PACE Medical Director of Resource Management (Part Time - 20 hours/week) San Ysidro Health CenterPACE Medical Director of Resource Management (Part Time - 20 hours/week)San Diego, CAPeer-to-Peer: Lead discussions with PACE Site Medical Directors, Primary Care Providers and other PACE staff and external network and non-contracted providers to direct appropriate levels of care, and to support high quality of care with timely and accurate documentation. Other principal responsibilities of the role shall be to provide clinical expertise to Health Plan Operations in the form of strategic partnership as well as in the addressing of escalations that include admission status determinations, delays in discharge and the providing of clinical input for denial management, and effective, cost-conscious primary and specialty care in the outpatient setting.
Pace Medical Director Of Resource Management (Part Time - 20 Hours/Week) San Ysidro Health CenterPace Medical Director Of Resource Management (Part Time - 20 Hours/Week)San Diego, CAEssential Functions of the Job: Determines appropriateness and medical necessity of health care services provided to San Diego PACE members including identifying patterns in care and supporting interventions to reduce unnecessary admissions or extended staysSupports San Diego PACE resource management program and accompanying action plan(s), which includes strategies to ensure high-quality participant care - that participant members receive the most appropriate care in the most effective setting and in a timely manner- Right Care, Right Place, Right Time. Clinical Review: Conduct or direct timely medical necessity determinations for outpatients, inpatient admissions and post-acute settings and services (SNF, ALF, LTACH, Palliative and Hospice Care and Home Health).Criteria Application: Use San Diego PACE Best Practices evidence-based guidelines, InterQual and CMS criteria to assess the appropriateness of acute care services.
Configuration Quality Assurance Analyst I Partnership HealthPlan of CaliforniaConfiguration Quality Assurance Analyst IFairfield, California$77,430.47–$96,788.08 / yearFull timeMaintain current knowledge of assigned configuration areas of responsibility, and related PHC Policy and Procedure, Medi-Cal Provider Manual, Title 22 regulations, CMS Medicare regulations, and Knox Keene regulations. Maintain current knowledge of all PHC processes that impact Configuration department responsibilities including but not limited to: Claims, Member Services, Finance, Pharmacy, Health Services, Provider Relations, IT-EDI, IT- Amisys.
Software Engineer, Agent - Healthcare SierraSoftware Engineer, Agent - HealthcareSan Francisco, CaliforniaDevelop voice and chat agents for healthcare providers that help members find in-network specialists, check availability, and locate providers based on specialty or location; Create AI agents for multi-site primary and urgent care providers that manage appointments and answer common questions across 30+ clinics; Build agents that replace lengthy paper intake forms with conversational experiences, boosting pre-visit intake conversion rates; Develop AI agents for healthcare financial platforms that help patients understand billing, payment status, explanations of benefits, and financial assistance eligibility - all while maintaining HIPAA compliance and strong PHI/data privacy safeguards. Partner with healthcare leaders: You'll work directly with executives and technical teams at health plans, provider networks, and healthcare technology companies to understand their most pressing challenges - from managing high call volumes to reducing administrative burden and building AI agents that transform how they operate at scale.
Learning & Development Analyst City of OxnardLearning & Development AnalystOxnard, CA$50–$100 / weekThe following are the minimum qualifications necessary for entry into the classification: EDUCATION AND EXPERIENCE: Associate's degree (or 60 units working towards a Bachelor's Degree) in business administration, finance, accounting or a related field, and four (4) years paraprofessional-level experience comparable to an Administrative Services Coordinator/Support Supervisor or an Administrative Services Specialist, Senior with the City of Oxnard in area of assignment; OR. Responds to inquiries from internal and external customers; conducts research, audits and/or assessments; provides information, guidance and materials in support of designated programs; troubleshoots issues and resolves problems; and, provides project staff support, liaison services and/or general oversight to designated committees, external stakeholders or project teams.
Analyst I, Customs Ultimate Staffing ServicesAnalyst I, CustomsFountain Valley, California$22.72–$25 / hourThis temporary role is ideal for someone with strong data entry skills, basic-intermediate Excel knowledge, and experience within customs, logistics, transportation, or invoice processing. The primary focus of this position is assisting with documentation preparation, organizing files, and supporting retroactive customs refund claims.
