- CVS Health (Sacramento, CA)
- …5 years of leadership experience + A minimum 3 years of experience in a Healthcare Program Integrity , Medicaid Special Investigation or Medicaid / Medicare / ... Ensures compliance with contractual requirements. Coordinates and collaborates with program integrity staff, compliance, and senior leadership. Contributes… more
- Molina Healthcare (San Jose, CA)
- …and responsibility for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts. This role executes and monitors Health Plan ... a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of healthcare … more
- Sharp HealthCare (San Diego, CA)
- …record in accordance with requirements of the employer DMV pull notice program and Sharp HealthCare Driver Guidelines. **Essential Functions** + Analyzes, ... To be the operational subject matter expert on all charge integrity solutions, support charge description master maintenance efforts, coordinate revenue enhancement… more
- LA Care Health Plan (Los Angeles, CA)
- Registered Nurse - Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: ... the safety net required to achieve that purpose. Job Summary The Payment Integrity Nurse Coder RN III is responsible for investigating, reviewing, and providing… more
- DoorDash (San Francisco, CA)
- About the Team Our Trust & Safety, Integrity and Fraud Product team is dedicated to ensuring a safe and trusted experience for all customers across our platform, ... in the tech industry + 3 or more years of experience across Integrity /Trust & Safety/Fraud + Experience defining strategic vision and tactical execution in a… more
- UCLA Health (Los Angeles, CA)
- Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and ... (II), and HCPCS coding systems required + Knowledge of Medicare Advantage STARS/HEDIS program and NCQA technical specifications, required + Six or more years of… more
- Sutter Health (San Francisco, CA)
- …clinical reviews on cases referred by UM/CM staff and or other healthcare professionals to meet regulatory requirements in accordance with the hospital objectives ... levels of care, and observation status. + Some awareness of healthcare reimbursement systems: Health Maintenance Organization (HMO), Preferred Provider Organization… more
- HCA Healthcare (Campbell, CA)
- …the range. **Introduction** Are you passionate about the patient experience? At HCA Healthcare , we are committed to caring for patients with purpose and integrity ... your career as a Senior Accountant today with HCA Healthcare . **Benefits** HCA Healthcare , offers a total...student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program … more
- Allied Universal (Mountain View, CA)
- …perks, and more for most full-time positions! As a **Security Professional - Healthcare Site** in **Mountain View, CA** , you will serve and safeguard clients ... in a range of industries such as Healthcare and more . Join a leading team where...positive impact every day by supporting a collaborative and integrity -driven workplace. If you are passionate about helping others… more
- CBRE (Sacramento, CA)
- Sr. Healthcare Occupancy Planner Job ID 229644 Posted 23-Jul-2025 Service line Advisory Segment Role type Full-time Areas of Interest Consulting Location(s) Remote - ... - United States of America **About The Role:** As a CBRE Sr. Healthcare Occupancy Planner, you will provide specialized clinical planning support for healthcare… more