• Actuary, Medicaid Trend Analytics and Data…

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, ... data transformations, automation, and enhancements. Conduct in-depth analysis of healthcare claims to identify data issues and optimization opportunities. Work with… more
    Humana (11/20/25)
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  • Senior Health Economist - Managed Care

    Elevance Health (Walnut Creek, CA)
    **Senior Health Economist - Managed Care** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... not eligible for current or future visa sponsorship._ Carelon Health is a proud member of the Elevance ...Senior) measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed… more
    Elevance Health (10/16/25)
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  • Customer Solution Center Service Representative…

    LA Care Health Plan (Los Angeles, CA)
    …$55,245.00 (Min.) - $69,045.00 (Mid.) - $82,867.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of California ... to provide health coverage to low-income Los Angeles County residents. We...this includes but not limited to, general inquiries on claims processing and status and eligibility verification. In addition,… more
    LA Care Health Plan (10/29/25)
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  • Representative II, Accounts Receivable

    Cardinal Health (Sacramento, CA)
    …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
    Cardinal Health (11/20/25)
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  • Accounts Receivable, Customer Service Operations

    Cardinal Health (Sacramento, CA)
    …is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following up on unpaid ... insurance providers + Researching and appealing denied and rejected claims + Preparing, reviewing, and transmitting claims ...- $32 per hour **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs… more
    Cardinal Health (11/11/25)
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  • Payment Integrity Nurse Coder RN III

    LA Care Health Plan (Los Angeles, CA)
    Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of California… more
    LA Care Health Plan (10/23/25)
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  • Medical Billing Specialist III/IV - Behavioral…

    Ventura County (Ventura, CA)
    Medical Billing Specialist III/IV - Behavioral Health Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5037514) Apply  Medical Billing Specialist ... III/IV - Behavioral Health Salary $52,216.65 - $73,565.49 Annually Location Ventura and...IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance… more
    Ventura County (11/26/25)
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  • Product Liability Litigation Adjuster

    CVS Health (Sacramento, CA)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...activities. + Utilizing legal skills to oversee and manage claims against CVS from the initiation of suit through… more
    CVS Health (11/14/25)
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  • Employee Health Nurse

    Dignity Health (Redwood City, CA)
    **Job Summary and Responsibilities** As an Employee Health Nurse, you will serve as a critical clinician, safeguarding the well-being of our dedicated staff and ... and intervention. Every day you will deliver comprehensive occupational health services, including complex pre-employment screenings, immunizations, acute injury… more
    Dignity Health (11/24/25)
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  • Behavioral Health Community Partnership…

    Elevance Health (Sacramento, CA)
    **Behavioral Health Community Partnership Manager** **(Behavioral Health Provider Quality Manager)** **Sign on Bonus: $2,500** **Candidates must posses a ... California.** **Schedule:** Pacific Standard Time A proud member of the Elevance Health family of companies, **Carelon Behavioral Health ** , formerly Beacon… more
    Elevance Health (10/04/25)
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