Insurance Contracting Specialist (Hybrid) Discovery Behavioral HealthInsurance Contracting Specialist (Hybrid)Irvine, CAFull timeThis role is responsible for engaging with healthcare providers and multi-specialty groups within the behavioral healthcare continuum (including eating disorder, mental health and substance use disorder services) in accordance with corporate guidelines to secure Single Case Agreements (SCAs), insurance contracts, and provider credentialing. Research and analyze the behavioral healthcare market, including provider types, levels of care, and regional access gaps, to identify and engage providers for potential partnerships, beginning with SCAs and/or payer contracts.
Government Pharmacy Biller-Collector Per Diem Day Shift Pipeline HealthGovernment Pharmacy Biller-Collector Per Diem Day ShiftCerritos, CaliforniaWears nametag properly; follows dress code policy; answers phone correctly and promptly; is prepared for meetings; meets deadlines; does not participate in gossip; acts ethically and treats others with respect; respects customer’s and co-worker’s time; establishes and maintains effective relationships with customers and co-workers. Resolve DUR Medi-Cal inquiries with the Pharmacist for affected drugs/ patients prior to re-submission of relevant billings.
Litigation Case Manager L.A. Injury AttorneysLitigation Case ManagerBurbank, California$35–$40 / hourCommunicate with providers and creditors to confirm lien amounts and negotiate liens · Maintain accurate and detailed records of all negotiations, agreements, and communications pertaining to lien resolution · Draft reduction letters to resolve and negotiate medical liens · Negotiate all medical liens, Medpay reimbursement claims, waivers, and attorney liens in settled personal injury cases. Injury Attorneys is one of the top rated personal injury law firms in California and belongs to the Million Dollar Advocates Forum and the Multi- Million Dollar Advocates forum which is exclusive to those law firms that have excelled in their profession and secured multi-million dollar settlements and verdicts for their clients.
Personal Injury Case Manager Assistant L.A. Injury AttorneysPersonal Injury Case Manager AssistantBurbank, CaliforniaInjury Attorneys is one of the top rated personal injury law firms in California and belongs to the Million Dollar Advocates Forum and the Multi- Million Dollar Advocates forum which is exclusive to those law firms that have excelled in their profession and secured multi-million dollar settlements and verdicts for their clients. The Case Manager Assistant is expected to work in the office during regular business hours to answer client calls, support the immediate needs of the Case Manager, and greet clients.
Bilingual Case Manager TORKLAWBilingual Case ManagerIrvine, CA$55,000–$85,000 / yearThis role is ideal for someone who thrives on keeping cases moving forward, building meaningful client relationships, and working collaboratively with attorneys and support staff to deliver outstanding service and results. We foster a supportive, team-oriented environment where employees are encouraged to grow professionally, contribute meaningfully, and make a real impact every day.
Warranty/Quality Reporting Administrator Rinnai CorpWarranty/Quality Reporting AdministratorCAThis will involve processing Authorized Service Provider contractual agreements, ensuring all necessary paperwork, W9 forms, and Proof of Liability Insurance are received, setting ASP's up in Rinnai's operating system, and maintaining a database listing all ASPs with appropriate ASP information. Rinnai America Corporation is the leader in tankless water heating, a technology that is growing rapidly as businesses and homes "yank the tank" and convert to an efficient, endless supply of hot water and the only tankless water heating manufacturer in the US.
Risk Adjustment Coding Specialist II Astrana Health, Inc.Risk Adjustment Coding Specialist IICA, California$70,000–$85,000 / yearPerform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines. Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements.
Account Manager II, Commercial Lines Hub InternationalAccount Manager II, Commercial LinesCulver City, CATHE OPPORTUNITY: HUB's Customer Service professionals provide critical support to our customers through account management, claims management, day-to-day client oversight, and underwriting services that make us a leading sales and service organization in the insurance industry. The expected salary range for this position is $100,000 - $115,000k depending on geographical location and will be impacted by factors such as the successful candidate's skills, experience and working location, as well as the specific position's business line, scope and level.
New[Q & CC] Sr. Reverse Logistics Materials Planner TTE Technology Inc[Q & CC] Sr. Reverse Logistics Materials PlannerIrvine, CA$60,000–$80,000 / yearFull timePhysical and Work Environment Requirements:Primarily office-based work involving prolonged periods of computer use, including viewing computer screens and using a keyboard, mouse, and other office equipmentAbility to communicate effectively in person, by telephone, video conference, email, and other electronic communication platforms. This role serves as the primary owner of parts forecasting, supply planning, inventory governance, procurement coordination, and reverse logistics support between HQ China, repair centers, logistics partners, customers, finance, and regional leaderships.
