• Supervisor, Charge Edit and Audit

    Sutter Health (Sacramento, CA)
    …of medical and billing terminology, common procedure terminology, diagnosis codes, healthcare common procedure coding system, and revenue codes. + Knowledge of ... government and/or commercial payer requirements. + Knowledge of Federal, State, and Local regulatory publications and how to access. + Knowledge of Outpatient National Correct Coding Edits. + Demonstrated ability to review a health record and determine… more
    Sutter Health (05/31/25)
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  • UM LVN Delegation Oversight Nurse Remote based…

    Molina Healthcare (Oakland, CA)
    …The Delegation Oversight Nurse is responsible for ensuring that Molina Healthcare 's UM delegates are compliant all applicable State, CMS, and NCQA ... requirements, as well as Molina Healthcare business needs. In addition, the Delegation Oversight Nurse...federal, NCQA, and any other applicable requirements. + Distributes audit results letters, follow up letters, audit more
    Molina Healthcare (07/09/25)
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  • Senior Accountant

    HCA Healthcare (Campbell, CA)
    …the range. **Introduction** Are you passionate about the patient experience? At HCA Healthcare , we are committed to caring for patients with purpose and integrity. ... like family! Jump-start your career as a Senior Accountant today with HCA Healthcare . **Benefits** HCA Healthcare , offers a total rewards package that supports… more
    HCA Healthcare (07/25/25)
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  • Corporate Payroll Analyst

    Prime Healthcare (Ontario, CA)
    Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 ... health systems with nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a… more
    Prime Healthcare (06/06/25)
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  • Corporate Senior Government Reimbursement…

    Prime Healthcare (Ontario, CA)
    Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 ... nearly 50,000 employees and physicians. Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare...a multi-state hospital system and provide the support at audit + Knowledge of Medicare rules on Medicare DSH,… more
    Prime Healthcare (06/18/25)
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  • Healthcare Quality Analyst - Population…

    Tiburcio Vasquez Health Center (Hayward, CA)
    The Healthcare Quality Analyst - Population Health plays a key role in driving improvements in patient outcomes, quality performance, and operational effectiveness ... This position is responsible for collecting, analyzing, and interpreting healthcare data, while collaborating with cross-functional teams to implement quality… more
    Tiburcio Vasquez Health Center (07/11/25)
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  • Medical Biller - Healthcare Claims

    Guidehouse (San Marcos, CA)
    …to perform all areas of initial billing, secondary billing, and payer audit follow-up for government and non-government claims. Must work with other departments ... or insurance information. + Works all rejection and payer audit reports within 48 hours of receipt taking whatever...GED. + 0-2+ years working within the following sectors: healthcare , insurance, business, finance or customer service. + Working… more
    Guidehouse (08/09/25)
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  • Healthcare Relationship Manager

    Umpqua Bank (San Jose, CA)
    Healthcare Relationship Manager Wealth Management San Jose, California **Description** **About Us:** At Umpqua, we create a great place to work by offering a unique ... people. Together for business. Together for better. **About the Role:** A Healthcare Relationship Manager develops, advises, manages, and retains Healthcare and… more
    Umpqua Bank (06/24/25)
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  • Assistant Chief Financial Officer

    HCA Healthcare (San Jose, CA)
    …is hired below midpoint of the range. **Introduction** Executives thrive with us! HCA Healthcare is one of the nation's leading providers of healthcare services, ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...+ Minimum of three years in finance/accounting or public accounting/ audit experience + Experience as a hospital Controller preferred… more
    HCA Healthcare (06/21/25)
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  • Vice President of Health Plan Operations…

    Prime Healthcare (Ontario, CA)
    …to improve the quality and minimize process cost of Claims for all Prime Healthcare 's self-insured Employee Health Plans. Through in-depth audit and review of ... Overview Prime Healthcare is an award-winning health system headquartered in...an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360… more
    Prime Healthcare (05/13/25)
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