- Highmark Health (Sacramento, CA)
- …range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizing data/analytics in ... active case load of members in his/her panel that are enrolled in case management . The incumbent conducts outreach to members enrolled in case management … more
- CVS Health (Sacramento, CA)
- …history. + Strong mathematical skills. **Preferred Qualifications** + Coding experience, CMS , and/or CPC Certification. + Strong verbal and written communication ... all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …in rare disease + Strong knowledge of Centers for Medicare & Medicaid Services ( CMS ) policies and processes, especially Medicare Part D + Experience in "Buy and ... + Nephrology experience strongly preferred + Comprehensive understanding of US healthcare system payer billing practices + Proficiency in MS Office suite **Skills… more
- Insight Global (Berkeley, CA)
- …experience applying those capabilities within different web environments, such as content management systems, marketing automation systems, and social media ... large consumer brands * Fluent in using WordPress or similar CMS , with experience using HTML/CSS to augment content and design. Experience with AEM is a big plus… more
- Insight Global (Los Angeles, CA)
- …Tapestry Application Analysts primary role is to assist in the review of current system configuration as well as review potential enhancements to ensure that CMS ... to include an understanding of the assigned department workflows for the associated system build/configure, upgrade and release process. The Analyst will act as a… more
- Prime Healthcare (Anaheim, CA)
- …Performs Diagnostic Radiographic Procedures according to department protocols, HFAP/TJC/local regulatory/ CMS , State and Federal Regulations. Functions as the first ... Notice for California Applicants: https://www.primehealthcare.com/wp- content /uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Connect With Us!… more
- Cognizant (Sacramento, CA)
- …you will:** * Be Responsible for reviewing the data in the claim processing system and comparing with corresponding UB or HCFA paper or EDI information. * ... Assigning special projects or other duties as determined by management . **What you need to have to be considered:**...CPT, HCPCS, ICD-10 * Experience making payments with UB/institutional ( CMS -1450) and/or professional ( CMS 1500) claims *… more
- Prime Healthcare (San Dimas, CA)
- …Performs Diagnostic Radiographic Procedures according to department protocols, HFAP/TJC/local regulatory/ CMS , State and Federal Regulations. Functions as the first ... Notice for California Applicants: https://www.primehealthcare.com/wp- content /uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Connect With Us!… more
- Ankura (Los Angeles, CA)
- …of the data and information systems used by providers, payers, and CMS . We combine in-depth operational, compliance, and clinical industry knowledge with exceptional ... revenue cycle and clinical operations, along with their project management capabilities, to contribute to complex investigations, whistleblower lawsuits, internal… more
- Stanford Health Care (Palo Alto, CA)
- …alignment with hospital policies and applicable state/federal regulatory requirements (such as CMS , OPTN/UNOS, and TJC). This role supports both adult and pediatric ... solid organ procurement for SHC and SCH. **Locations** Stanford Health Care **What you will do** + The Organ Procurement Coordinator is responsible for the adult and pediatric organ recovery program's transplant phases of care from organ offer, coordinating… more