- Evolent (Sacramento, CA)
- …health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek ... Job Description **Analyst, Integration Quality** Integration testing in the healthcare ecosystem requires complete end to end testing in...most valuable defects. The IQA reports to a associate director or a manager. One or many IQAs may… more
- Humana (Sacramento, CA)
- …for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must be able to work core business hours on EST time between ... of compliance risk across the organization. This team ensures that healthcare providers align their operational practices with legal requirements while fostering… more
- Providence (Irvine, CA)
- …with key healthcare regulations, including Stark Law, Anti-Kickback Statute, False Claims Act, Medicare and Medicaid billing rules, HIPAA and EMTALA. + Draft and ... Are you a legal expert with a passion for healthcare and a strategic vision for the future? Join...Senior Corporate Counsel. You will exercise independence in addressing complex legal matters and support specific projects. Your responsibilities… more
- The County of Los Angeles (Los Angeles, CA)
- …investigations, analyses, and special studies of the more difficult and complex problems, plans, and programs involved in disaster/emergency preparedness. Essential ... based on regional and statewide documents. Supports the Los Angeles County EMS Director in planning and response to local, regional, State, and national emergencies.… more
- Cardinal Health (Sacramento, CA)
- …and proactively provides guidance and trainings on policies. Reporting to the Director , Ethics & Compliance, this position supervises and manages audits to determine ... coders, billers and other appropriate staff. This position will also support the Director with transactional audit diligence and integration planning, as well as the… more
- Sanofi Group (Bakersfield, CA)
- …customers. In this field-based position, the FRM will report to a field-based Director , Field Reimbursement, within Patient Support for T1D (Type 1 Diabetes). The ... and assisting in patient pull though efforts. We are an innovative global healthcare company, committed to transforming the lives of people with immune challenges,… more
- Evolent (Sacramento, CA)
- …health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek ... the country to improve patient outcomes and reduce avoidable healthcare costs. We are a lean, nimble, fast-paced team...and operations, ensuring accurate and timely ICD-10 coding of claims via progress note clinical documentation review. + Ensure… more
- CAI (Sacramento, CA)
- …6 years of experience or equivalent higher education. Preferred experience in healthcare claims environment and reporting development, n-tier development and ... **What You'll Do** + Maintain, improve, and create new complex Microsoft SQL database objects including but not limited...trends in database systems to advise the Data Manager, Director of Business Systems, and/or Chief Information Officer +… more
- Sutter Health (San Francisco, CA)
- …care. The RN Case Manager reports to either the Supervisor or Manager or Director of Care Coordination in each facility. The RN Case Manager has frequent contact ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more