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.
New(USA) Senior Manager I, Asset Protection - All DC/FC WMT Fulfillment Service(USA) Senior Manager I, Asset Protection - All DC/FCChino, California$124,800–$187,200 / year1 or More Degreed Certifications (Associate Safety Professional; Certified Safety Professional; Certified Industrial Hygienist; Graduate Safety Practitioner) or Non-degreed certifications (Safety Management Specialis; Occupational Hygiene and Safety Technician; Safety Trained Supervisor; Certified Safety Manager; Safety Director; Licensed Safety Professional; Certified Safety and Health Manager; Construction Health and Safety Technician), Microsoft Office Suite; SharePoint and OneDrive Primary Location. Option 2: 5 years' experience in the field of Asset Protection, Audit, Investigations, or Environmental, Health and Safety within Supply Chain, Retail, Manufacturing, or related field.3 years' experience in Asset Protection or related field in Retail, Supply Chain or manufacturing environments Preferred Qualifications.
NewCorporate Director, Safety & Security Montage Hotels & Resorts LLCCorporate Director, Safety & SecurityIrvine, CAThis role includes operational management and oversight of issues involving injury prevention, risk and liability assessments, safety and security operations, incident investigations, claims management, event protection, site/building security monitoring, and access control. The CDSS acts as a resource for the properties, to assist and support, to provide information on a wide variety of subjects ranging from workplace safety, guest safety, incident prevention, asset protection, physical security, training, global intelligence, international matters, safety and security compliance.
Account Manager II, Commercial Lines Hub InternationalAccount Manager II, Commercial LinesIrvine, 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.
Insurance Specialist (Remote) - Mountain and Pacific Time Zones MeduitInsurance Specialist (Remote) - Mountain and Pacific Time ZonesCaliforniaRemoteboth in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility and/or to identify sources of payment for servicesâ¯. You will utilize your expertise in patient billing, claims submission, and payer guidelines (Medicare, Medicaid, &, commercial insurers) to effectively work with insurance companies, resolve issues, and ensure accurate and timely payments.
NewHealthcare Economics Consultant (Remote) UnitedHealth Group IncHealthcare Economics Consultant (Remote)Cypress, CA$72,800–$130,000 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. The analyst partners with contracting, clinical, finance, actuarial, operations, and provider relations teams to evaluate pricing impacts, support negotiations, and ensure accurate configuration and implementation of reimbursement models.
Insurance Product Development Manager Hyundai Capital AmericaInsurance Product Development ManagerIrvine, CaliforniaThis role will be responsible for helping to develop new products and features, manage relationships (with OEMs, Sales, Legal and other stakeholders), project approvals and communication, business process improvement, project management and claims management across all HCI and OEM programs. 1. Relationship Management: Own touchpoints with key stakeholders (internal and external) including sales, OEMs, marketing, legal/compliance, etc., which includes meeting management, minutes, action items, and reporting.
["Estimator","Estimator"] Herman Weissker["Estimator","Estimator"]RiversideSolid command of trenching & shoring, duct bank construction, manholes/vaults, joint trench coordination, gas tie-ins, paving & restoration, traffic control, HDD/microtrench (nice to have). About the Role: HWI is seeking a hands-on Lead Estimator/Project Manager to drive both competitive estimates and full-lifecycle project delivery for underground electric distribution and gas distribution projects.
Corporate Legal Counsel General Logistics SystemsCorporate Legal CounselSanta Fe Springs, CAPRIMARY FUNCTION: The Legal Counsel serves as the organization's chief legal officer, responsible for providing strategic legal advice to executive leadership and the Board, ensuring compliance with all applicable laws and regulations, and managing legal risk across the enterprise. This role will provide specialized legal oversight within the logistics and transportation industry, including final mile delivery operations, international logistics, cross-border trade, and export compliance.
["Customer Service Representative","Customer Service Representative"] Arlon Graphics["Customer Service Representative","Customer Service Representative"]Placentia$22–$26 / hourBasic duties include answering phone calls, emails, and chats from customers and participating in meetings with Customer Service or other internal teams to discover new communication tactics and maintain expert knowledge about company products and services. Position support involves items such as, but not limited to, data entry (sales orders, quality, and service claims) and the creation of shipping labels, sales, and marketing sample orders.
New[Q & CC] Sr. Reverse Logistics Materials Planner TCL Technology Group Corp[Q & CC] Sr. Reverse Logistics Materials PlannerIrvine, CA$60,000–$80,000 / yearThis 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. This role requires strong analytical discipline, ownership, and attention to detail to ensure continuous alignment between forecasted demand, physical inventory levels, procurement actions, claim accuracy, and repair program continuity across all North America customers.
