• Collection Representative / Billing/Collections…

    Children's Hospital Los Angeles (Glendale, CA)
    …commercial and managed care payers. Familiarity with medical billing processes, insurance claims , and understanding of medical coding (such as ICD-10, ... High school diploma or equivalent. Certificate or degree in healthcare background preferred. **Pay Scale Information** $43,680.00-$65,062.00 CHLA values the… more
    Children's Hospital Los Angeles (09/16/25)
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  • Senior IS Program Manager

    Providence (CA)
    …Reporting + Revenue Cycle Management Expertise: Deep understanding of billing, coding , claims processing, denials management, and reimbursement methodologies + ... **Required qualifications:** + Bachelor's Degree in Project Management, Business, Healthcare Administration, Clinical Operations or Information Technology -OR- a… more
    Providence (10/08/25)
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  • Team Lead - Cash Posting & Credit Balances…

    Guidehouse (San Marcos, CA)
    …in the San Marcos, CA office and three days from home._** + **Strong Hospital Claims A/R, Cash Posting & Credit Balance skills** + Mentoring of fellow team members ... of relevant experience. + Relevant experience coming from the following, healthcare payor, provider, revenue cycle, business operations, or professional services… more
    Guidehouse (10/02/25)
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  • Senior Data Scientist

    Cardinal Health (Sacramento, CA)
    …of healthcare data, including clinical data, patient demographics, and claims data. Understanding of HIPAA and other relevant regulations, preferred. + ... Center of Excellence (AI CoE), we are pushing the boundaries of healthcare with cutting-edge Data Science and Artificial Intelligence (AI). Our mission is… more
    Cardinal Health (09/06/25)
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  • Case Manager, Registered Nurse

    Sutter Health (San Francisco, CA)
    …management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers ... RN Case Manager works in collaboration with the Physician, Medical Social Worker and bedside RN to assure the...of care, and observation status. + Some awareness of healthcare reimbursement systems: HMO, PPO, PPS,CMS preferred. + Post-acute… more
    Sutter Health (08/16/25)
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  • Investigator

    Highmark Health (Sacramento, CA)
    …(AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must ... to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for… more
    Highmark Health (09/10/25)
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  • Care Manager II, Acute (RN)

    Sutter Health (Oakland, CA)
    …management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers ... experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely progression and… more
    Sutter Health (09/30/25)
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  • Senior Informaticist

    CenterWell (Sacramento, CA)
    …CMS, PQA, HEDIS and NCQA. Applying those technical specifications to transactional claims to generate member level reporting for business owners. Developing study ... make an impact** **Required Qualifications** + Bachelor's degree in Mathematics, Statistics, Healthcare , Informatics, Computer Science or related field + 5 or more… more
    CenterWell (10/02/25)
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  • Team Lead Collections

    Cedars-Sinai (Los Angeles, CA)
    …Care Contracts required. *Minimum of 5 years of Experience with UB04 claim form, medical terminology and coding (ICD, CPT, HCPCS, bill types, diagnosis and ... 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded...Year. We provide an outstanding benefit package that includes healthcare , paid time off and a 403(b). Join us!… more
    Cedars-Sinai (07/30/25)
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  • Lead, US Field Access and Reimbursement - Retina…

    Astellas Pharma (South San Francisco, CA)
    …countries around the world. We are committed to turning innovative science into medical solutions that bring value and hope to patients and their families. Keeping ... our focus on addressing unmet medical needs and conducting our business with ethics and...Management, or Field Reimbursement. + Extensive experience with coverage, coding and reimbursement process for public and private payers,… more
    Astellas Pharma (09/13/25)
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