Benefits Account Coordinator - Insurance Brokerage Ultimate Staffing ServicesBenefits Account Coordinator - Insurance BrokerageIrvine, CA, California$60,000–$65,000The Employee Benefits Account Coordinator will provide daily support to Account Executives and Account Managers with managing the day-to-day workflow and deliverables of the assigned book of business. * Back up and help with front desk (answering phones), helping clear backlog, training new hires, and taking on projects at the request of your manager.
Funeral Service Assistant (part-time) SCI Shared Resources, LLCFuneral Service Assistant (part-time)EI Cajon, CAPostal Code: 92020 Category (Portal Searching): Operations Job Location: US-CA - EI Cajon Job Profile ID: F00226 Time Type: Part time Location Name: El Cajon Lakeside Santee Mortuary & Cremation Service A sense of urgency, empathy, attention to detail and strong communication skills are required to succeed and fulfill customer needs.
Data Product Enablement Specialist ANDURIL INDUSTRIESData Product Enablement SpecialistCosta Mesa, CA$129,000–$171,000 / yearThis includes designing and delivering comprehensive enablement programs (workshops, bootcamps, office hours, hackathons, documentation, and learning resources) and managing day-to-day operational workflows like routing complex issues, triaging support questions, and overseeing user access provisioning and security group management in close collaboration with InfoSec and Compliance. Translate & Evangelize Strategic Value: Communicate the strategic value and practical benefits of the MDM-fueled semantic layer to diverse audiences, from engineers to executive stakeholders, clearly articulating how it accelerates innovation and ensures data trust, aligning with business objectives and IPO readiness.
Network Contract Specialist MedRisk LLCNetwork Contract SpecialistCAMust demonstrate strong negotiation skills with the demonstrated sales ability to convert prospect to contracted provider in addition to demonstrated persuasive skills. Screens new provider prospects to determine compliance with business requirements and collects necessary documents and information to allow for clean contract handoff and accurate provider file set up.
Salesforce Technical Architect with Agentforce LTM LtdSalesforce Technical Architect with AgentforceNewark, CA$127,000–$174,000 / yearTogether with over 87,000 employees across 40 countries and our global network of partners, LTM - a Larsen & Toubro company - owns business outcomes for our clients, helping them not just outperform the market, but to Outcreate it. Please also note that neither LTM nor any of its authorized recruitment agencies/partners charge any candidate registration fee or any other fees from talent (candidates) towards appearing for an interview or securing employment/internship.
Construction Systems Specialist ANDURIL INDUSTRIESConstruction Systems SpecialistCosta Mesa, CA$146,000–$194,000 / yearYou'll be the true product owner of the software platforms that run our Design & Construction organization, starting with our new Project Management Information System (PMIS), standing up projects, evolving the platform's capabilities, managing its integrations, and training our entire Project Management team who live in it every day, with room to grow into other construction tools over time. Implementation & Sustainment: Hands-on delivery: Play an active role in bringing the PMIS from build through go-live and into long-term sustainment - helping design business processes, configure the system, test workflows, and support pilot and full-team rollouts.
Guidewire ClaimCenter Developer LTM LtdGuidewire ClaimCenter DeveloperSan Diego, CA$130,000–$140,000 / yearMust Have Skills: Gathered analyzed documented business and technical requirements from both formal and informal sessions and validate the needs of the business stakeholders thereby drafting the Business Requirement Document BRD and assist in defining Technical Design Document TDD and System Specification Document SSD. Together with over 87,000 employees across 40 countries and our global network of partners, LTM - a Larsen & Toubro company - owns business outcomes for our clients, helping them not just outperform the market, but to Outcreate it.
Senior Commercial & Healthcare Regulatory Counsel Fuze HealthSenior Commercial & Healthcare Regulatory CounselCaliforniaRemoteDraft, review, and negotiate vendor, procurement, and operations agreements (IT/SaaS, professional services, logistics/delivery, marketing vendors, clinical vendors), including MSAs, SOWs, order forms, renewals, and amendments, including vendors that support pharmacy operations, PBM services, patient support, data exchange, and related healthcare services. Physical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds.
