- Sutter Health (Sacramento, CA)
- …critical areas: the 340B program and pharmacy analytics. This role ensures compliance with all 340B regulatory requirements while optimizing program performance and ... to enhance cost efficiency, utilization, standardization, clinical operations, and compliance for pharmacy services. 340B Program Leadership As the business… more
- Bright Horizons (Encinitas, CA)
- …team to evaluate and ensure program quality standards + Manage enrollment, marketing, billing , and accounts payable, while ensuring budget compliance + Build ... Join **Bright Horizons** as a **Child Care Center Director ** , where your leadership will enhance program...center is required + Strong understanding of center quality, compliance , health, safety and licensing standards is required Step… more
- Sevita (Long Beach, CA)
- …of the area business unit, review financial statements, oversee purchasing, assure billing compliance , and documentation. + Implement area core growth strategy ... Join us today, and experience a career well lived. **Operations Management Area Director ** Everybody needs a job but only extraordinary people work here. Our team… more
- Evolent (Sacramento, CA)
- …the mission. Stay for the culture. **Who You'll Be Working With:** The Director , Performance Suite Analytics, utilizes and develops analytic tools to solve complex ... knowledge of healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service + Previous Experience with… more
- Sharp HealthCare (San Diego, CA)
- …if necessary.Reviews the electronic health record to identify potential coding and billing compliance issues. Prepares written reports of audits, including ... and maintenance of a high-quality, effective, best practices coding, billing , and reimbursement audit compliance program to...+ Policy and Procedure maintenanceWorks in collaboration with the Director and Manager of Compliance and System… more
- Humana (Sacramento, CA)
- …business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance , by ... about 340+ senior focused primary care centers in 15 states. The Regulatory Compliance team that supports the PCO is responsibility to assess, investigate, audit and… more
- Stanford Health Care (Palo Alto, CA)
- …HCPCS and CPT-4 coding schemas. + Knowledge of Medicare, Medicaid and other third-party billing coverage and compliance issues. + Knowledge of CMS and State ... procedures, Revenue Integrity and Clinical Documentation Integrity. Aligned with compliance and governing regulations, this position ensures most appropriate and… more
- UCLA Health (Los Angeles, CA)
- …Manager to oversee daily operations for a multi-specialty coding team within the Patient Billing Office. Reporting to the Director of Coding, this role manages ... evaluations and manage corrective actions as needed + Collaborate with IT, Compliance , and Billing teams to improve system edits and reduce denials + Lead… more
- Option Care Health (Hayward, CA)
- …position may also serve as the alternate administrator and or alternate director of nursing. **Job Description:** **Job Responsibilities** **(listed in order of ... a Home Health Agency. + Knowledgeable of documentation and billing requirements for home health/ infusion care goods and...the plan as needed. + Acts as Administrator and/or Director of Nursing of the Home Health Agency for… more
- MAAC (Metropolitan Area Advisory Committee) (National City, CA)
- …Program Operations Manager is responsible for overseeing the internal operations, compliance systems, and fiscal tracking for state, federal, and utility-funded ... weatherization programs (including LIHEAP, DOE, and RHA). Reporting to the Director of Economic Development, this role ensures that scopes of work, installations,… more