• Behavioral Health Finance Analyst I/II/Senior

    Ventura County (Ventura, CA)
    …includes a scheduled floating holiday. + Additional Benefits: Tuition Reimbursement , Disability Plans, Employee Assistance Program, LIfe Insurance, Wellness Program. ... as an accountant, auditor, analyst, or equivalent which involved healthcare (hospital, behavioral health, and/or ambulatory care) accounting program analysis… more
    Ventura County (08/07/25)
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  • Charge Master Analyst

    Scripps Health (San Diego, CA)
    …to result in maximum reimbursement while following applicable billing reimbursement regulations. Reviews Medicare intermediary and other third-party payor ... Health team and work alongside passionate caregivers and provide patient-centered healthcare . Receive endless appreciation while you build a rewarding career with… more
    Scripps Health (06/13/25)
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  • Manager, Fraud and Waste * Special Investigations…

    Humana (Sacramento, CA)
    …Qualifications** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with Fraud, Waste, and Abuse ... continuously improving consumer experiences **Preferred Qualifications** + Proven knowledge in Medicare and Medicaid regulations + Certifications (BA, MBA, JD, MSN,… more
    Humana (09/05/25)
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  • Utilization Review Nurse Supervisor I

    The County of Los Angeles (Los Angeles, CA)
    …representative to orient new staff to Federal laws and regulations pertaining to Medicare and Medi-Cal reimbursement . + Analyzes cases for referral to the ... of Health Services (DHS) is more than just a healthcare provider - we're a cornerstone of our community's...person to subordinate staff concerning Federal regulations pertaining to Medicare and Medi-Cal reimbursement , aspects of medical… more
    The County of Los Angeles (08/18/25)
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  • Director, US Market Access Marketing

    Pfizer (South San Francisco, CA)
    …medical and pharmacy benefit products + Knowledge of key marketplace dynamics and healthcare trends (Inflation Reduction Act's impact on Medicare , 340B dynamics, ... makers and ensure optimal access. The access marketer will advocate for reimbursement and policy approaches that support Brand uptake and performance. The US… more
    Pfizer (08/31/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (CA)
    …Demonstrates extensive knowledge of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group ... to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of… more
    Banner Health (09/06/25)
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  • Medical Collector

    TEKsystems (San Bernardino, CA)
    …and denials Audit collections and review aging reports Skills collector, healthcare , medical, commercial, insurance, medicare , advantage, medical collections, ... insurance billing, medical billing and coding Top Skills Details collector, healthcare , medical, commercial, insurance, medicare , advantage Additional Skills &… more
    TEKsystems (09/04/25)
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  • Vice President - Mid-Revenue Cycle

    Stanford Health Care (Palo Alto, CA)
    …with federal and state laws pertaining to the revenue capture and reimbursement . + Directs and coordinates communication with Technology and Digital Solutions to ... or university. **Experience Qualifications** + Fifteen (15) years of progressively healthcare revenue cycle management. + Ten (10) years leading middle/upper-level… more
    Stanford Health Care (08/17/25)
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  • Utilization Review Nurse Supervisor II

    The County of Los Angeles (Los Angeles, CA)
    …to orient new staff to Federal laws and regulations pertaining to Medicare and Medi-Cal reimbursement . + Confers with physicians, administrative personnel, ... criteria, and for certification of approved hospital days reimbursable under the Medicare and MediCal programs. Essential Job Functions + Plans, develops, and… more
    The County of Los Angeles (06/28/25)
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  • Senior Manager of Strategic Pricing

    Abbott (Alameda, CA)
    …degree relevant to the position is preferred (Economics, Accounting, Finance or Healthcare management) + Backgrounds in reimbursement , payer strategy, PBM ... 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 … more
    Abbott (06/24/25)
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