- Fujifilm (Sacramento, CA)
- …including customer, distributor and vendor agreements; development, manufacturing and service agreements; clinical trial agreements; group purchasing agreements; and ... respect to healthcare regulatory compliance, anti-kickback statutes, the False Claims Act, US government programs and contracting compliance requirements, antitrust… more
- Alameda Health System (Oakland, CA)
- …Their responsibilities span from managing admissions to ensuring clean claims , identifying trends, and optimizing resource utilization. This role supports ... + Manage quality of performance criteria, policies and procedures, and service standards for the utilization management operations. Evaluate utilization reviews and… more
- Ensono (Los Angeles, CA)
- …reshape how our world runs. As an expert technology adviser and managed service provider with cross-platform certifications, Ensono empowers our clients to keep up ... compliance requirements. + Experience with Fiscal Intermediary Shared System (FISS), Medicare Claims System (MCS), Clerk ID, Veteran-Directed Care (VDC) and other VA… more
- Meta (Burlingame, CA)
- …on prescription wearer and channel needs and mindsets 8. Manage prescription product claims , content, and pricing in B2C and B2B contexts, and for wearers with ... go-to-market strategies 14. Experience leading implementation of complex product or service offerings 15. Experience working with technical partners to translate… more
- Cardinal Health (Sacramento, CA)
- …laws and regulations, (eg, Stark, Corporate Practice of Medicine, Anti-Kickback, False Claims Act, and HIPAA); and Marketing and Advertising + Proactively identify ... best practices + Identify opportunities to improve efficiency while providing flawless service levels + Communicate in a professional and persuasive manner and has… more
- Dignity Health (Rancho Cordova, CA)
- **Responsibilities** The Enrollment Supervisor reports to the Director of Claims Management. In this role, they oversee the eligibility department and are ... highly skilled, qualities that are vital to maintaining excellence in care and service . **Pay Range** $36.00 - $44.00 /hour We are an equal opportunity/affirmative… more
- UCLA Health (Los Angeles, CA)
- …(5) years' experience in a Medicare or Managed Care environment managing enrollment, claims or encounters required + Minimum of five (5) years' experience with CMS ... environment. + Superior analytical and problem solving abilities + Must be customer service oriented, be able to work well individually and as part of a… more
- Meta (Los Angeles, CA)
- …on prescription wearer and channel needs and mindsets 7. Manage prescription product claims , content, and pricing in B2C and B2B contexts, and for wearers with ... data-driven framework 12. Experience leading implementation of complex product or service offerings 13. Experience working with technical partners to translate… more
- Banc of California (Santa Ana, CA)
- …offers a broad range of loan and deposit products and services, with full- service branches throughout California and Denver, Colorado, as well as full-stack payment ... process and administration. Provides employees with all necessary LOA paperwork, submits claims for Employer portion of State Disability, Short Term Disability and… more
- Deloitte (Costa Mesa, CA)
- …by reviewing services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against strategy. + ... presentations and reports. + Build and maintain strong client relationships through exceptional service . + Serve as a project manager to train and mentor junior team… more
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