NewCare Coordinator ASIAN PACIFIC HEALTH CARE VENTURE INCCare CoordinatorLos Angeles, CAThe Care Coordinator shall also assist in other care coordination programs as assigned by Director of Performance Improvement, including administration of (1) APHCV's Remote Patient Monitoring Program, where he/she will monitor and track distribution of RPM equipment, provide and/or facilitate patient education on the use and care of the RPM equipment, and provide overall implementation coordination of the RPM program; (2) Care coordination of AWV visits for Medicare beneficiary including outreach and appointment scheduling and (3) Care coordination of tobacco cessation services and linkages of care for cessation services. Conduct Comprehensive Health Assessment to assess member needs in the areas of physical health, mental health, SUD, community-based Long Term Services & Supports, oral health, palliative care, trauma-informed care, social supports, and housing (as appropriate for individuals experiencing homelessness).
Medical Auditor Sprinter HealthMedical AuditorMenlo Park, CaliforniaRemoteOur team of clinicians, technologists, and operators have raised over $125M to date from investors like a16z, General Catalyst, GV, and Accel and enjoy multi-year runway. Most of all, you’re energized by the chance to make a real difference — ensuring that accurate, ethical coding supports Sprinter Health’s mission to deliver care where patients need it most.
Volunteers Programs - Office of Emergency Services County of San BernardinoVolunteers Programs - Office of Emergency ServicesCA$7–$10 / hourI do hereby agree to indemnify, protect, defend and hold harmless San Bernardino County, Big Bear Valley Recreation and Park District, Board Governed County Service Areas, San Bernardino County Fire Protection District, and San Bernardino County Flood Control District, their officers, directors, agents, employees, other volunteers, and each of them (Indemnitees) from and against any and all claims, demands, causes of action, damages, cost, expenses, actual attorneys fees, judgments, losses and liabilities of every kind and nature whatsoever (Claims) arising out of my work as a volunteer. I hereby release and forever waive any causes of action of any type against the San Bernardino County, Big Bear Valley Recreation and Park District, Board Governed County Service Areas, San Bernardino County Fire Protection District, and San Bernardino County Flood Control District, their officers, directors, employees, and other County volunteers including all liability for my injury, illness, death, or property damages arising from my participation in this volunteer activity, on behalf of myself, my heirs, and my assigns.
Pace Referrals Supervisor San Ysidro Health CenterPace Referrals SupervisorSan Diego, CAJob Requirements:Education Required (Minimum level of education): High School Diploma or GED EquivalentPost High School Vocational/Specialized Training (Medical Terminology, CPT/ICD9 coding, Medical Assistant Certificate or Certified Procedural Coder Certificate)Relevant education or volunteer work may substitute for experience. Essential Functions of the Job: Assists in the development and implementation of departmental policies and procedures to meet participant and care team objectives, fostering an efficient and quality-driven environment that meets performance and productivity goals.
Senior PACE Resource Management Registered Nurse San Ysidro Health CenterSenior PACE Resource Management Registered NurseSan Diego, CAAccountability for relevant Key Performance Indicator's (KPI's) for Resource Management, including but not limited to obtaining information from Transitions of Care RN Case Managers, to synthesize the following: utilization rates per 100 participants per month for Urgent Care (UC), Emergency Department (ED) visits, Acute Hospital Admissions and Acute/post-acute Skilled Nursing Facility (SNF) Admissions and length of stay in hospital and SNF's. Performs prospective, initial, concurrent and retrospective reviews for medication utilization rates and costs, diagnostics/testing, referrals to specialists, durable medical equipment (DMEs), care giving hours and transportation utilization, assessing for appropriateness and medical necessity of the treatment requests using nationally recognized guidelines (InterQual or other criteria adopted by San Diego PACE).
Property Claims Specialist Mercury Insurance CompanyProperty Claims SpecialistCA$55,056.15–$67,290.85 / yearSkills & Abilities: Minimum: As a Property Claims Specialist I, you will: Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve structural damage or personal property claims. Be able to seamlessly transition between various methods of inspection, including video, or photo, to write a damage estimate: Possess strong organizational, time management, and prioritization skills to handle varying workloads due to seasonal volume changes and catastrophes.
