- The Cigna Group (Sacramento, CA)
- ** Claims Representative - Remote ** **SUMMARY** The claims representative is responsible for manually reviewing and processing medical, supplemental, ... or dental claims . Claims are processed according to benefits, eligibility, and internal processes, policies, and procedures and may be completed, held for… more
- Sedgwick (Sacramento, CA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Representative | Remote Are you looking for an ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...OF THE ROLE:** To analyze mid-level Commercial General Liability claims on behalf of our valued clients to determine… more
- Ryder System (Sacramento, CA)
- …small to medium 3rd party property damage and cargo claims under Ryder's self-insured, self-administered liability program. **ESSENTIAL FUNCTIONS** Investigates, ... to medium exposure 3rd party property damage and cargo claims pursued against Ryder Ensures the most appropriate and...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- Molina Healthcare (Sacramento, CA)
- **_ Remote and must live in the Sacramento Valley _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for ... monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with...2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working… more
- AECOM (Sacramento, CA)
- …in **Sacramento, CA:** + Manage a complex courthouse project acting as an Owner's Representative for a state client. + Oversee all aspects of the project(s) and ... and construction schedules. + Review and respond to change orders, disputes and claims (cost/extension of time) submitted by the contractor. + Perform daily field… more
- United Therapeutics (Sacramento, CA)
- …the pharmaceutical and biotech industry, including FDA advertising and promotion, False Claims Act, Anti-Kickback Statute, OIG Guidance, the PhRMA Code, the Sunshine ... to the Food Drug and Cosmetic Act, the False Claims Act, Anti-Kickback Statute, the Sunshine Act and other...healthcare related laws and regulations + Serve as Legal representative on the Company's promotional review committee, including review… more
- HealthEdge Software Inc (Sacramento, CA)
- …implementing proprietary healthcare edits that drive cost savings and accuracy in claims processing. The successful candidate will be responsible for taking a senior ... level role in analyzing claims data, as well as translating contract terms, policies,...permanent **Work Environment:** The physical demands described here are representative of those that must be met by an… more
- HealthEdge Software Inc (Sacramento, CA)
- …and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream ... integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a… more
- HealthEdge Software Inc (Sacramento, CA)
- …issues are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete suite ... of provider rate and/or claim editing provisions in a claims adjudication system and/or third-party vendor application. + Working...None **Work Environment:** The physical demands described here are representative of those that must be met by an… more
- HealthEdge Software Inc (Sacramento, CA)
- …root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete ... and deliver excellent software and services to our customers._ **Geographic Responsibility:** Remote but ideal candidate would live within the driving distance to… more
- Pfizer (Sacramento, CA)
- …financial assistance brochures. + Reactively assisting HCP offices with coding and claims -related issues by contacting payers to understand policy or procedures and ... achieve meaningful outcomes and create business impact. Work Location Assignment: Remote - Northern California, Northern Nevada Field Based **NON-STANDARD WORK… more
- AECOM (Sacramento, CA)
- …CA.** The Project Manager will: + Manage a complex project acting as an Owner's Representative as part of a program management team for a state client. + Oversee all ... schedules. + Review and respond to change orders and claims (cost/extension of time) submitted by subcontractors. + Perform...work options. Whether you're working from an AECOM office, remote location or at a client site, you will… more