- CenterWell (Sacramento, CA)
- …using query tools and reporting platforms. + Ensure compliance with healthcare regulations and internal standards. + Contribute to continuous improvement efforts ... years of business systems analysis or technical experience in healthcare . + Working knowledge of EMR systems (preferably athenahealth)...day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Sacramento, CA)
- …medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, ... management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management… more
- Humana (Sacramento, CA)
- …is seeking an experienced team member with meaningful strategy consulting or healthcare strategy experience to join this team. As Strategy Advancement Advisor, you ... or graduate degree in a management field + Prior healthcare industry experience, preferably in the managed care or...at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Sacramento, CA)
- …R&D efforts to advance innovative, high-impact, and ethically-grounded AI solutions in healthcare . + Design and implement processes, tools, and frameworks for the ... to non-technical stakeholders. **Preferred Qualifications** + Prior experience working in healthcare , health tech, or highly regulated industries. + Record of… more
- Humana (Sacramento, CA)
- …and change management skills to balance an evolving set of priorities and deadlines. Healthcare experience is a plus, but not required, though must have a history of ... financial concepts clearly to non-financial stakeholders. **Preferred Qualifications** + Healthcare industry experience, preferably in the managed care or provider… more
- Humana (Sacramento, CA)
- …+ 5+ years' experience in SDLC (software development life cycle) within Healthcare Product solutions, or other equivalent experience + Experience or understanding of ... knowledge to view / read data sets. + Experience with Healthcare Interoperability, Electronic Medical Records, and/or Electronic Notifications. + Familiarity with… more
- Humana (Sacramento, CA)
- …medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, ... and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance… more
- CenterWell (Sacramento, CA)
- …customer empathy, and a proven ability to create measurable value in highly matrixed healthcare settings. You will serve as the voice of the customer, working across ... A minimum of five years of product management or healthcare technology experience, with significant responsibility for clinical or...day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Sacramento, CA)
- …and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance ... experience, working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc. + Internal Medicine, Family Practice,… more
- Humana (Sacramento, CA)
- …medical interpretation and determinations whether services provided by other healthcare professionals are concordant with national guidelines, CMS requirements, ... organizations, hospitals/ Integrated Delivery Systems, health insurance, or other healthcare providers. + Utilization management experience in a medical management… more