NewRCIS Crop Claims Specialist or Claims Crop Field Adjuster CA Zurich Insurance Group LtdRCIS Crop Claims Specialist or Claims Crop Field Adjuster CACA$51,300–$89,100 / yearRCIS offers a wide range of private product coverages, including a diverse selection of named-peril options, supplemental and stand-alone insurance products as well as federal crop insurance plans through the United States Department of Agriculture's Risk Management Agency. RCIS Crop Adjuster Physical Requirements: walk in agricultural fields up to 3 miles, climb agricultural storage bins up to 25 feet, lift 25 lbs to 50 lbs, work outdoors in varying temperatures/weather conditions.
Claims Specialist - Workers'''' Compensation (California) ICW GroupClaims Specialist - Workers'''' Compensation (California)Sacramento, CA$78,678.61–$132,686.15 / yearHeadquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. Bachelor's degree (or equivalent combination of education and experience) required along with a minimum of 8 - 10+ years' related claims handling experience involving complex litigation, reserving, settlement strategy, and high exposure claims.
Catastrophe Field Claims Specialist AAA Southern New EnglandCatastrophe Field Claims SpecialistRoseville, CABy continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. Work Environment: This position is currently able to work remotely from a home office location for day-to-day operations, with traveling to field locations as necessary to complete job responsibilities, unless occasional team building activities are specified by leadership.
Accounts Receivable & Claims Specialist - Barebells & NOCCO, USA Vitamin Well GroupAccounts Receivable & Claims Specialist - Barebells & NOCCO, USALos Angeles, CaliforniaSuccess in this role requires strong analytical skills, attention to detail, excellent communication, and the ability to collaborate across Sales, Operations, and Finance to resolve issues while protecting company cash flow and profitability. Our growth is driven by a focus on building strong brands, creating products with uncompromising taste and clear functionality, and consistently raising the bar across our categories.
Litigated Claims Specialist, General Liability Zurich Insurance Group LtdLitigated Claims Specialist, General LiabilityGold River, CARemoteOur hybrid work model is thoughtfully designed around employee needs offering autonomy to complete focused work from a preferred location, while still supporting meaningful in-person collaboration when it adds value. You will follow established best practices and protocols to ensure claims are handled efficiently and effectively, while delivering a consistent, high-quality, and customer-focused claims experience.
Senior Workers' Comp Claims Specialist - CA Claims Zenith Insurance CompanySenior Workers' Comp Claims Specialist - CA ClaimsWoodland Hills, California$94,502.68–$127,972.38 / yearFull timeIntroduction: Zenith is a team of Workers' Compensation Specialists committed to helping businesses succeed by protecting against the financial and human consequences of workplace injuries, providing for the needs of injured employees and making the workplace safer. Opens new Claims, completes three-point contact, and performs needed investigations to determine compensability as well as possible subrogation or apportionment, according to state and/or Zenith’s timeframes and guidelines.
Senior Workers'' Comp Claims Specialist CA Claims Zenith Insurance CompanySenior Workers'' Comp Claims Specialist CA ClaimsSan Diego, CA$94,502.68–$127,972.38 / yearZenith is a team of Workers'' Compensation Specialists committed to helping businesses succeed by protecting against the financial and human consequences of workplace injuries, providing for the needs of injured employees and making the workplace safer. Opens new Claims, completes three-point contact, and performs needed investigations to determine compensability as well as possible subrogation or apportionment, according to state and/or Zenith's timeframes and guidelines.
Workers Compensation Claims Specialist, Complex & Settlement Focus CNAWorkers Compensation Claims Specialist, Complex & Settlement FocusPlacentia, California$54,000–$103,000 / yearEssential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
Property Claims Specialist Field I Mercury Insurance CompanyProperty Claims Specialist Field IRancho Cucamonga, CA$63,410–$117,348 / yearKnowledge and Skills: As a Property Claims Field Adjuster 1, you will: Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims. Be able to seamlessly transition between various methods of inspection, including physical, video, or photo, to write a damage estimate: o May include climbing ladders to inspect roofing or attic space and inspection of crawl spaces.
