• Investigator

    Highmark Health (Sacramento, CA)
    …**EXPERIENCE** **Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + ... + Must have understanding of technical and financial aspects of the health insurance industry + Strong personal computer skills, along with the ability to use… more
    Highmark Health (08/15/25)
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  • Healthcare .NET Senior Application Developer…

    Highmark Health (Sacramento, CA)
    …issue resolution + Demonstrated leadership skills + Experience in Healthcare or Health Insurance Industry + Experience with technology platforms, application ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee … more
    Highmark Health (08/14/25)
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  • Business Process Analyst - HNAS

    Highmark Health (Sacramento, CA)
    …billing, customer service, etc.) **Preferred** + 1 - 3 years in the Health Insurance Industry **LICENSES OR CERTIFICATIONS** **Required** + None **Preferred** + ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee … more
    Highmark Health (06/17/25)
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  • Functional Product Analyst - Configuration…

    Highmark Health (Sacramento, CA)
    …+ 1 year with Lean/Six Sigma and/or Process Improvement + 1 year in the Health Insurance Industry + 1 year in the Healthcare Industry **LICENSES ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** If living...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
    Highmark Health (07/12/25)
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  • Lead Director, Project Program Management…

    CVS Health (Sacramento, CA)
    …executive leadership. **Preferred Qualifications** + Experience within managed care or the health insurance industry . + Background in Medicare, sales support, ... At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming … more
    CVS Health (08/28/25)
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  • Manager Physician Contracts

    Dignity Health (Redding, CA)
    …An Understanding of Medicare fee schedule and payment mechanisms used in the Health Care industry . + Demonstrated experience in processing and tracking financial ... data base management expertise in Excel, Access, and Dignity Health programs such as Lawson, ROAR and LION. +...70 years, Mercy Medical Center Redding has offered comprehensive health care in the North State, providing acute care… more
    Dignity Health (07/16/25)
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  • Customer Service Representative

    Agiliti Health (Burbank, CA)
    …+ Ability to multi- task, set priorities and manage time effectively. + Health care industry knowledge preferred. **Knowledge, Skills and Abilities** + Strong ... a robust suite of benefits for regular, full-time, non-union employees including: health insurance options for Medical, Dental & Vision plans, Short- and Long-Term… more
    Agiliti Health (07/03/25)
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  • Home Health Account Executive

    CenterWell (San Diego, CA)
    …(eg, nursing, pharmacy, etc.) or the equivalent plus a minimum of two years health care or related industry sales experience generally required. + Excellent ... part of our caring community and help us put health first** As a **Home Health Sales...part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry -leading benefits, and opportunities to grow yourself and your… more
    CenterWell (08/02/25)
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  • Sales Executive - Health Plan Vertical…

    NTT DATA North America (San Francisco, CA)
    …the **Managed Services/Professional Services** space and strong relationships in the ** Health Plan/Payer** industry . Additionally, a deep understanding of ... that matter most. We deliver tangible business results by combining deep industry expertise with applied innovations in digital, cloud and automation across a… more
    NTT DATA North America (08/20/25)
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  • Payment Integrity Nurse Coder RN III

    LA Care Health Plan (Los Angeles, CA)
    …and Medicaid rules and regulations. Knowledge of healthcare reimbursement concepts, health insurance business, industry terminology, and regulatory guidelines. ... (Mid.) - $163,492.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by...agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We… more
    LA Care Health Plan (08/23/25)
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