Associate ... compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company ...
  • Claims Examiner Workers Compensation - (Hybrid Schedule)

    Sedgwick - Orange, California
    ... . Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Claims Examiner ... difficult workers' compensation claims to determine benefits due; to work with high exposure claims ...
  • Claims Assistant - WC (ON-SITE - Orange, CA)

    Sedgwick - Orange, California
    ... . Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Claims Assistant - WC (ON-SITE - Orange, CA) PRIMARY PURPOSE : To provide support to the claims staff ...
  • Claims Representative Workers Compensation - (Hybrid Schedule)

    Sedgwick - Ontario, California
    ... . Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Claims ... compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company ...
  • Claims Adjuster Workers Compensation - (Hybrid Schedule)

    Sedgwick - Ontario, California
    ... . Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Claims Adjuster ... -level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims ...
  • Claims Assistant - Entry Level - (In-Office)

    Sedgwick - Ontario, California
    ... . Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Claims Assistant - Entry Level - (In-Office) PRIMARY PURPOSE : To provide support to the claims staff and ...
  • Claims Examiner - Liability (Hybrid from CA office)

    Sedgwick - Concord, California
    ... . Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Claims Examiner ... liability claims to determine benefits due; to ensure ongoing adjudication of claims within company ...
  • Claims Examiner - Workers Compensation (AGILE Roseville, CA)

    Sedgwick - Roseville, California
    ... . Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Claims Examiner ... difficult workers' compensation claims to determine benefits due; to work with high exposure claims ...
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