• Health & Benefits Lead Associate

    WTW (San Francisco, CA)
    …disability and time off benefits for large, complex clients, including: + Benefit plan analysis, design, cost savings and funding strategies + Vendor ... ongoing management of the full spectrum of health and benefit programs. You will serve...Duty, Military Leave, and Parental and Adoption leave) **Retirement Benefits ** : Contributory pension plan and Savings… more
    WTW (04/29/25)
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  • Pharmacy Benefits Plan Consulting…

    Deloitte (Fresno, CA)
    …offering and cost management solutions + Own the process of preparing benefits plan design and pricing studies + Implement competitive vendor search and ... Knowledge ( plan design and pricing) of other health & welfare benefit plans (eg, life,...Actuarial credentials. + In-depth experience with healthcare and pharmacy benefit management , including: + Experience performing vendor… more
    Deloitte (06/12/25)
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  • Pre-Service Utilization Management LVN

    Dignity Health (Bakersfield, CA)
    …competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability ... denial letter in a manner consistent with federal regulations, state regulations, health plan requirements and NCQA standards. - Constructs denial notices… more
    Dignity Health (05/15/25)
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  • Configuration Management Manager

    CVS Health (Sacramento, CA)
    …and deviations to support ClaimsXten and Cotiviti; and maintenance of each health plan 's service code, modifier, svccodemod exception list). Ad hoc ... for Medicaid health plans, handling coding questions for claims, contracts, benefits , and references files (CPT, ICD 10, Modifiers, ICD 10 Procedure Codes,… more
    CVS Health (06/01/25)
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  • Senior Analyst - Network Management - Work…

    CVS Health (Sacramento, CA)
    …relevant to the healthcare industry - Working experience in the Pharmacy Benefits Management (PBM) or related healthcare industry - Coaching/mentoring and ... be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan **… more
    CVS Health (05/25/25)
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  • Manager, Care Coordination (RN), Inpatient Case…

    Stanford Health Care (Palo Alto, CA)
    …Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** This role independently supervises a multidisciplinary team ... development for the Department of Social Work and Case Management . Additionally, this position serves as a resource for...is a key part of this role. **Locations** Stanford Health Care **What you will do** + Continuously assesses… more
    Stanford Health Care (04/16/25)
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  • Director, Inpatient System Care Management

    Alameda Health System (Oakland, CA)
    Health System offers outstanding benefits that include:** + 100% employer health plan for employees and their eligible dependents + Unique benefit ... and participants in internal and external meetings. + Oversees educational needs and plan for inpatient Care Management division. + Recruits, trains and coaches… more
    Alameda Health System (05/06/25)
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  • Certified Coding Supervisor - Health

    Ventura County (Ventura, CA)
    Certified Coding Supervisor - Health Information Management Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4892159) Apply  Certified Coding ... Supervisor - Health Information Management Salary $94,952.15 - $132,946.07...breastfeeding and related medical conditions), and sexual orientation. YOUR BENEFITS AS A COUNTY OF VENTURA EMPLOYEE MANAGEMENT more
    Ventura County (06/12/25)
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  • Technical Applications Manager II

    LA Care Health Plan (Los Angeles, CA)
    …$121,056.00 (Min.) - $160,400.00 (Mid.) - $199,742.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million members, we make sure our… more
    LA Care Health Plan (06/10/25)
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  • Medical Management Clinician Senior

    Elevance Health (CA)
    … Clinician Senior** is responsible for ensuring appropriate, consistent administration of plan benefits by reviewing clinical information and assessing medical ... reviews to higher level nurses and/or Medical Directors. + Educates members about plan benefits and physicians. + Does not issue medical necessity… more
    Elevance Health (06/06/25)
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