- Humana (Sacramento, CA)
- …service should be authorized. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which may include national clinical ... medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements,… more
- Humana (Sacramento, CA)
- …service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national ... provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, state and… more
- Humana (Sacramento, CA)
- …a **Licensed, Masters level, Social Worker** who functions as a Support Social Services associate (Support SS) in our Special Needs Plan (SNP) program and serves as ... in the member's record is required to ensure CMS compliance , and accurately reflect work with members, providers, and...experience working as a social worker in a medical healthcare setting + Proficient in Microsoft applications including Word,… more
- Humana (Sacramento, CA)
- …shaping architectural strategy and integrating advanced technologies across various healthcare sectors. The role involves strategic planning, application portfolio ... and driving the integration of cutting-edge technologies across our diverse healthcare sectors, including Primary Care, Home Health, Pharmacy, and Integrated Health.… more
- Humana (Sacramento, CA)
- …for effective risk management and measurement. Join us in shaping the future of healthcare through AI excellence. We are seeking a Lead Data Scientist to guide the ... Our goal is to create safe AI solutions that will revolutionize and improve healthcare experience and outcomes for our customers. Join our rapidly expanding team of… more
- Abbott (Sacramento, 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...The ICE specialist will also gather customer feedback, ensuring compliance with regulatory guidelines, and contributing to the improvement… more
- Cedars-Sinai (Beverly Hills, CA)
- …ensure program implementation, training, proper use of the program resource, and/or compliance with state, federal, and other regulatory bodies. May supervise staff ... with regard to service excellence and develops human capital. Reports to an Associate Director or the Executive Director, depending on the scope and objectives of… more
- IQVIA (Carlsbad, CA)
- Job Overview: Join our dynamic team as a Clinical Research Associate ! You'll play a pivotal role in monitoring and managing clinical trial sites to ensure ... compliance with study protocols, regulations, and sponsor requirements. Be...degree required; a degree in a scientific discipline or healthcare is preferred. Experience: 3+ years of on site… more
- Cedars-Sinai (Beverly Hills, CA)
- …the field. Whether pursuing a future in clinical research, laboratory science, or healthcare , this experience can serve as an excellent stepping stone for long-term ... professional growth. Working under direct supervision, the Research Associate II performs routine and increasingly complex laboratory tasks and procedures and… more
- Humana (Sacramento, CA)
- …relationships with corporate and market teams, including IT, Quality Operations and Compliance , and Risk Adjustment, as well as vended partners. The Senior HEDIS ... trends, data scenarios, and opportunities for improved member health and measure compliance + Internal and external partnerships to coordinate, guide, direct and… more