- CVS Health (Patterson, 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 ...supporting business operations. This position reports to the IQC Manager and collaborates across the supply chain network to… more
- Highmark Health (Sacramento, CA)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... the Standards of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines. Assures compliance… more
- Prime Therapeutics (San Diego, CA)
- …pharmacy audits and is responsible for the selection and auditing of claims , educating Prime's network pharmacies and driving contract compliance, and supporting ... history, and/or referrals, and submit recommended audit plan to manager for approval; finalize onsite audit plans and schedule...to Prime's travel and expense policy + Analyze pharmacy claims to identify those at the highest risk for… more
- UCLA Health (Los Angeles, CA)
- …"home office" location. Each employee must complete a FlexWork Agreement with their manager which will outline arrangement parameters and aids both parties in fully ... $113,000 annually. Qualifications + Bachelor's Degree in Business Administration, Information Systems, Health Care or other related field required + Minimum of five… more
- Medtronic (Irvine, CA)
- …of US and International promotional labeling material, including the creation of a claims matrix database and claims objects. + Lead AI/ML adoption in ... content and claims management to support automation and enhance process efficiency....computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions… more
- UCLA Health (Los Angeles, CA)
- …Medicine is seeking applicants for a Staff position as a Health Sciences Attending Physician for an innovative and comprehensive interventional community ... regularly to the Medical Director and collaborate closely with the Clinic Manager , Executive Team, and Patient Access Team. + Maintain ongoing professional… more
- Magellan Health Services (San Diego, CA)
- …services as necessary. + May also be certified by DMDC as Site Security Manager (SSM) with responsibility for the safekeeping, storing, and accountability of the CAC ... in one of the following disciplines: Military Pay, Military Personnel, Travel Claims or Navy Transportation. Substitutions for HR background can be from similar… more
- Sedgwick (Sacramento, CA)
- …of accounting department or special projects as assigned by the Finance Manager or Director. + Process account collections/receivables. + Reconcile claims ... PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. The statements… more
- Evolent (Sacramento, CA)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...The IQA reports to a associate director or a manager . One or many IQAs may be engaged in… more
- Walgreens (Woodland, CA)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more