• Utilization Management Nurse Consultant

    CVS Health (Sacramento, CA)
    …11:30am EST.** American Health Holding, Inc. (AHH), a division of Aetna/CVS Health , is a URAC-accredited medical management organization founded in 1993. We ... 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 (08/31/25)
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  • Portfolio Delivery Program Manager III

    LA Care Health Plan (Los Angeles, CA)
    …$121,000.00 (Min.) - $150,000.00 (Mid.) - $180,000.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million...Experience Required: At least 6-8 years of relevant Program Management , Health Care Administration, Research OR Clinical… more
    LA Care Health Plan (07/11/25)
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  • Utilization Management Nurse Consultant…

    CVS Health (Sacramento, CA)
    …be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan ** ... At CVS Health , we're building a world of health...management programs, confidential counseling and financial coaching. + ** Benefit solutions that address the different needs and preferences… more
    CVS Health (08/31/25)
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  • Utilization Management Representative I

    Elevance Health (Walnut Creek, CA)
    …$27.97 **Locations** : California and New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, ... **Utilization Management Representative I** **Location:** Virtual: This role enables...agreement), medical, dental, vision, short and long term disability benefits , 401(k) +match, stock purchase plan , life… more
    Elevance Health (08/20/25)
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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 (08/08/25)
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  • Manager, Customer Solution Center Appeals…

    LA Care Health Plan (Los Angeles, CA)
    …$88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (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 (07/08/25)
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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 (08/08/25)
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  • Senior Analyst, Account Management

    CVS Health (Sacramento, CA)
    …be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan ** ... At CVS Health , we're building a world of health...management programs, confidential counseling and financial coaching. + ** Benefit solutions that address the different needs and preferences… more
    CVS Health (08/27/25)
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  • Payment Integrity Program Manager - Health

    Molina Healthcare (San Diego, CA)
    …subject matter expertise and responsibility for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts. This role executes ... and monitors Health Plan Scorable Action Items (SAIs) to...(CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience. + Familiarity with Medicaid-specific Scorable Action Items… more
    Molina Healthcare (08/08/25)
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  • Senior Advisor, System Administrator, Revenue…

    Cardinal Health (Sacramento, CA)
    …code management , the upkeep of the ICD-10 diagnosis directory, and insurance plan management . The specialist will maintain the directory of locations and ... Use analytics to identify areas for improvement in insurance plan management and overall revenue cycle efficiency...range:** $86,400.00 - $111,060.00 USD Annual **Bonus eligible:** No ** Benefits :** Cardinal Health offers a wide variety… more
    Cardinal Health (08/08/25)
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