- Robert Half Office Team (San Pedro, CA)
- …in compliance with health insurance portability and accountability act ( HIPAA ) regulations. + Assist with administrative duties such as answering phones, ... referrals, pre-authorizations, and pre-certifications for patients. + Coordinate with healthcare providers, patients, and insurance companies to obtain authorizations… more
- Human Longevity, Inc. (San Diego, CA)
- … settings + Experience with Allscripts and/or Outlook + Familiarity with HIPAA compliance requirements Working Conditions + Open clinical environment + ... and electronic) + Uphold patient confidentiality and protect operations by following HIPAA practices + Provide other administrative support to the team as assigned… more
- reveleer (CA)
- …at least two measurable process experiments per quarter. + Ensure lightweight compliance checkpoints ( HIPAA , CMS deadlines) are embedded in release checklists; ... innovation and technology? We do, too. Reveleer is a healthcare software company serving health plans and care‑management organizations....partner with Security/ Compliance for audits as needed. Qualifications + 5+ years… more
- Humana (Sacramento, CA)
- …have comprehensive knowledge of processes, policies and procedures as well as compliance guidelines. Will support achieving operational and compliance key ... strong relationship-building and stakeholder engagement skills + Familiar with healthcare industry regulations or adjacent sectors **Preferred Qualifications** +… more
- Datavant (Sacramento, CA)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
- Dignity Health (Bakersfield, CA)
- …a strong command of contracting strategies, network development, and healthcare financial models, while building trusted relationships with IPA physicians, ... and presentation for Contacting Meetings. - Collaborates with Provider Relations, Compliance , and Health Plan Strategy to ensure aligned implementation. - Serves… more
- Humana (Sacramento, CA)
- …interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and ... experience, + working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc. + Internal Medicine, Family Practice,… more
- Humana (Sacramento, CA)
- …regarding the appropriateness and medical necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and ... experience + Working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc. **Work at Home Guidance** To ensure… more
- Cedars-Sinai (Los Angeles, CA)
- …The incumbent presents study information at research staff meeting. This position ensures compliance with all federal and local agencies including the Food and Drug ... in research participant condition, adverse events, concomitant medication use, protocol compliance , and response to study drug. + Schedules and participates in… more
- Cedars-Sinai (Los Angeles, CA)
- …The incumbent presents study information at research staff meeting. This position ensures compliance with all federal and local agencies including the Food and Drug ... in research participant condition, adverse events, concomitant medication use, protocol compliance , and response to study drug. + Schedules and participates in… more