Property Claims Specialist Field I Mercury Insurance Services, LLCProperty Claims Specialist Field IRancho Cucamonga, California$81,341–$99,416 / yearAs a Property Claims Field Adjuster 1, you will: • Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims. • Be able to seamlessly transition between various methods of inspection, including physical, video, or photo, to write a damage estimate: o May include climbing ladders to inspect roofing or attic space and inspection of crawl spaces.
Property Claims Specialist Field II Mercury Insurance Services, LLCProperty Claims Specialist Field IIRancho Cucamonga, California$98,568–$120,473 / yearAs a Property Claims Field Adjuster 2, you will: • Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims. • Be able to seamlessly transition between various methods of inspection, including physical, video, or photo, to write a damage estimate: o May include climbing ladders to inspect roofing or attic space and inspection of crawl spaces.
Property Claims Specialist Field II Mercury Insurance CompanyProperty Claims Specialist Field IIRancho Cucamonga, CA$98,568–$120,473 / yearKnowledge and Skills: As a Property Claims Field Adjuster 2, you will: Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims. Be able to seamlessly transition between various methods of inspection, including physical, video, or photo, to write a damage estimate: o May include climbing ladders to inspect roofing or attic space and inspection of crawl spaces.
PACE Resource Management Registered Nurse San Ysidro Health CenterPACE Resource Management Registered NurseSan Diego, CAAccountability for relevant Key Performance Indicator's (KPI's) for Resource Management, including but not limited to obtaining information from Transitions of Care RN Case Managers, to synthesize the following: utilization rates per 100 participants per month for Urgent Care (UC), Emergency Department (ED) visits, Acute Hospital Admissions and Acute/post-acute Skilled Nursing Facility (SNF) Admissions and length of stay in hospital and SNF's. Performs prospective, initial, concurrent and retrospective reviews for medication utilization rates and costs, diagnostics/testing, referrals to specialists, durable medical equipment (DMEs), care giving hours and transportation utilization, assessing for appropriateness and medical necessity of the treatment requests using nationally recognized guidelines (InterQual or other criteria adopted by San Diego PACE).
Physician Medical Director ConcentraPhysician Medical DirectorSanta Fe Springs, California$285,000–$315,000 / yearAt Concentra, our Medical Directors spend most of their time clinically treating patients; the remaining time is focused on quality improvements and building the center business with the Center Leadership Team. Provides leadership in healthcare management to ensure day-to-day execution of medical model collaborating with therapists and specialists to drive optimal clinical outcomes and case closure.
Claims Service Specialist GEICOClaims Service SpecialistEl Cajon, CA$22.90–$35.10Customer Interaction: Manage incoming calls, collect accident facts, investigate claim details, collect statements from involved parties, and assist in the process of getting our customers back on the road. . Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate’s work experience, education and training, the work location as well as market and business considerations.
Senior Inland Marine Technical Claims Specialist Argo Group International Holdings IncSenior Inland Marine Technical Claims SpecialistLos Angeles, CA$151,000–$181,250 / yearWe are seeking a highly skilled Senior Inland Marine Technical Claims Specialist to join our team in one of our Argo offices: Albany, Chicago, Houston, Los Angeles, Omaha, League City, or Richmond (VA). Essential Responsibilities: Working with limited oversight and broad authority, you will: Adjudicate highly complex inland marine claims involving significant exposure and technical difficulty, often with major impact on departmental outcomes.
NewMedical Billing Specialist JobotMedical Billing SpecialistLos Angeles, CA$25–$29 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. This role is responsible for preparing, reviewing, and submitting claims, resolving denied or unpaid claims, and maintaining compliance with local, state, and federal billing regulations.
Legal Claims Analyst (Los Angeles, CA area) MorleyLegal Claims Analyst (Los Angeles, CA area)Los Angeles, CaliforniaRemote$65,000–$77,000 / yearFull timeOffer timely and accurate solutions through inbound and outbound conversations (including phone calls, chats, emails and other communications as needed) while keeping a positive and upbeat attitude. As a Legal Claims Analyst at Morley, you'll play a key role in managing small automotive claims cases, collaborating closely with the General Counsel of a Fortune 500 automaker.
