- Lincoln Financial Group (Sacramento, CA)
- …more about a Day in the Life (https://www.youtube.com/watch?v=vbSYiXOPSII) of a Claims Specialist at Lincoln Financial Group ! **What you'll be doing** + ... We are excited to bring on a highly motivated ** Group Claims Specialist** to support our ever-growing...guidance and solutions across four core businesses - annuities, life insurance, group protection and retirement plan… more
- Zurich NA (Gold River, CA)
- …Professional - Public D&O Claims 115723 Zurich is currently looking for a Legal Claims Professional for our Management Solutions group to work out of one of ... our US Claims Offices. If you are ready for a career...company with a global footprint that offers an excellent work/ life balance, terrific benefits including a 401K match and… more
- The Cigna Group (Sacramento, CA)
- …and work until 6 pm or 7 pm** **Responsibilities** The Chronic Kidney Disease Case Manager interacts with benefit specialist and claims staff for claim payment ... year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group . **About Evernorth Health Services** Evernorth Health… more
- The Cigna Group (Sacramento, CA)
- …position. This is a Work-at-Home position. Monday-Friday** **Responsibilities** The Transplant Case Manager interacts with benefit specialist and claims staff ... projects, as assigned. Supports training initiatives or audits of case files, as assigned. Demonstrates sensitivity to culturally diverse...For more details on our employee benefits programs, visit Life at Cigna Group . **About Evernorth… more
- Lincoln Financial Group (Sacramento, CA)
- …customers trust our guidance and solutions across four core businesses - annuities, life insurance, group protection and retirement plan services. As of December ... reviewing, analyzing, and interpreting medical information available for disability claims . In this role you will act as a...role you will act as a clinical resource for Group Protection benefit specialists and claim professionals. You will… more
- Elevance Health (Sacramento, CA)
- …members in enrolling in Medicare when they are entitled. + Determines primacy on each case using a complex set of Primacy Rules as mandated by State and Federal ... such as CMS Primacy and NAIC rules and comparing them against the member/ group Benefits. + Updates all of the company's membership system components with… more
- Humana (Sacramento, CA)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute… more
- Humana (Sacramento, CA)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post-acute services… more
- J&J Family of Companies (Sacramento, CA)
- …learning algorithms to analyze large-scale healthcare datasets, including HER/EMR and claims data. * **Predictive Modeling & Forecasting:** Design, implement, and ... Qlik.) a plus + Real world data experience preferred (EMR/EHR, medical claims , pharmaceutical, etc.); experience with international healthcare data a plus + Deep… more
- J&J Family of Companies (Sacramento, CA)
- …may be considered for qualified candidates. Remote work options may be considered, on a case -by- case basis and if approved by the Company. At Johnson & Johnson, ... the economic value of products and therapies with clinical and quality of life outcomes data from clinical trials and/or epidemiology studies. * Support the… more
- Norstella (Sacramento, CA)
- …patient access. Each organization (Evaluate, MMIT, Panalgo, The Dedham Group ) delivers must-have answers for critical strategic and commercial decision-making. ... nearly three decades. MMIT believes that patients who need life -saving treatments should not face delays because accessing drugs...for business alignment by client type and RWD use case to advise on pre-sales activities such as solution… more