- WelbeHealth (Los Angeles, CA)
- …Health Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and ... accurate pre-payment or denial of claims while meeting federal/state regulations, provider agreements terms, and/or company policies and procedures. **This is a… more
- Elevance Health (Los Angeles, CA)
- …which would provide an equivalent background. **Preferred Qualifications:** + Pharmacy Claims Audit Strongly preferred + PBM (Pharmacy Benefit Management) ... for handling high level pharmaceutical claim audits and reviewing claims issues from junior team to ensure claims... claims issues from junior team to ensure claims are being resolved and reported in a timely… more
- LA Care Health Plan (Los Angeles, CA)
- …experience in a quantitative role as a Business Analyst , Data Analyst , Programming Analyst , Claims processing, encounter processing. Skills Required: ... Business Analyst III Job Category: Administrative, HR, Business Professionals Department: Audit Services Location: Los Angeles, CA, US, 90017 Position Type: Full… more
- LA Care Health Plan (Los Angeles, CA)
- Healthcare Financial Analyst I Job Category: Accounting/Finance Department: Actuarial Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... safety net required to achieve that purpose. Job Summary The Healthcare Financial Analyst I will assist with gathering medical cost data to support the production… more
- The County of Los Angeles (Los Angeles, CA)
- …from being filtered as spam/junk/clutter mail. Los Angeles County will not consider claims of not viewing or receiving notifications to be a valid reason for ... the time of filing or provide to the exam analyst at ###@dpw.lacounty.gov within five (5) business days from...application filing. Submission of degree progress reports or degree audit reports ARE NOT ACCEPTABLE and may result in… more