Claims Investigation Jobs in Sacramento, CA

Leads the planning and the execution for Rebate Settlement/Payout for WDs global customer base (OEM Distributor Retail).Serve as global process owner to drive improvements and alignment across all aspects of rebates and claims settlements as we harmonize rebate pr More...

AECOM is seeking a Project Manager (Vertical Construction) to be based in Sacramento CA.The Project Manager will:Manage a complex project acting as an Owners Representative as part of a program management team for a state client.Oversee all aspects of the More...

The Strategy and Execution Lead (MLR Lead) for the Neuropsych Franchise is accountable for a high quality and efficient content approval process (ie. MLR) and will drive all operations for his/her respective brand/therapeutic area (TA) including both the frontline MLR review teams and More...

NC Department of Health and Human Services NC Medicaid Advance Planning Office is seeking an Advance Planning Writer with Medicaid NC FAST eligibility and/or Health and Human Services experience to join the Advance Planning Office. The primary role and responsibility of the Advance P More...

Position SummaryThe Accounting Operations Manager is responsible for supporting all aspects of Navas accounting operations including accounts payable (A/P) and accounts receivable (A/R) Payroll monthend close out reconciliation state reporting compliance and auditing. This role report More...

AECOM is seeking a Project Manager V (Vertical Construction) to be based in Sacramento CA:Manage a complex courthouse project acting as an Owners Representative for a state client.Oversee all aspects of the project(s) and ensure all facets of the project(s) ar More...

The Role The Data Quality & Integration Analyst will be responsible for ensuring data quality and integration for healthcare data supporting customers in valuebased care and collaborating with various teams. The role involves learning about population health performing data a More...

AECOM is actively seeking an experienced Environmental Engineer in our Industrial Remediation Practices group to support remediation system design and operations soil and groundwater investigations and remediation projects. The candidate will have prior experience in remediation More...

NC Department of Health and Human Services (DHHS) Information Technology Division (ITD) seeks an IT Product Manager to join the Medicaid Enterprise System (MES) project. NOTE: This position is 100% remote and candidates located anywhere in the US are welcome to apply.The IT Product Ma More...

The Senior Associate Counsel Clinical Trials and Research provides legal support for clinical trial and research activities across the University of Maryland Medical System (UMMS). This role involves refining processes to streamline timetoactivation for clinical trials standardizing c More...

This Position is Contingent Upon Contract Award.Under the direction of the National Medical Director physician supervisors and in collaboration with the Office of the Chief Medical Officer (OCMO) of U.S. Customs and Border Protection (CBP) contracted nurse practitioners deliver health More...

This Position is Contingent on Contract Award.Under the direction of the National Medical Director physician supervisors and advanced practice providers and in collaboration with the Office of the Chief Medical Officer (OCMO) of U.S. Customs and Border Protection (CBP) contracted Lice More...

This Position is Contingent on Contract Award. Under the direction of the National Medical Director physician supervisors and in collaboration with the Office of the Chief Medical Officer (OCMO) of U.S. Customs and Border Protection (CBP) contracted physician assistants deliver h More...

This Position is Contingent on Contract Award. Under the direction of the National Medical Director physician supervisors and advanced practice providers and in collaboration with the Office of the Chief Medical Officer (OCMO) of U.S. Customs and Border Protection (CBP) contracte More...

This Position is Contingent on Contract Award.Under the direction of the National Program Director and the National Medical Director and in collaboration with the Office of the Chief Medical Officer (OCMO) of U.S. Customs and Border Protection (CBP) the Behavioral Health Advisor (BHA More...

This Position is Contingent Upon Contract Award.Under the direction of the National Program Director and the National Medical Director and in collaboration with the Office of the Chief Medical Officer (OCMO) of U.S. Customs and Border Protection (CBP) the Supervisory Behavioral Health More...

This Position is Contingent on Contract Award.Under the direction of the National Program Director and the National Medical Director and in collaboration with the Office of the Chief Medical Officer (OCMO) of U.S. Customs and Border Protection (CBP) the Behavioral Health Advisor (BHA More...

This Position is Contingent on Contract Award. Under the direction of the National Medical Director physician supervisors and advanced practice providers and in collaboration with the Office of the Chief Medical Officer (OCMO) of U.S. Customs and Border Protection (CBP) contracte More...

This Position is Contingent Upon Contract Award. The National Patient Safety Risk Manager (PSRM) provides management expertise and oversight of a comprehensive quality health safety and risk management program for the medical services contract and medical units of the U.S. Custom More...

This Position is Contingent Upon Contract Award.The Regional Patient Safety Risk Manager (RPSRM) provides management expertise and oversight of a comprehensive quality health safety and risk management program for the medical services contract at assigned regional medical units of the More...