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POSITION SUMMARY In depth research and adjudication of underpaid and/or denied claims to ensure that all components, i.e., member, provider, authorization, claim and system are valid and correct for accurate processing. Interface with other departments and/or health plans to resolve outstanding issues affecting claims rework. REQUIRED SKILLS AND QUALIFICATIONS: Education: High School graduate Some...
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Posted Fri 10th February
Excellent TEMP opportunity for experienced trademark paralegal. Your focus will be to cover all aspects of trademark application prosecution. Minimum of 2 years transactional trademark experience is a MUST. No litigation. Location: Long Beach, California Salary depends on experience. Please email resume to: m.emeterio@holmeslofstrom.com No calls please....
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Posted Fri 10th February
Project Manager III Responsible for large scale, complex and/or long duration projects and project teams made up of internal and external resources to deliver business solutions and services to the department. Interacts closely with internal staff, external corporate departments, and Health Plans to define the project parameters and develop detailed project documentation to include business requir...
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Posted Thu 9th February
JD EDWARDS TECHNICAL LEAD – HR / PAYROLL POSITION SUMMARY: Leads the effort to support, manage and customize Human Resources, Payroll and Human Capital Management applications associated with our JD Edwards EnterpriseOne implementation. Duties and Responsibilities · Implements and supports EnterpriseOne HR and Payroll applications. · Analyzes and designs JDE reports/applications to fulfill busines...
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Posted Mon 13th February
SECURITY SYSTEMS ANALYST (IDENTITY MANAGEMENT, DATA LOSS PREVENTION) JOB SUMMARY This position will be responsible for working in a team to develop, build, and support the Identity Management Solution for the company. This will include maintain the Forefront Identity Management 2010 system and extending it to new data sources/systems. The position will also include maintaining the company DLP solu...
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Posted Mon 13th February
SYSTEMS SECURITY ANALYST (IT COMPLIANCE) JOB SUMMARY The Molina Information Security Compliance team is responsible for ensuring Molina compliance with both regulatory and company based Information Security policies. Compliance monitors and maintains an awareness of state, federal, and company established Information Security regulations/policies by working with internal Molina staff and vendors t...
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Posted Mon 13th February
Building a career using your skills in business takes talent and dedication, but most of all it takes opportunity. The kind of opportunity you’ll find in Enterprise’s Management Training Program. Ranked by BusinessWeek year-after-year as one of the “Best Places To Launch A Career,” Enterprise can give you responsibility, challenges and a chance to lead and run your own business. Here, you’ll grow ...
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Posted Mon 13th February
Looking to use your skills in marketing with an industry leader? In the Enterprise Management Training Program, you can use those talents on a daily basis as you interact and do business with customers and business partners alike. You’ll also be taught how to lead a team, be responsible for P&L, and develop a plan to grow the business – all while honing your management, customer service and commun...
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Posted Mon 13th February
Put your people skills and experience exceeding customers’ expectations to the test with a fast-track program that offers more … much more. You’ll have unlimited career opportunities, learn how to run your own profit center, and have fun in the process. And you’ll do it all with Enterprise – the company ranked year-after-year by BusinessWeek as one of the “Best Places To Launch A Career”. This is ...
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Posted Mon 13th February
Building a sales career takes more than education … It takes opportunity. That’s exactly what you’ll have as part of the Enterprise Management Training Program. Ranked by BusinessWeek year-after-year as one of the “Best Places To Launch A Career”, this is the program where you can sharpen your customer service skills, your marketing know-how and your ability to manage a team. That’s because you’ll...
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Posted Mon 13th February
PLEASE APPLY ONLINE AT WWW.AMCORPSEC.ICIMS.COM. REFER TO JOB ID: 2012-1068 American Corporate Security is seeking a qualified Receptionist to work in our Corporate Office located in Downtown Long Beach, CA . Our vision is to be recognized as the "Employer of Choice" in the markets that we serve. We treat our employees as clients, and provide them with the finest in benefit and compensation package...
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Posted Thu 9th February
As a Student Intern you will: Oversee all marketing, advertising, and promotional staff and activities Conduct market research and analysis Review marketing strategy and implementation planning Assist with vendor management Required Skills & Experiences Pursuing a BA or BS in Marketing, Business, and other related majors Proficient in Microsoft Word, Excel, and Power Point Excellent oral and writt...
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Posted Mon 13th February
POSITON SUMMARY Leading, with a team, or individually: Develops or modifies business requirements and functional specifications for software application and technology projects, including Business Requirements Documents (BRDs) and Functional Requirements Documents (FRDs). Reviews, analyzes, and evaluates business processes and associated IT application requirements. Supports or leads the process o...
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Posted 3 days ago
Reconciliation Analyst /Medicare Focus on data analysis specifically related to identifying members with data and payments discrepancies between the plan and CMS (Medicare). Support the Medicare Reconciliation through detailed analysis of plan and CMS data. Responsible for identifying, researching and resolving membership discrepancies and associated rejected Prescription Drug Events (PDEs) betwee...
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Posted 3 days ago
As an Assistant Manager, Store/Kiosk, you will assist the Retail Store Manager in the daily operation of a retail store. Your duties will include: maintaining inventory levels, conducting physical inventory checks, maintaining store appearance, and complete day-to-day paperwork as directed. Additional Responsibilities: Work directly under the supervision of the Retail Store Manager Spend 75% of yo...
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Posted Fri 3rd February
POSITON SUMMARY Under limited supervision, confers with business management partners to assess learning needs, and to plan, develop, and conduct performance development and learning solutions. Utilizes a beginning to intermediate understanding of adult learning principles and training concepts to engage learners. Utilizes effective writing skills to write and maintain training documents. Utilizes ...
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Posted 3 days ago
Manager, Configuration Perform configuration management duties in support of existing legacy Health Plans, new Health Plan implementations and reconfiguration of legacy Health Plans. The Configuration Manager shall use standard and consistent methodologies to develop and enhance existing environments in the core processing system. • Manage a team of professional health insurance configuration anal...
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Posted 2 days ago
MOLINA HEALTHCARE - DIRECTOR MARKETING & BRAND MANAGEMENT Molina Healthcare Inc. provides managed healthcare services for patients who traditionally face barriers to quality healthcare including individuals covered under Medicaid, Medicare and other government-sponsored health insurance programs. With corporate headquarters in Long Beach, California, Molina is a publicly traded company (NYSE: MOH)...
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Posted Yesterday
POSITON SUMMARY The Lead resolves issues and problems encountered in day-to-day claims support processes. Is recognized by management and staff as an expert in issues related to mail distribution, data entry functions, front-end and back-end claims processing to imaging vendor. Plays a key role in training, problem resolution, work floor optimization and process improvement. Provides limited super...
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Posted Yesterday
Currently only considering applicants for this position with extensive experience completing Workers Comp premium audits in the state of California Insurance Premium Auditor We are looking for professional individuals with excellent communication skills who can manage multiple assignments and due dates, schedule their own appointments, and handle regional travel. This part-time, per assignment opp...
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Posted Yesterday
Tacoma is a major seaport and railroad terminus in the Northwest. Formerly known as the lumber city of America, the city still remains an important player in the forest products industry. However, the high-technology sector in Tacoma is growing at a rapid pace. Tacoma has many alternative transportation services which include ferries, light rails, buses, and commuter rail. Tacoma is home to Point Defiance Park, which is one of the largest urban parks in the nation.
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