["Customer Service Rep, Employee Benefits","Customer Service Rep, Employee Benefits"] Squaremouth["Customer Service Rep, Employee Benefits","Customer Service Rep, Employee Benefits"]Diamond Bar$23–$26.50 / hourOur service professionals play a vital role in supporting our clients with day-to-day account management, claims management, and underwriting services that ensure they have what they need to protect what matters most. Initiative – Volunteers readily; Undertakes self-development activities; Seeks increased responsibilities; Takes independent actions and calculated risks; Looks for and takes advantage of opportunities; Asks for and offers help when needed.
NewGuidewire Developer, Senior Associate PwCGuidewire Developer, Senior AssociateLos Angeles, CA$77,000–$202,000 / yearThese individuals analyse client needs, implement software solutions, and provide training and support for seamless integration and utilisation of business applications, enabling clients to achieve their strategic objectives. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy .
Account Manager - Valet of Operations Orange County Market Towne Park LtdAccount Manager - Valet of Operations Orange County MarketSan Pedro, CA$80,000–$90,000 / yearThe associate is regularly required to run; stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk and hear. Whether providing compassionate service that eases the anxiety of a patient and their family, creating a memorable experience for a guest in a new city, or helping a colleague, every day is a new opportunity to brighten someone else's day and make an impact.
Senior Customer Relations Lead Collectors Holdings, Inc.Senior Customer Relations LeadSanta Ana, CAWe grade, authenticate, vault, and sell millions of record-setting collectibles, all while modernizing and digitalizing the process to further our mission of helping collectors pursue their passions. Our services span collectible trading cards, autographs, comic books, coins, video games, event tickets, and memorabilia.
Senior Manager, Dental Operations Clover Health Investments CorpSenior Manager, Dental OperationsCARemote$129,000–$168,000 / yearThis leader will be responsible for monitoring, managing, and improving dental operations across configuration, claims, call center, billing, ID cards, provider payments, A&G, and prior authorizations, working closely with both internal teams and external vendor partners. The ideal candidate brings deep experience in dental or healthcare operations, strong vendor and stakeholder management skills, and a track record of driving operational excellence in complex environments.
Health Plan Payment Solutions Vice President - Healthcare Payments JPMorgan Chase & CoHealth Plan Payment Solutions Vice President - Healthcare PaymentsCAMorgan Payments, we connect consumers, providers, payers, and health tech companies across every healthcare payment transaction, creating a faster, simpler experience for all. JPMorganChase, one of the oldest financial institutions, offers innovative financial solutions to millions of consumers, small businesses and many of the world's most prominent corporate, institutional and government clients under the J.P.
Technical Service Advisor, Semi Tesla IncTechnical Service Advisor, SemiCA$22.80–$64.98 / hourProactively track and schedule Service Campaigns and Preventative Maintenance Coordinate with service technicians and customers to gather necessary information for warranty claims and process warranty claims ensuring timely response to customers. This position requires high-level customer and employee interaction, so the ideal candidate will not only possess the technical acumen, but also the ability to provide a strong level of communication and service.
Account Manager (3396) Word & Brown Insurance Administrators IncAccount Manager (3396)Orange, CAUse Subject Matter Expert knowledge of benefits technologies and critical thinking skills to accurately respond to internal and external customer inquiries. Onboard new groups to Eligibility service model including reviewing Ease, Employee Navigator, updating Salesforce, and updating internal tracking guides.
HR Generalist / Payroll Admin: non-exempt employees, manufacturing, Bilingual in Spanish KORE1 TechnologiesHR Generalist / Payroll Admin: non-exempt employees, manufacturing, Bilingual in SpanishSanta Fe Springs, CA$75,000–$90,000 / year2+ years of payroll experience (specifically non-exempt employees), including timecard auditing for meal breaks, rest breaks, and OT compliance with corrective actions / training as needed (for personnel with unapproved violations). KORE1, a nationwide provider of staffing and recruiting solutions, has an immediate opening for an HR Generalist / Payroll Admin: non-exempt employees, manufacturing, Bilingual in Spanish .
Associate Staff Attorney Liberty Mutual Holding Company IncAssociate Staff AttorneyWoodland Hills, CAIf you're looking for a place to build a long-term career while making a positive difference, consider joining our legal team where you'll represent Liberty Mutual and our policyholders in moderately complex civil litigation matters involving claims for monetary damages or compensation for personal injuries or property damage of moderate value. Liberty Mutual Insurance offers an engaging opportunity for an Associate Attorney to represent the company and its policyholders in routine civil litigation and workers'' compensation matters involving moderately complex legal issues and claims for monetary damages or compensation related to personal injury or property damage.
Legal Counsel Stearns, Conrad and Schmidt Consulting Engineers IncLegal CounselLong Beach, CA$150,000–$210,000 / yearIn this highly visible role, you''ll work directly with company leaders to provide practical legal guidance, negotiate complex construction and commercial contracts, support projects from bid to closeout, and help manage risk across the organization. SCS is building a world where environmental systems and infrastructure strengthen the health, safety and resilience of communities - from reducing methane emissions at landfills to producing alternative energy, from repurposing contaminated properties to sequestering carbon.