- Elevance Health (Walnut Creek, CA)
- …to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to ... **Title: Grievance/Appeals Analyst I** **Location:** This position will work a...Demonstrated business writing proficiency, understanding of provider networks, the medical management process, claims process, the company's… more
- Elevance Health (Walnut Creek, CA)
- **Provider Payment Appeal Analyst I** **Must be located within 50 miles of Norfolk, VA, Tampa, FL, Houston, TX, Mason, OH, Costa Mesa, CA, Palo Alto, CA, Rancho ... CA, or Woodland Hills, CA.** The **Provider Payment Appeal Analyst I** is responsible for supporting the Payment Dispute...root cause and appropriate resolution. + Must work with Claims Operations to remediate impacted claims . **Minimum… more
- Elevance Health (Walnut Creek, CA)
- **Actuarial Analyst III** **Location:** Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that ... onsite will be discussed as part of the hiring process. The **Actuarial Analyst III** completes very diverse and complicated projects and performs very complex… more
- Marathon Petroleum Corporation (Martinez, CA)
- …+ Develops functional knowledge eg, MPC Loss Control SOP, API, interpret/ analyst data, reconcile system balance, MPC operation (eg, Marine, Pipeline and/or ... Supports negotiation/escalation of volume discrepancies and notifies manager of formal claims , if needed. + Supports new business opportunity assessments as needed.… more
- Sutter Health (Antioch, CA)
- …with laboratories, imaging centers or other means (eg coordinating with reporting analyst using claims data) to ensure patient follow through on ... you are interested in joining Sutter Health! **Organization:** SDMC-Sutter Delta Medical Center **Position Overview:** Responsible for the implementation of the… more