- Elevance Health (Los Angeles, CA)
- …workplace. Alternate locations may be considered. Please note that, per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from ... include improving patient care outcomes, enhancing service delivery, and ensuring regulatory compliance. Functions that this role oversees include case management,… more
- Banner Health (CA)
- …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 ... as appropriate. Ensures ethical and accurate coding in accordance with all regulatory requirements and AHIMA Standards of Ethical Coding. CORE FUNCTIONS 1. Analyzes… more
- Stanford Health Care (Palo Alto, CA)
- …Working With: In this role, you'll oversee a dynamic team of healthcare professionals, including Staff RNs, Patient Care Coordinators (PCCs), and Advanced Practice ... who provides unit leadership and works in partnership with nursing, the healthcare team, hospital/system leaders to develop a quality practice setting that support… more
- Humana (Sacramento, CA)
- …with Medicare and Humana policy . All work occurs within a context of regulatory compliance and work is assisted by diverse resources, included but not limited to ... value based care in accordance with Medicare and Humana policy . The Medical Director will collaborate with clinicians and...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- Humana (Sacramento, CA)
- …integrity, and compliance with security and privacy regulations, particularly in healthcare or cybersecurity contexts. + Collaborate with data scientists, analysts, ... Familiarity with CI/CD pipelines, DevOps, and deployment automation. + Knowledge of regulatory requirements such as HIPAA, HITECH, or NIST frameworks. + Exposure to… 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
- Humana (Sacramento, CA)
- …help us put health first** The Senior Professional collaborates with healthcare professionals, pharmacists, and other business functions to implement formulary and ... assignments. The Senior Formulary Operations Management Professional collaborates with healthcare professionals, pharmacists, and other business functions to implement… more
- Boehringer Ingelheim (Palm Springs, CA)
- …PCP/Endo Business Specialist will conduct their business with key targeted healthcare providers and community hospitals, and may have additional responsibilities in ... facilitate the customer decision making process. Coordinates the engagement of healthcare providers through a range of personal and non-personal channels, according… more
- Datavant (Sacramento, CA)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
- Cedars-Sinai (CA)
- …Description** Cedars-Sinai is a national leader in providing high-quality, patient-centered healthcare encompassing primary care as well as specialized medicine and ... beginning in 1902, Cedars-Sinai has evolved to meet the healthcare needs of one of the most diverse regions...addresses the need for system opportunities in clinical practice, policy , and/or programs to prevent future adverse events. Exercises'… more