• Sr Analyst, Specialty Performance Analytics

    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...+ 1-2 years performing analyses in one or more coding language (SAS, R, Python) - Required + 1-2… more
    Evolent (05/22/25)
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  • Medical Director - Medicaid N. Central

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical ... duties include, but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy), and… more
    Humana (05/14/25)
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  • Medical Director - Mid West Region

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
    Humana (05/14/25)
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  • Investigator External Audit Special Investigations…

    Providence (CA)
    …experience. + 5 years - Coding experience with a healthcare provider, facility or health insurance company. + 2 years - Fraud and Abuse audit experience in a ... the compliance related activities of the Special Investigations Unit (SIU) at the Health Plan. This role assists the External Audit Senior Manager with developing,… more
    Providence (05/08/25)
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  • Medical Director - Care Plus - Florida

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
    Humana (04/24/25)
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  • Accounting Technician II (Community Programs)

    The County of Los Angeles (Los Angeles, CA)
    …Angeles County, CA Job Type Full time Job Number Y0643A-EA Department HEALTH SERVICES Opening Date 04/15/2025 + Description + Benefits + Questions Position/Program ... in the mission of addressing issues like housing, mental health , and substance use. If you are looking for...work such as posting to ledgers, journals and registers; coding documents; preparing deposits; and reconciling differences incidental to… more
    The County of Los Angeles (04/16/25)
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  • Data Entry Operator III - Patient Accounting

    Ventura County (Ventura, CA)
    …Ventura, CA Job Type Full-Time Regular Job Number 0493HCA-25AA (VM) Department Health Care Agency Division HCA Administration Opening Date 05/20/2025 Closing Date ... PM Pacific + Description + Benefits + Questions Description THE AGENCY: The Health Care Agency is a comprehensive healthcare system serving our diverse community… more
    Ventura County (05/21/25)
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  • Patient Services Coordinator-LVN

    CenterWell (San Diego, CA)
    **Become a part of our caring community and help us put health first** The **Patient Services Coordinator-LVN** is directly responsible for scheduling visits and ... practices + Have at least 1 year of home health experience. + Prior packet review / QI experience...+ Prior packet review / QI experience preferred. + Coding certification is preferred. + Must possess a valid… more
    CenterWell (05/14/25)
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  • Senior Medical Office Representative

    Providence (Pacific Palisades, CA)
    …the front office in an efficient and professional manner, the accurate coding of services rendered, over the counter cash management, verifying and communicating ... and high quality standards are maintained for the patient across the health care continuum. Providence caregivers are not simply valued - they're invaluable.… more
    Providence (04/10/25)
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  • Access Service Representative - Patient Access…

    Sharp HealthCare (La Mesa, CA)
    …and evaluationInsurance/Plan Selection:After medical screening (ER settings), obtain health benefit coverage including possible accident related coverage. Input ... insurance eligibility electronically (eg MPV, Experian) when applicable. Validate health benefit coverage including possible accident related coverage.Validate and… more
    Sharp HealthCare (05/23/25)
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