- Walgreens (Ridgecrest, CA)
- …using the pharmacy. Enhances customer experience by increasing focus on healthcare services. **Operations** + Responsible for assisting pharmacist in the delivery ... allowed by law). Under the supervision of a pharmacist assists with healthcare service offerings including administering vaccines, health screenings, and any health… more
- Humana (Sacramento, CA)
- …on beneficiary needs; assists with beneficiary related issues which may include claims inquiries, enrollment issues, travel attestations, access to care, wait lists, ... not able to hire candidates that are currently living in Puerto Rico.** + Healthcare professional with a minimum of a Bachelor's degree in social work, psychology… more
- Humana (Sacramento, CA)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance… more
- Cedars-Sinai (Los Angeles, CA)
- …performing duties which may include reviewing and submitting multi-specialty claims to third party payors, performing account follow-up activities, updating ... demeanor. **About Us** Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care, specialized medicine and research. Since 1902,… more
- Dignity Health (Long Beach, CA)
- …team requests and collaborate with other key stakeholders to implement learnings from claims . You will also spearhead the the coordination of all legal documents ... Knowledge of the risks faced by patients in a healthcare environment, and the ability to take steps to...related activities. + Knowledge of federal, state and local healthcare related laws and regulations; ability to comply with… more
- Robert Half Office Team (Long Beach, CA)
- …The Medical Insurance Verifier role is integral to helping patients access healthcare services by assisting them with financial options and verifying their ... screenings to determine patient eligibility for Medi-Cal, PPO, HMO and other healthcare programs. * Guide patients through the application process for HMO, PPO,… more
- Evolent (Sacramento, CA)
- …care organizations across the country to improve patient outcomes and reduce avoidable healthcare costs. We are a lean, nimble, fast-paced team looking for dedicated ... team members with a passion for improving healthcare . **Collaboration Opportunities:** Our Risk Adjustment coding support team offers candidates the opportunity to… more
- Dignity Health (Rancho Cordova, CA)
- **Responsibilities** The Enrollment Supervisor reports to the Director of Claims Management. In this role, they oversee the eligibility department and are ... 3 years of managed care enrollment experience + 3 years of healthcare senior-level/ advanced eligibility, enrollment processes experience + 3 years' experience… more
- The Cigna Group (Los Angeles, CA)
- …of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales ... or complex provider contracts and alternate contract terms. + Creates healthcare provider agreements that meet internal operational standards and external provider… more
- Abbott (Pleasanton, CA)
- Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of ... healthcare , with leading businesses and products in diagnostics, medical...programs, for example, fraud and abuse (Anti-Kickback Statute, False Claims Act, Civil Monetary Penalties Law, Stark, Beneficiary Inducement… more