- CVS Health (Sacramento, CA)
- …2 years or more previous experience with medical record review within a healthcare insurance company. - Prior special investigation unit experience. - Excellent ... Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical,… more
- Ankura (Los Angeles, CA)
- …to understand client needs and develop project work plans accordingly + Understands Healthcare Compliance concepts, issues, and how to research and access ... Health Care team is a recognized leader in health care disputes, compliance , and investigations . We combine unparalleled clinical, technical, and operational… more
- CVS Health (Sacramento, CA)
- …(CPC) Manager will oversee a team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding practices through comprehensive ... record reviews for medical, behavioral, transportation, and other healthcare providers. The CPC Manager will be responsible for guiding the team in determining… more
- J&J Family of Companies (Irvine, CA)
- …Company programs, policies and procedures (eg pricing models, expense reporting, compensation, healthcare compliance , etc.). + Maintain a deep understanding of ... At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented,… more
- J&J Family of Companies (Santa Clara, CA)
- At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, ... uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow,...of Companies, is recruiting for Head of Quality and Compliance (Q&C) Leader for our Monarch platform. This role… more
- BD (Becton, Dickinson and Company) (Irvine, CA)
- …**Key Responsibilities:** + Assess complaint information provided and conduct additional investigation as needed and escalate as appropriate + Seek information and ... from Product Safety, Engineering and other departments/business units for complaint investigations + Evaluate complaints for Medical Device Reporting (MDR) + Prepare… more
- Abbott (Alameda, CA)
- …the need to pursue further investigation vs. bring closure to an investigation . + Complaints investigations are a primary focus of corporate and FDA ... Abbott is a global healthcare leader that helps people live more fully...investigate product returned by ADC customers in the Complaints Investigation Lab. The Sr. Specialist Quality Assurance is expected… more
- Datavant (Sacramento, CA)
- …policy governance, development of compliance monitoring and auditing, and compliance investigations . + Demonstrated ability to work independently and manage ... bold vision for healthcare . **Role Summary:** Datavant is seeking a Senior Compliance Analyst to join our dynamic Enterprise Compliance team. In this role,… more
- Providence (Irvine, CA)
- …and compliance . **What You'll Do** + Advise business clients on compliance with key healthcare regulations, including Stark Law, Anti-Kickback Statute, False ... Are you a legal expert with a passion for healthcare and a strategic vision for the future? Join...+ Provide legal guidance to Providence's Integrity, Audit, and Compliance Services Department, aiding internal investigations . +… more
- GE HealthCare (CA)
- …customer support, candidate needs to reside in the Sacramento, CA, area. GE HealthCare is a leading global medical technology and digital solutions innovator. Our ... purpose is to create a world where healthcare has no limits. Unlock your ambition, turn ideas... Molecular Imaging scientists. + Assisting with customer complaints, investigations , and ultimately offer product solutions. + Developing (clinical)… more