- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Director of Finance Portfolio Management, Strategy, & Special Projects is a key ... efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large.… more
- Stanford Health Care (Palo Alto, CA)
- …or a CMS Medicare Auditor Contractor and strong familiarity with Medicare and Medicaid regulations. **Required Knowledge, Skills and Abilities** + Advanced ... a Stanford Health Care job.** **A Brief Overview** The Director of Reimbursement is a key leadership role within...reports to government agencies, including but not limited to: * Medicare and Medi-Cal cost reports *Financial disclosures to the… more
- TEKsystems (Martinez, CA)
- …environment, including responsibility for complex, high-volume systems * Knowledgeable in Medicaid and Medicare : Demonstrates deep understanding of Medi-Cal and ... plan, has a need for a contract to hire Director of Claims. The group includes 20 direct reports...payment integrity, regulatory compliance, and vendor oversight across Medi-Cal, Medicare , and commercial lines of business. This role ensures… more
- AbbVie (Irvine, CA)
- …for all payer and distribution channels including Commercial health plans, Medicare , Medicaid , VA/DoD, Employer, Health System, and Specialty Pharmacy. ... products (both Pharmacy and Medical reimbursement). Includes awareness of commercial, Medicare , Medicaid , other government, and specialty segments. + Experience… more
- CenterWell (Sacramento, CA)
- …payer approvals to protect revenue integrity and patient access. The Director partners closely with clinical leadership, operations, finance , compliance, ... similar methodologies. **Compliance & Risk Management** * Ensure compliance with Medicare , Medicaid , and commercial payer authorization and revalidation… more
- Humana (Sacramento, CA)
- …enable predictable, high‑quality execution of complex initiatives. The Associate Director partners closely with Portfolio Management, Finance , Cybersecurity, ... community and help us put health first** The Associate Director , IT PMO is accountable for the overall effectiveness,...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- Humana (Sacramento, CA)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... of our caring community and help us put health first** The Associate Director of Cloud Infrastructure Operations is responsible for leading Humana's enterprise cloud… more
- Gilead Sciences, Inc. (Foster City, CA)
- …pricing, reimbursement, and uptake across payer and provider segments (Commercial, Medicare , Medicaid ). + Monitor competitive dynamics and evolving clinical ... day and improving the lives of patients for generations to come. As The **Senior Director , Market Access - Oncology** , you will lead the US market access strategy… more
- University of Southern California (Los Angeles, CA)
- …and independently with and for the different organ teams. Guided by the finance director and/or administrator Essential Duties + 1. Responsible for the ... medical auditing, HIM coding or related healthcare. + Req Working knowledge of Medicare , Medicaid , and commercial insurance policies is. + Req Excellent computer… more