- Highmark Health (Sacramento, CA)
- …service orchestration, and API lifecycle management. + Familiarity with cloud-native development and containerization (eg, Docker, Kubernetes). + Exposure to AI/ML ... applications. + Experience with Git, CI/CD pipelines, and agile development practices. + Bonus: Experience with RAG pipelines, vector...behavioral expectations as set forth in the code of business conduct and company policies_ As a component of… more
- Highmark Health (Sacramento, CA)
- …analysis to several functions, including insurance premium and pricing development , claim trend analysis, experience studies, medical economics, profitability ... our clients and Sales. **ESSENTIAL RESPONSIBILITIES** + Initiate and lead the development of strategic client studies, analyses, and presentation materials needed to… more
- Southland Industries (Garden Grove, CA)
- …of employee benefits programs, with an emphasis on program cost analysis, compliance , and vendor management. This role requires experience with self-insured program ... self-insured program performance, stop-loss coverage, and claims experience. + Ensure compliance with federal and state regulations including ERISA, ACA, HIPAA… more
- Select Medical (Los Angeles, CA)
- …leadership, strategic direction and operations management with a focus on business development , exceptional quality patient care and fiscal accountability. ... + Personally creates, continually cultivates and owns a Top 10 Key Business Development Relationship list. + Knows, understands and effectively implements… more
- Guidehouse (San Marcos, CA)
- …solutions to problems and keeps management informed of patterns regarding billing edits, compliance issues, payments and or other issues with specific payers. Has an ... or re-bills as necessary. + Ensures hospital is in compliance with all state and federal rules and regulations...state and federal rules and regulations both billing and HIPAA . + Assigned special projects will be completed within… more
- CenterWell (Sacramento, CA)
- …absence. + Prepare departmental budget and monitor expenses to ensure compliance with approved budgetary constraints. + Develop department tools and training ... programs, along with the Training Specialist, to encourage growth and development . Analyze/monitors their implementation. **Use your skills to make an impact**… more
- Humana (Sacramento, CA)
- …designs and develops IT architecture solutions that address complex business challenges, ensuring alignment with Humana's enterprise technology standards. This ... for cloud, SaaS, AI, and legacy modernization. * Provide technical leadership to development teams; conduct design and code reviews. * Ensure all solutions follow… more
- Merck (Sacramento, CA)
- …comprehension of scientific foundations and goals for approved, in- development , and active Company-sponsored trials and/or investigator-sponsored research studies. ... and identifies potential investigators to participate in phase II-IV clinical development programs, conducts Site Initiation Visits (SIVs), and detects barriers to… more
- Highmark Health (Sacramento, CA)
- …create remarkable health experiences. Our culture is built on your growth and development , collaborating across our organization, and making a big impact for those ... Benefit Managers (PBMs) on behalf of self-funded clients for compliance with the following: underlying policy provisions, federal and...behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** Our brokerage business is transforming how Medicare Advantage is sold, and design is at the heart of ... to life. In a highly regulated environment, you'll balance creativity with compliance , ensuring every interaction feels seamless and trustworthy. This is an… more