• Medical Director - Medicaid (remote)

    Humana (Sacramento, CA)
    …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal… more
    Humana (01/01/26)
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  • Medical Director - IP Claims Management

    Humana (Sacramento, CA)
    …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS and state policies and determinations, clinical reference… more
    Humana (12/11/25)
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  • Medical Director-Payment Integrity

    Humana (Sacramento, CA)
    …discussions with an external provider. Some roles include an overview of coding practices and clinical documentation, dispute/grievance and appeals processes, ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
    Humana (12/11/25)
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  • Medical Affairs Clinical Specialist - JJMT…

    J&J Family of Companies (Irvine, CA)
    …Johnson and Johnson Neurovascular is recruiting for a **Medical Affairs Clinical Specialist** located in Irvine, California, USA. At Johnson & Johnson, ... We are looking for a highly motivated Medical Affairs Clinical Specialist to be part of our Medical Affairs...routine review of safety events, adverse events (AEs), medical coding , source documents, and subject narratives. + Review and… more
    J&J Family of Companies (12/13/25)
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  • Senior Clinical Documentation Analyst, AI…

    Oracle (Sacramento, CA)
    …platform with an ambitious spirit and a focus on excellence. As a Senior Clinical Documentation Analyst you will: Analyze clinical workflows across a myriad of ... rubrics, and help align with prioritization as drive forward towards revamping the clinical workflow experience in the EHR. Utilize proficiency in EMR platforms (eg,… more
    Oracle (11/25/25)
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  • Director of Operations - Clinical Lab…

    Stanford Health Care (Palo Alto, CA)
    …of Operations - Network Director will work report to the Vice President of Clinical Laboratories and work closely with the Operations Directors for AP and CP. ... Knowledge and experience in Clinical Pathology, laboratory system workflows, and space planning/lab design are preferred. **This is a Stanford Health Care job.** **A… more
    Stanford Health Care (11/08/25)
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  • Dialysis Clinical Manager Registered Nurse…

    Fresenius Medical Center (Colton, CA)
    **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
    Fresenius Medical Center (12/12/25)
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  • Territory Patient Admission Coordinator…

    AccentCare, Inc. (Newport Beach, CA)
    Overview Clinical Territory Patient Admissions Coordinator/LVN - Weekends Location: Newport Beach, CA Position: Clinical Territory Patient Admissions ... Southern California Find Your Passion and Purpose as a Clinical Territory Patient Admissions Coordinator/LVN Salary: + Clinical...Discharge Summary, and other documents needed for ICD 10 coding by the CPOCC team, if not received with… more
    AccentCare, Inc. (12/05/25)
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  • Coder Auditor Trainee

    Prime Healthcare (Ontario, CA)
    …ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software. ... The Inpatient Coder Auditor Trainee finalizes the coding and abstracting of the medical record upon ensuring... System (HCPCS), are accurate and supported by the clinical documentation of the respective medial record. Holding a… more
    Prime Healthcare (12/31/25)
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  • Clinical Authorization Specialist - OC…

    University of Southern California (Newport Beach, CA)
    The Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient ... will be in a position to interface directly with medical/ clinical staff and pharmacy to ensure a seamless process...insurance carrier for authorization with correct CPT and ICD coding + Research payers medical policy requirements for chemotherapy… more
    University of Southern California (11/19/25)
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