NewIntake Specialist JobotIntake SpecialistManhattan Beach, CA$60,000–$85,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. We are a rapidly growing consumer protection law firm dedicated to helping clients navigate complex Lemon Law claims against vehicle manufacturers.
Senior Manager, Claims Adjustments L.A. Care Health PlanSenior Manager, Claims AdjustmentsLos Angeles, CAThe Senior Manager, Claims Adjustments manages all adjustment-related operational workflows, including provider disputes, escalated claim reviews, complex adjustments, and litigation-related claim support. Ensures all provider adjustments meet Department of Managed Health Care (DMHC), Department of Health Care Services (DHCS), Centers for Medicare and Medicaid Services (CMS), and contractual (TAT) requirements.
Production Specialist/Engineer II Pinnacle Technical ResourcesProduction Specialist/Engineer IICupertino,, California$50–$60 / hourContractorThe specific compensation for this position will be determined by a number of factors, including the scope, complexity and location of the role as well as the cost of labor in the market; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Strong listening skills with the ability to interpret requests from creative and production teams, asking thoughtful clarifying questions when needed.
Customer Service and Product Support Specialist AlpinestarsCustomer Service and Product Support SpecialistHQ - Torrance, CaliforniaProvide professional, timely responses to customer and dealer inquiries via phone, email, and Salesforce with a focus on product-related issues, warranty claims, and post-purchase support. This position is ideal for a detail-oriented individual who thrives on delivering empathetic, efficient service and can confidently manage customer issues involving technical or performance-based products.
NewPre-Lit Case Manager JobotPre-Lit Case ManagerTorrance, CA$40–$45 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
Sr. Specialist, Regulatory Affairs Metagenics LLCSr. Specialist, Regulatory AffairsAliso Viejo, CAIndustry Surveillance: Monitors competitive claims, FDA's and FTC''s actions, litigation, news releases and other sources, as they relate to the current science of Metagenics-related products and challenges to relevant product claims, to ensure that Metagenics limits its exposure for product claims both domestically and internationally. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
NewSr. Claims Specialist, Commercial Casualty - Remote CSAA Insurance GroupSr. Claims Specialist, Commercial Casualty - RemoteCARemote$74,295–$82,550 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 21 more}. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including Mobilitas offices.
Medical Supply Specialist (RN - California) Gainwell Technologies LLCMedical Supply Specialist (RN - California)CA$75,000–$98,700 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. The pay range for this position is $75,000.00 - $98,700.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
Senior Claims Specialist I, Workers Compensation - West Region Liberty Mutual Holding Company IncSenior Claims Specialist I, Workers Compensation - West RegionSacramento, CARemoteResponsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages. Demonstrates an advanced knowledge of claims case handling practices, legal liability, general insurance policy coverage, and the state s tort laws as normally acquired through a bachelor s degree (or equivalent training) plus 3 to 5 years directly related work experience.
Care Management Specialist II (RN or LCSW) L.A. Care Health PlanCare Management Specialist II (RN or LCSW)Los Angeles, CAApplies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary to meet the members needs. Collaborates and communicates with member, family, and interdisciplinary health team to promote wellness and member empowerment, while ensuring access to appropriate services across the healthcare continuum and maximizing member benefit: Serves as clinical advocate for members, active interdisciplinary team member, liaison with other departments and external health care team.
Population Health RN Inpatient Case Manager Northbay HealthcarePopulation Health RN Inpatient Case ManagerFairfield, California$79.90–$96.41 / hourFull timeWe are expanding access to care across our communities through two acute-care hospitals, including a Level II Trauma Center and a Level III NICU maternity unit, along with a cancer center, urgent care locations, and a growing network of primary and specialty care clinics. Population Health RN Inpatient Case ManagerThe Population Health RN Inpatient Case Manager (PHRNICM) is responsible for providing complex case management (CCM) to diverse groups of high-risk capitated populations.
Physician Center Medical Director ConcentraPhysician Center Medical DirectorFresno, California$290,000–$320,000 / yearAt Concentra, our Medical Directors spend most of their time clinically treating patients; the remaining time is focused on quality improvements and building the center business with the Center Leadership Team. Provides leadership in healthcare management to ensure day-to-day execution of medical model collaborating with therapists and specialists to drive optimal clinical outcomes and case closure.