Client Service Representative VenbrookClient Service RepresentativeIrvine, CaliforniaRisk Specialties & Services: Advisory, risk management, insurance brokers, accident & health insurance, property & casualty insurance, employee benefits, surety & title insurance, wholesale insurance, specialty programs, reinsurance, independent field adjusting, catastrophe services, and third-party claims administration. This role resolves routine issues, escalates complex matters following defined guidelines, and supports a consistent member experience while reducing service interruptions for Client Management teams.
Branch Support Specialist Allied UniversalBranch Support SpecialistRiverside, CAAllied Universal SkillBridge Program Allied Universal partners with the U.S. Department of Defense (DoD) SkillBridge Program to support transitioning service members with up to 180 days of on-the-job training during their final months of active duty, while they continue to receive full DoD pay and benefits. Dog Detection Spotlight - Kyle and Maverick As part of Allied Universal Enhanced Protection Services' fleet of detection canine teams, Kyle and Maverick are trained and certified to screen cargo under the U.S. Transportation Security Administration's (TSA) Third-Party Canine (3PK9) Program.
ESIS ProClaim Manager Chubb LtdESIS ProClaim ManagerIrvine, CA$86,000–$136,400 / yearThe company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. With more than 70 years of experience, and offerings in both the U.S. and globally, ESIS provides one of the industry's broadest selections of risk management solutions covering both pre- and post-loss services.
Contact Representative (Benefits Coordinator) US Department of Health and Human ServicesContact Representative (Benefits Coordinator)Riverside, CA$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: interpreting and applying federal, state, Tribal, and third-party program regulations to determine eligibility and ensure compliance for programs such as Purchase Referred Care, Medicare, Medicaid, Affordable Care Act, Veterans Affairs Healthcare, and other alternate resources; conducting in-depth patient interviews to assess eligibility, verify coverage, and complete applications; registering eligible patients in various assistance programs; resolving claim denials and eligibility issues through coordination with patients, healthcare providers, and outside agencies; reviewing Medicaid eligibility information and supporting billing requirements; and utilizing effective oral and written communication to explain program requirements, provide referrals, and resolve complex patient service issues. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: determining patient eligibility for alternate resources programs; interpreting and applying Medicare, Medicaid, VA, and other third-party payer policies and procedures; conducting patient interviews to identify available healthcare coverage and funding sources; assisting patients with enrollment and claims processes; researching and resolving eligibility, denial, and reimbursement issues; maintaining effective working relationships with patients and resource agencies; and safeguarding confidential patient information in accordance with Privacy Act and HIPAA requirements.
Machine Adjuster Trainee Cenveo Worldwide LtdMachine Adjuster TraineeCAPay & Schedule $21/hr or higher depending on experience + shift premium (2nd & 3rd shifts) Training is on 1st shift: 6am -- 2pm 2nd shift premium $0.70/hr / 2pm -- 10-pm 3rd shift premium $1.50/hr Machine Adjuster Trainee -- Hiring Now Cenveo | City of Industry, CA Train to become a full Machine Adjuster in a fast paced envelope manufacturing environment.
Machine Adjuster Cenveo Worldwide LtdMachine AdjusterCAExperienced Envelope Machine Adjuster -- Hiring Now Cenveo | City of Industry, CA Cenveo is hiring experienced Envelope Machine Adjusters to set up, tune, and maintain high speed envelope manufacturing equipment. Pay & Schedule $25/hr or higher depending on experience + shift premium (2nd & 3rd shifts) 2nd shift premium $0.70/hr / 2pm -- 10-pm 3rd shift premium $1.50/hr
Supervisor, Transportation Network Management Inland Empire Health PlanSupervisor, Transportation Network ManagementRancho Cucamonga, CAThis role oversees provider performance through audits, inspections, scorecards, and action improvement plans (PIPs/CAPs), while ensuring Voice of Member initiatives and outreach programs are executed effectively. The Supervisor monitors billing investigations, credentialing enforcement, and quality assurance processes, running transportation provider, trip, and Quality Assurance reports to identify trends and issues.
Transportation Network Representative Inland Empire Health PlanTransportation Network RepresentativeRancho Cucamonga, CAThe role also involves conducting member and provider outreach, preparing accounts payable evidence packages, maintaining thorough documentation, and supporting Voice of Member initiatives to enhance the overall experience. Success in this position requires strong organizational skills, attention to detail, and the ability to build effective relationships with providers and facilities to uphold compliance and deliver exceptional member care.
Senior Trial Attorney -Subrogation (Hybrid) Onebeacon Professional Insurance IncSenior Trial Attorney -Subrogation (Hybrid)Anaheim, CA$159,000–$186,000 / yearWorks with Lead Attorney on all aspects of pre-suit and litigated files including retaining experts, sending pre-suit notice letters, coordinating joint inspections and exams, initiating litigation and conducting all phases of litigation through trial. Some of the Senior Trial Attorney responsibilities include but are not limited to: Handles a consistent workload of subrogation files representing Intact's subrogation interests in property, maritime, financial and cyber matters.