- Sutter Health (Santa Rosa, CA)
- …needed weekends (subject to change) ** ** Limited Term: 6 month Sutter Health contract with benefits ** **Job Description** : **EDUCATION:** _Equivalent ... We are so glad you are interested in joining Sutter Health ! **Organization:** SPMF-Sutter Pacific Medical Foundation - North **Position Overview:** Serves as the… more
- Sacramento County (Sacramento, CA)
- …services of mental health and substance abuse programs, including those of contract providers + Analyze and interpret laws and regulations governing ... nurses, support staff, and service providers under contract + Integrate the Division of Mental Health...Social Security and Sacramento County Employees' Retirement System coverage. HEALTH INSURANCE : The County offers a variety… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Care Management Support Assistant 3 assists in ensuring TRICARE beneficiaries receive the ... highest quality health care for Autism Spectrum Disorder (ASD) related services...to services; conduct non-clinical outreach to assist families with providers ; connect to support groups and other local activities… more
- ASM Global (Sutter, CA)
- …+ Coordinate single source management for key opportunities of multi-market providers - small equipment, office, rentals, etc. + Assist new account set-up. ... Leader that will work with location finance department to communicate and adhere contract agreements of pay terms, minimums, additional charges, etc. + Reviewer of… more
- UCLA Health (Los Angeles, CA)
- …following up on claims to ensure timely resolution. + Communicate with insurance providers , patients, and internal departments to gather necessary information ... & Safety Codes, etc., Familiarity with medical terminology, CPT codes, HCPCS codes, health networks, IPAs, HMOs, PPOs, PCPs, and contract affiliations +… more
- Robert Half Office Team (Palm Springs, CA)
- …/temporary professionals, including medical, vision, dental, and life and disability insurance . Hired contract /temporary professionals are also eligible to ... facilitate the initial credentialing and recredentialing process for healthcare providers participating in managed care networks. Verify licenses, certifications,… more
- The Cigna Group (Los Angeles, CA)
- …service, capitation, and other value-based reimbursements with hospitals and other providers (eg, Hospital systems, Ancillaries, and large physician groups). + ... financial impact of larger or complex provider contracts and alternate contract terms. + Creates healthcare provider agreements that meet internal operational… more
- Humana (Sacramento, CA)
- …and/or other provider contracts and agreements for an organization that provides health insurance . The Provider Contracting Professional 2 work assignments are ... communicates contract terms, payment structures, and reimbursement rates to providers . Maintains contracts and documentation within a tracking system. May assist… more
- Merck (Sacramento, CA)
- …for a variety of customers within their assigned geography. These customers may include health care providers such as physicians, nurses, pharmacists as well as ... operational and financial needs such as reimbursement information and contract adherence in an effort to help the provider...to:** + Engaging in balanced product sales presentations with Health Care Providers and Health … more
- Centene Corporation (Sacramento, CA)
- …per year Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid ... and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. Participate in...providers and act as a liaison between the providers and the health plan ensuring a… more