- Dignity Health (Bakersfield, CA)
- …**Minimum Qualifications:** - Minimum of eight (8) years of progressive experience in provider contracting, payer negotiations, managed care strategy - At least ... **Responsibilities** This position is remote.** **Position Summary:** The Director of Provider Contracting is a key executive leader responsible for the strategic… more
- Humana (Sacramento, CA)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer ... and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business… more
- Molina Healthcare (Long Beach, CA)
- **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims, coordinating, ... claims issues, including incorrectly paid claims, by working with operational areas and provider billings and analyzing the systems. + This role is involved in… more
- World Wide Technology (Los Angeles, CA)
- …clients. Founded in 1990, World Wide Technology (WWT) is a global technology solutions provider leading the AI and Digital Revolution. With more than $20 billion in ... our Global Service Providers team. **Why should you join WWT's Global Service Provider Sales Organization?** As a Consulting Systems Engineer (CSE), you will be… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …weekends, holiday and on-call obligations **Position Summary:** The Nocturnist Advanced Practice Provider (APP) provides care to complex acute, critical and ... **NATIONAL LEADERS IN PEDIATRIC CARE ** Ranked among the top 10 pediatric hospitals...an educational resource to the patient/family, nursing staff, and provider team. Acts as a consultant to multidisciplinary health… more
- Elevance Health (Walnut Creek, CA)
- ** Provider Payment Appeal Analyst I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... shift between 8 am - 9 pm EST The ** Provider Payment Appeal Analyst I** is responsible for supporting...resolution or analysis of reimbursement methodologies within the health care industry; or any combination of education and experience… more
- Humana (Sacramento, CA)
- …Contract Requires US Citizenship for this Position. Overview: Join Humana Military's Provider Data Solutions team to support the TRICARE T5 contract and deliver ... work within a caring, collaborative environment. Our team works with large-scale provider data and plays a key role in processing, preparation, dissemination, and… more
- Elevance Health (Cerritos, CA)
- …territory. **How You Will Make an Impact** + Provides services in home settings to provide care to patients. + Develops and implements clinical plans of care ... **Field Advanced Practice Provider - Los Angeles** **Location:** **Los Angeles, Ca** ....and their family members to develop complex plans of care in accordance with the patient's health status and… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …needs develop. **Purpose Statement/Position Summary:** The Cardiothoracic Advanced Practice Provider (APP) delivers comprehensive, patient-centered care in ... **NATIONAL LEADERS IN PEDIATRIC CARE ** Ranked among the top 10 pediatric hospitals...Pediatric Advanced Life Support * NRP - Neonatal Resuscitation Provider (NICCU only) * (NP) Required: * Pediatric Nurse-Practitioner… more
- Huron Consulting Group (Los Angeles, CA)
- …decisions that accelerate transformation. Innosight thoroughly examines the intricate patient care challenges encountered by payor and provider healthcare ... consulting firm, specializing in delivering strategic solutions for healthcare provider organization clients. + **Proven leadership** in engagements involving… more