Hybrid Claims & Provider Compliance Oversight Specialist
Western Health Advantage, Inc.
Western Health Advantage is seeking a detail-oriented Claims & Provider Relations Oversight Specialist to support compliance operations within our Claims and Provider Relations team. This role ensures department compliance with federal/state rules, accreditation standards, and internal policies while aiding audits, regulatory filings, reporting and compliance initiatives. The ideal candidate is organized, analytical, and collaborative, with experience in California managed care, claims and #J-18808-Ljbffr Western Health Advantage, Inc.
- Western Health Advantage is seeking a detail-oriented Claims & Provider Relations Oversight Specialist in Sacramento, CA (Hybrid). The role focuses on ensuring regulatory compliance across federal and state rules, oversight of audits, reporting, and policy development within...Claims
$70.3k - $85k
...Claims & Provider Relations Oversight Specialist Western Health Advantage Location: Sacramento, CA (Hybrid) Salary: $70,304 – $85,000 annually "Purpose that inspires. Impact... ...Relations Oversight Specialist to support compliance and regulatory operations within our...ClaimsFull timeWork experience placementWork at office$31.2k - $44.5k
Overview Small Provider Billing Unit- West Sacramento, CA - Hybrid Date: Mar 20, 2026 Location: Any city, CA, US, 99999 Great companies need great teams to propel... ...the Medi-Cal program. Review and correct provider’s claim before adjudication. Provide telephone support to...ClaimsFull timeWork at officeFlexible hours$31.2k - $44.5k
...Small Provider Billing Unit Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell... ...bill the Medi-Cal program. Review and correct provider's claim before adjudication. Provide telephone support to enrolled providers...ClaimsFull timeWork at officeFlexible hours- Tristar is seeking a detail-oriented claims clerk to support workers’ compensation administration. You will set up new claims... ...clerical tasks while coordinating with management and providers. This is a hybrid position with office-based responsibilities. #J-18808-Ljbffr...ClaimsWork at office
$84.82k - $116.37k
A leading insurance provider is seeking an experienced Senior Claims Professional based in Sacramento, California. This role involves managing complex workers... ...,820 to $116,370 along with excellent benefits and a hybrid work-from-home schedule. #J-18808-Ljbffr Berkshire...ClaimsRemote jobWork at officeWork from home- ...Worker Compensation Claims Examiner III (Hybrid) Hybrid Sacramento - Rancho Cordova, CA 95670 POSITION SUMMARY: At the direction of the Claims... ...considerable interaction with clients, claimants, Medical providers, Attorneys, vendors, Nurse and Vocational Case Managers,...ClaimsWork at office
$75 - $85 per hour
...Services team. This organization provides the technology backbone and... ..., unifying clinical, claims, demographic, and provider data... ...month contract term) Location: Hybrid — 2x/week onsite; San Diego,... ...understanding of security, privacy, and compliance requirements in regulated...ClaimsContract work$140k - $199k
...among the first 25 applicants This range is provided by Jobot. Your actual pay will be based... ...on the defense of workers compensation claims and related litigation. We represent a variety... ...the state. Why join us? Remote/ hybrid Great Pay! Great Team! 401(k) 401(k) matching...ClaimsRemote jobLocal areaFlexible hours- Berkshire Hathaway Homestate Companies, Workers Compensation Division, is seeking a Claims Learning and Development Supervisor to create and execute training programs that elevate skills and knowledge across claims teams. This role leads a team and travels to claims offices...Claims
$140k - $220k
...primarily on the defense of workers compensation claims and related litigation. Our firm delivers... ...in the Market! Why join us? Remote/ hybrid Great Pay! Great Team! 401(k) 401(k)... ...Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates...ClaimsRemote jobLocal areaFlexible hours$120k - $225k
Attorney - Hybrid Remote/Sacramento - Established Regional Firm $120000 - $225000 per year... ...for 30+ years. We defend high-exposure claims from pre-suit through jury trial and appeal... ...is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates...ClaimsRemote jobPermanent employmentLocal area$85k - $95k
...leading company in workers' compensation claims management is seeking a Sr. Work Comp... ...indemnity claims for complex cases. This hybrid position offers a salary range of $85,00... ...intricate claims efficiently, ensuring compliance with state regulations while effectively...Claims$84.82k - $116.37k
...leading insurance organization in California is looking for a Senior Claims Professional to manage a complex caseload of workers... ...claims efficiently, and negotiating settlements. This role offers a hybrid work schedule, excellent benefits, and a salary range of $84,820...Claims- ...experience to join its Construction and Infrastructure Group in Sacramento, CA. The role focuses on construction claims, arbitration, and court proceedings, with hybrid work options. Candidates must have a CA Bar admission, a JD from an accredited school, strong research and...Claims
