- Elevance Health (Los Angeles, CA)
- …executing health services research studies in order to identify and solve pressing healthcare issues as part of Elevance Health's Public Policy Institute. **How you ... of statistical results. + Analyze health care data, including claims , clinical data, national survey data, and other large...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Evolent (Sacramento, CA)
- …Be Doing:** Job Description **Analyst, Integration Quality** Integration testing in the healthcare ecosystem requires complete end to end testing in the specialty ... work experience + General knowledge of data flow and healthcare end to end system landscape + Good knowledge...Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1… more
- Walgreens (Berkeley, CA)
- …the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Robert Half Accountemps (Encinitas, CA)
- Description An outstanding company that we are partnering with in the healthcare industry in Encinitas, CA is looking for a Billing Coordinator who can bring ... importance of clear communication and timely billing in a healthcare setting. What You'll Be Doing: + Prepare and...+ Prepare and submit patient billing statements and insurance claims . + Verify insurance coverage and ensure proper coding… more
- Humana (Sacramento, CA)
- …an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing and ... researching medical claims + Proficient in Microsoft Office (Word, Excel, Access,...strong relationship-building and stakeholder engagement skills + Familiar with healthcare industry regulations or adjacent sectors **Preferred Qualifications** +… more
- Walgreens (San Bruno, CA)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Providence (Irvine, CA)
- …with key healthcare regulations, including Stark Law, Anti-Kickback Statute, False Claims Act, Medicare and Medicaid billing rules, HIPAA and EMTALA. + Draft and ... Are you a legal expert with a passion for healthcare and a strategic vision for the future? Join...Corporate Counsel and become a key player in shaping healthcare delivery across our dynamic organization. **The Role** As… more
- Medtronic (CA)
- …can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down ... Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through… more
- Walgreens (San Jose, CA)
- …usage of medications, awareness with drug interactions and offering preventive healthcare services such as immunizations. Responsible for ensuring the proper ... Supports efforts on enhancing customer experience by increasing focus on healthcare services (eg patient consultation, medication management, drug therapy reviews,… more
- Humana (Sacramento, CA)
- …for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must be able to work core business hours on EST time between ... of compliance risk across the organization. This team ensures that healthcare providers align their operational practices with legal requirements while fostering… more