- Highmark Health (Sacramento, CA)
- …analytical/strategic-thinking and leadership support that enables project teams to: 1) isolate business issues; 2) help design and execute analytics for studying ... business issues (market research, scenario planning, forecasting, market share,...technical content (competitive intelligence, market trend analysis); 4) support development of formal recommendations to senior levels of Highmark… more
- Highmark Health (Sacramento, CA)
- …and executing the organization's digital vision in solving key customer and business problems. The incumbent will work closely with our omni-channel Product Managers ... in establishing how digital experiences align with business goals/objectives and deliver on customer needs across multiple...on a portfolio of projects. + Participate in the development of strategic plans for the Enterprise and the… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …Management (ECM), including Street Health, and risk management, including compliance , credentialing and privileging to ensure comprehensive and integrated services ... base salary, designed to support the health, wealth, and career development of our employees. Responsibilities: Clinical Leadership & Operational Innovation: +… more
- Evolent (Sacramento, CA)
- …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be...Doing:** + Hires and oversees the initial orientation and development of Risk Adjustment coding team members, including coding… more
- Humana (Sacramento, CA)
- …healthcare services to veterans. This role involves close collaboration with business partners, stakeholders, business development team, including ... needs of the CCN program. The Principal Solutions Architect translates business needs into technical systems solutions. Integrates hardware, software and network… more
- Evolent (Sacramento, CA)
- …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... Analytics team provides a unique opportunity to collaborate with key business , analytics, product, and operational leaders to deliver client-specific insights and… more
- Highmark Health (Sacramento, CA)
- …the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In ... for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure… more
- Amazon (Palo Alto, CA)
- …with automation and scripting (eg, Terraform, Python) - Knowledge of security and compliance standards (eg, HIPAA , GDPR) - Strong communication skills with the ... Operating Models and IT Service Management, Enterprise Transformation and Program Management, Business Value Realization and Cloud Strategy Development , Data &… more
- Humana (Sacramento, CA)
- …understanding the priorities of all delivery for their assigned state, supporting the business goals of the Medicaid IT program. + Identifies and implements best ... Market CIOs: + Maintains end-to-end accountability for the ongoing quality control, development , and delivery of IT products and services for their assigned state.… more
- Elevance Health (Los Angeles, CA)
- …for national BH programs. + Ensures compliance with CMS guidelines and HIPAA compliance . + Hires, trains, coaches, counsels, and evaluates performance of ... contracting, designations, programs, and partnerships to deliver results for all lines of business , and partnering with regional RVPs to evaluate and deploy new BH… more