- Liberty Mutual Insurance is seeking a Senior Workers’ Compensation Claims Specialist for the West Region. You will review, analyze and process... ...I or II based on experience. The position supports a hybrid work arrangement with onsite engagements and opportunities for...ClaimsRemote job
- ...or co-counsel, mentoring junior attorneys and collaborating with claims partners and internal teams. A strong track record in... ...Nationwide Trial Division, supporting nationwide teams from offices in California with hybrid or remote work #J-18808-Ljbffr Jobleads-USClaimsRemote job
- ...public entities in a wide variety of cases, including personal injury claims, employment law disputes, real property disputes, construction defect disputes, premises liability and more. This firm offers hybrid/remote arrangements to support work-life balance. #J-18808-...ClaimsRemote job
- ...including recent PAGA matters. You will manage PAGA claims, supervise junior attorneys, mentor staff, and... ...strategies, while advising clients on wage-hour compliance and California labor laws. This role offers a hybrid work environment and opportunities for partnership...Claims
- ...Consultants in California is seeking a Vice President of Claims to lead our brokerage claims operations from a hybrid California office. You will develop objectives,... ...claims, supervise adjusters, and ensure policy compliance while guiding cross-functional teams. A Juris...ClaimsWork at office
- Zurich North America in the Sacramento/Gold River area is seeking an experienced Litigation Claims Specialist to join its Commercial General Liability team. This hybrid role offers flexibility with occasional in-office attendance and the option for remote work, designed...ClaimsWork at officeRemote work
- ...Administration Unit within Cal OES is seeking an Analyst II to provide administrative and data analytics support, track mitigation grants... ..., and coordination across divisions. This position offers a hybrid telework arrangement and requires meticulous attention to deadlines...Work at officeRemote work
$19 - $23 per hour
...laws, and regulations to ensure compliance with the Teachers’ Retirement... .... Primary role will be to provide support to the Employer Reporting... ...to appointment, individuals claiming preference under one of these... ...Work is performed in a hybrid schedule. The office is located...ClaimsHourly payPart timeSummer workWork at officeRemote workWork from homeMonday to FridayFlexible hoursShift work2 days per week$6,646 - $8,324 per month
...government agency in Sacramento is seeking a Business Taxes Compliance Specialist. This role involves acting as the technical expert and leading... ...and may travel up to 5% of the time. The position offers a hybrid work environment and several benefits including flexible...Flexible hours- ...The Health Program Specialist I (HPS I), acting as the Regulatory Specialist... ...program consultant and provides complex technical assistance... ...stakeholders, federal, state, and local oversight agencies, and the regulated... ...County Telework: Hybrid Job Type:...Permanent employmentFull timeContract workWork at officeLocal areaRemote work
- ...Chief) in the Network Adequacy Oversight Section 3, Unit 6, the Analyst II serves as a Compliance Analyst for the DHCS Behavioral... ...projects and may serve as a lead in providing network adequacy process... ...Sacramento County Telework: Hybrid Job Type: Permanent...Permanent employmentFull timeContract workWork at officeRemote workMonday to FridayShift work
$150k - $185k
...with outside counsel and claims examiners to oversee... ..., implementing, oversight, and monitoring in the... ...INCLUDEAnalyzes inquiries and provides guidance related to... ...responses; monitors TPA for compliance with TPA’s contractual... ...at any time.#LI-HYBRID #attorney #counsel #litigatedclaimsQualified...ClaimsFull timeWork at officeLocal areaRemote workFlexible hours$62.4k - $93.6k
...Sr Representative Claims - CH08BE We're determined to make a... ...team of claim professionals provide superb customer service with... ...Arrangement : This role can have a Hybrid or Remote work schedule.... ...accuracy Provide benefit oversight, appropriate file disposition...ClaimsTemporary workRemote workMonday to Friday3 days per week- ...commute, keeping the lights on, providing access to clean water, or... ...Senior Estimator to work on a hybrid basis in our Sacramento, CA Office... ...program goals and financial oversight under the general direction... ...-submitted estimates and claims to ensure accuracy, consistency...ClaimsFor contractorsWork at officeLocal areaWorldwideFlexible hours
$85.6k - $141.2k
...what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and... ...complex technical information with minimum oversight to identify major case or underwriting investigations...ClaimsWork at officeLocal area
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