- Sharp HealthCare (Chula Vista, CA)
- …and Clinical Informatics to achieve the integration of business and clinical processes. The Director works collaboratively across business units and teams, ... recruitment and hiring teams. **What You Will Do** The Director Patient Access Services-SCV is responsible for ensuring the...plans. + Familiar with ICD10 and CAC (Computerized Assisted Coding ). + Understanding of both Business and Clinical… more
- Humana (Sacramento, CA)
- …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, ... Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care received by members in an… more
- Humana (Sacramento, CA)
- …discussions with an external provider. Some roles include an overview of coding practices and clinical documentation, dispute/grievance and appeals processes, ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- J&J Family of Companies (Santa Clara, CA)
- …coverage for emerging technologies and influencing payer policies. + Strong understanding of clinical and economic data, coding , coverage, and payment issues. + ... Johnson and Johnson is currently seeking the best talent for a ** Director , Payer Relations - Shockwave** within the Johnson & Johnson MedTech organization.… more
- Datavant (Sacramento, CA)
- …bold vision for healthcare. **What We're Looking For** We are seeking an experienced Director of Risk Bearing Provider Sales to lead our efforts in selling chart ... retrieval and HCC (Hierarchical Condition Category) coding solutions to risk-bearing providers. This role will be responsible for driving revenue growth, building… more
- CVS Health (Sacramento, CA)
- …Responsible for predetermination reviews ad reviews of claim determinations, providing clinical , coding , and reimbursement expertise, using multiple computer ... transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources....Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from… more
- Gilead Sciences, Inc. (Foster City, CA)
- …Gilead and help create possible, together. **Job Description** **Overview** The Senior Director of Applied AI Engineering has a critical leadership role within Team ... for AI and advanced analytics. ARC operates within the Clinical Data Science (CDS) organization, which is part of...organization led by the Chief Medical Officer. The Senior Director of Applied AI Engineering will lead the development… more
- Ascendis Pharma (Palo Alto, CA)
- …a dynamic workplace for employees to grow and develop their skills. The Associate Director , ICSR Management Team reports to the Director , Head, ICSR Management ... Database as assigned. + Functions as a PV advisor to Ascendis Clinical Development Organizations, Medical Affairs, Commercial Organizations and PV staff as… more
- University of Southern California (Arcadia, CA)
- …by providing recommendations on query structure, process, and workflow. Responds to coding denials with clinical justifications and coding conventions. ... for both formal and informal education for physicians, nursing, and other clinical staff. + Meets established productivity targets for record review and appropriate… more
- University of Southern California (Los Angeles, CA)
- …+ Follow processes to send appropriate notification to other parties such as Coding Manager, Clinical Department Manager, or Patient Accounting Manager. For ... is primarily responsible for unit and area specific charge capture of clinical services and procedures within revenue producing departments throughout the system.… more