- Humana (Sacramento, CA)
- …facilities. They will work closely with IT, the pricing software vendor, CIS BSS, claims operations , and other business teams involved in the administration of ... caring community and help us put health first** The Sr . Medicare (PPS) Provider Hospital Reimbursement Analyst ...Medicare business at Humana. The Senior Business Intelligence Engineer will develop and maintain expertise… more
- Baylor Scott & White Health (Sacramento, CA)
- **JOB SUMMARY** The Sr . Data Governance Analyst plays a key role in advancing BSWH data governance initiatives and driving data-informed decision-making across ... enabling timely, data-driven decisions built on trusted information. The Senior Data Governance Analyst is a key...SUCCESS FACTORS** + Deep understanding of healthcare data and operations . + Knowledge of Data Warehousing, ODS, or other… more
- Cardinal Health (Sacramento, CA)
- …Sales Tools/Productivity Improvement contributes to Cardinal Health_** Sales Administration/ Operations is responsible for supporting the sales organization and ... data from multiple sources (eg, Salesforce, Trella Insights, Definitive Healthcare, claims feeds, internal CRM/ERP) to deliver clear, actionable insights that… more
- Highmark Health (Sacramento, CA)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- Cognizant (Sacramento, CA)
- **Health Payer Business Analyst , Senior Consulting Manager** **About the Role:** As a Sr . Consulting Manager you will make an impact by driving client ... consulting firms * Strong background in Healthcare industry, including health plans, claims , and provider operations * Project management and people management… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …to defy limitation so that others can too._ In this exciting role, as a Sr . Analyst within OAPI supply chain team, you will work cross-functionally across ... departments to support implementation of the S&OP (Sales & Operations Planning) process. You will assist in managing a...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Cedars-Sinai (Beverly Hills, CA)
- …standard of patient care we strive for. **What will you be doing:** The Senior Financial Analyst is responsible for assisting with the development, design, ... people throughout Los Angeles and beyond. **Req ID** : 12414 **Working Title** : Senior Financial Analyst (Managed Care) - Hybrid **Department** : MNS Accounting… more
- Highmark Health (Sacramento, CA)
- …process improvement meetings and/or discussions + Analyze the functions and operations of a business area/function and identify problem areas. Create process ... state business processes. + Act as subject matter expert/technical operations expert. Recommend process efficiencies, strategies for improvement, and/or...5 - 7 years of experience in a Business Analyst or Business Process Analyst role or… more
- Public Consulting Group (Sacramento, CA)
- …**Organizational Relationships** **Reports directly to the ASO Project Manager / Sr . Director of Operations ** **Key Qualifications and Education Requirements** ... Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies… more
- CVS Health (Sacramento, CA)
- …knowledge of configuration management tools and systems to support organizational operations . + Codes and/or writes custom configurations or extensions to tailor ... and security requirements. **Required Qualifications** + 1 year minimum of claims processing experience + Experience with system testing and post go-live… more