- 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 ... **Calling All Strategic Advisors!** Are you a legal expert with a passion for healthcare and a strategic vision for the future? Join Providence St. Joseph Health as… more
- Cardinal Health (Sacramento, CA)
- …legal advice and services in order to protect the organization's assets, operations and image. This function provides legal counsel related to commercial, corporate ... all company legal matters, manages outside counsel and manages legal operations . Legal Management provides strategic oversight, leadership and direction within the… more
- Walgreens (Arleta, CA)
- …until satisfied, etc.). + Develops strong relationships with most valuable customers. ** Operations ** + Under the supervision by the pharmacist, assist in the ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (Poway, 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
- TEKsystems (Martinez, CA)
- …with a major in Computer Science, Medical Informatics, Healthcare Administration, Health Sciences, Business Administration, Public Administration, Engineering, ... Health information systems application, health information exchanges and standard healthcare message formats Health care financial and data reporting requirements… more
- Walgreens (San Francisco, CA)
- …until satisfied, etc.). + Develops strong relationships with most valuable customers. ** Operations ** + Under the supervision by the pharmacist, assist in the ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Humana (Sacramento, CA)
- …first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data Management Professional work assignments are varied ... Qualifications** + 1 - 5 years or more of claims processing experience + Minimum of 1 year experience...**Preferred Qualifications** + Bachelor's degree in business, Finance, Accounting, Operations or other related fields + X12 experience +… more
- UNUM (Sacramento, CA)
- …Rehabilitation. This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The ... and internal workflow standards as set forth in the Benefits Center Claims Manual, underwriting manual, and associated documentation. The incumbent adheres to… more
- Gilead Sciences, Inc. (Foster City, CA)
- …programs in the United States. This role sits within the Global Compliance Operations team and reports directly to the Senior Director, Global Head of Ethics ... training programs support compliance with applicable laws (eg, Anti-Kickback Statute, False Claims Act), industry codes (eg, PhRMA), and internal policies. + Lead… 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