- Ventura County (Ventura, CA)
- …Department in relation to the overall hospital goals; in coordination with the Medical Records Director and subordinate supervisors; + Assists in managing a ... cases; + Provides education to the physicians on documentation requirements to establish medical necessity based on coding guidelines for assignment of accurate… more
- Humana (Sacramento, CA)
- …mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with governmental requirements for ... years of healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience with Auditing and… more
- Scripps Health (San Diego, CA)
- … Clinic and other relevant industry standard guidelines. * Provides input to coding and medical record documentation guidelines to assure compatibility and ... This Senior Director position is eligible to participate in the...you will have primary accountability for the oversight of Coding , Clinical Documentation Integrity (CDI) and Health Information Management… more
- Humana (Sacramento, CA)
- …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... , requested level of care, and/or requested site of service should be authorized. All work occurs with a...**Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Datavant (Sacramento, CA)
- …requirements, medical record standards, and regulatory guidance impacting concurrent coding or risk adjustment. + Product experience integrating into EHRs or ... experiences to realize our bold vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the… more
- Datavant (Sacramento, CA)
- …professional, educational and life experiences to realize our bold vision for healthcare. The Director of Client Success will report to the VP of Client Success and ... and delivery perspective working closely with Client Success Managers. The Director of Client Success will communicate regularly with customer executives to… more
- Dignity Health (Bakersfield, CA)
- …Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a ... but will be expected to work PST business hours.** **Position Summary:** The Director of Analytics oversees and strategizes the data analytics needs of the… more
- Cedars-Sinai (Los Angeles, CA)
- **Job Description** Job Summary The Director of Managed Care develops and implements managed care and payer relations strategies including contract negotiation and ... Aetna). + Develops negotiation strategies and contract structures including fee-for- service , capitation, bundled payments, value-based care, and pay-for-performance models.… more
- Sanofi Group (Los Angeles, CA)
- **Job Title:** Director Field Reimbursement West - Tzield **Location:** US Remote **About the Job** Sanofi General Medicines is currently expanding a strong, ... strategic thinking capabilities and be a good communicator. This director will need to empower the team, generate strong...1 diabetes therapy, Tzield + Work closely with Patient Services support functions to coordinate activities in support of… more
- EPAM Systems (Los Angeles, CA)
- …you, this could be the perfect opportunity to join EPAM as **a Director , Business Development** . Scroll down to learn more about the position's responsibilities ... experience + Identify, articulate, orchestrate, and win business consulting and technology services deals + Collaborate with EPAM technology partner companies to win… more