Remote Insurance Jobs in Fremont, CA
Gotu
Sunnyvale, CA
Meet Our Office: At Dr. Alexia Lucero D.D.S., we are committed to providing exceptional dental care in a warm and welcoming environment. Our practice, located in Sunnyvale, CA, takes pride in our patient-centered approach and dedication to excellence.
Blue Shield of California
Oakland, CA
Requires knowledge of ICD-10, Risk Adjustment, Medicare Quality/Stars, analytics/finance, provider contracting, provider relations, medical management and/or provider network management areas of a healthcare-related company. The Risk Adjustment Provider Partnership team provides essential support to all functions within the risk adjustment program, which includes interaction with various cross-functional teams within Blue Shield and contracted Provider Groups.
Zurich Insurance Company Ltd.
San Jose, CA
OR High School Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support area OR Zurich Certified Insurance Apprentice including an Associate Degree and 3 or more years of experience in the Underwriting or Market Facing area OR Zurich Certified Insurance Apprentice including an Associate Degree and 8 or more years of experience in the Claims or Underwriting Support are AND Knowledge of Microsoft Office Experience working on time restraints for quotes on new and renewal business Experience working in a team environment Preferred Qualifications: Bachelors Degree Strong verbal and written communication skills Microsoft Office experience Compensation for roles at Zurich varies depending on a wide array of factors including but not limited to the specific office location, role, skill set, and level of experience. OR High School Diploma or Equivalent and 6 or more years of experience in the Claims or Underwriting Support area OR Zurich Certified Insurance Apprentice including an Associate Degree and 1 or more years of experience in the Underwriting or Market Facing area OR Zurich Certified Insurance Apprentice including an Associate Degree and 4 or more years of experience in the Claims or Underwriting Support area AND Knowledge of line/s of business and the legal and regulatory guidelines Knowledge of time restraints for quotes on new and renewal business Experience with Microsoft Office OR Senior Underwriter Basic Qualifications: High School Diploma or Equivalent and 5 or more years of experience in the Underwriting or Market Facing area.
Zurich Insurance Company Ltd.
San Jose, CA
We’ve been dedicated to assembling a team of dedicated Middle Market leaders and underwriters who understand this space very deeply and who grasp the unique challenges of the various industry segments and the individual customers we serve. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals.
Zurich Insurance Company Ltd.
$90000 - $165000 undefined
San Jose, CA
We’ve been dedicated to assembling a team of dedicated Middle Market leaders and underwriters who understand this space very deeply and who grasp the unique challenges of the various industry segments and the individual customers we serve. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals.
Blue Shield of California
Oakland, CA
This includes guidance on claims and encounter submissions and the critical importance of accurate chart documentation for procedures and diagnosis coding Collaborate with Risk Adjustment Provider Partnership Management and Quality teams to formulate and implement comprehensive risk adjustment strategies Use analytics to identify training opportunities and collaborate with providers to clarify missing or inadequate information for determining appropriate diagnostic and procedure codes Collaborate with Analytics and internal departments for accurate monthly reports sent to Provider Groups Oversee internal administrative projects and manage the department inbox, addressing requests from Provider Groups and key internal departments Your Knowledge and Experience Requires a bachelor’s degree Requires at least 3 years of professional experience Requires knowledge of ICD-10, Risk Adjustment, Medicare Quality/Stars, analytics/finance, provider contracting, provider relations, medical management and/or provider network management areas of a healthcare-related company Requires a minimum of 2 years experience facilitating meetings and presenting program education, metrics and results to external parties or internal leadership Requires an understanding of clinical metrics, claims/encounters and analytics Requires proficiency in Excel, Word, PowerPoint, and Outlook Pay Range: The pay range for this role is: $ 99000.00 to $ 148500.00 for California. Your Work In this role, you will: Analyze information for core principles and functionality of decision, descriptive and predictive analytic methods including forecasting, statistical and machine learning techniques Train lower-level analysts on how to update and apply these advanced analytic techniques Contribute to successful programs for the team, engaged multiple areas related to vendor oversight, internal cross-functional partnerships, tracking performance and measuring results Lead data analysis, documenting and verifying the assumptions used in computations such as those used in member risk data and score submissions and establishing revenue accruals Manage the development and implementation of process of company's projects involving departmental or cross-functional teams focused on delivery of new or existing internal/external programs and/or products Consult with provider groups to develop tailored plans aimed at enhancing their risk adjustment processes, boosting RAF performance, and improving coding specificity Assist provider groups in comprehending the various risk adjustment models, with a particular focus on the Medi-Cal CPDSRx model as it pertains to payment methodology.
Blue Shield of California
$99000 - $148500 undefined
Oakland, CA
Requires knowledge of ICD-10, Risk Adjustment, Medicare Quality/Stars, analytics/finance, provider contracting, provider relations, medical management and/or provider network management areas of a healthcare-related company. The Risk Adjustment Provider Partnership team provides essential support to all functions within the risk adjustment program, which includes interaction with various cross-functional teams within Blue Shield and contracted Provider Groups.
Zurich Insurance Company Ltd.
Oakland, CA
We’ve been dedicated to assembling a team of dedicated Middle Market leaders and underwriters who understand this space very deeply and who grasp the unique challenges of the various industry segments and the individual customers we serve. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals.