- Humana (Sacramento, CA)
- …problems; receives assignments in the form of objectives and determines approach, resources , schedules and goals. The Manager , Fraud and Waste coordinates ... part of our caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices.… more
- CommonSpirit Health (Merced, CA)
- …they do best-caring for patients. Our teams bring together expertise in clinical excellence, operations, finance, human resources , legal, supply chain, ... **Responsibilities** **JOB SUMMARY / PURPOSE** The Environmental Services Manager will provide leadership, direction and management oversight for continuous… more
- Sedgwick (Sacramento, CA)
- …cost containment and timely medical recovery. + Provides recommendations for alternate clinical resources to support claim resolution. + Maintains client's ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker,… more
- GE HealthCare (CA)
- **Job Description Summary** As Key Account Manager in Northern CA, WA/OR, AK, HI territory, you will be in a customer facing sales role owning and driving winning ... market share growth. Continuously develop and foster relationships with key clinical and economic decisionmakers In-depth understanding of key business drivers; uses… more
- CVS Health (Sacramento, CA)
- …+ This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients. ... + Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards… more
- Medtronic (Sacramento, CA)
- …pacing products and knowledge of pacing customer base + Experience with clinical diagnostic and monitoring devices + Experience with sales and personal management ... a hospital/clinic or EP medical sales providing technical / clinical support + Ability to travel 60% of the...computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions… more
- Cardinal Health (Sacramento, CA)
- …practice functions, demonstrating knowledge of: revenue cycle management, clinical operations, finance/accounting, care management, human resources , ... primarily on financial aspects of a deal, while the Sr. Project Manager will focus on understanding operational workflows/day-to-day practice operations component of… more
- CommonSpirit Health (Rancho Cordova, CA)
- …they do best-caring for patients. Our teams bring together expertise in clinical excellence, operations, finance, human resources , legal, supply chain, ... technical expertise. 9. Ability to understand, present and explain complex financial, clinical , and productivity data in a clear and understandable manner to local,… more
- Amergis (French Camp, CA)
- …be doing denials, discharge planning, and utilization review **Needs Case Manager Experience in ACUTE setting** Current Discharge Planning experience Denials ... experience Working with multidisciplinary teams Knowledge of current Medicare guidelines Clinical critical thinking Clinical experience x 2 years Candidate… more
- Fresenius Medical Center (Simi Valley, CA)
- …direct reports to maintain an engaged and productive workforce; partnering with Human Resources on employee matters. + Acts as an advisor to subordinate(s) to meet ... other agencies. + Ensures a proper orientation and training program for all clinical and technical staff. Ensures that continuing in-services are provided to all … more