- Highmark Health (Sacramento, CA)
- …with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts ... and modifier systems, missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim… more
- Humana (Sacramento, CA)
- …time with demonstrated advanced communication and interpersonal skills. This is a very compliance driven and highly visible program at Humana. The nature of the work ... computer applications. Due to the auto dialer process and compliance needs of the business there is limited day...space lacking ongoing interruptions to protect member PHI / HIPAA information **Additional Information - How we Value You**… more
- Humana (Sacramento, CA)
- …pillars, including continuous integration (CI), continuous delivery (CD), quality, security, compliance , metrics, and reporting. + Ensure compliance with ... from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to… more
- Humana (Sacramento, CA)
- …not able to hire candidates that are currently living in Puerto Rico.** + Healthcare professional with a minimum of a Bachelor's degree in social work, psychology ... hospital case management, managed care settings, Autism services and/or other healthcare settings. + Above average written and verbal communication skills. +… more
- Humana (Sacramento, CA)
- …growth and in-depth exposure to the provider domain within the healthcare industry. **Key Responsibilities:** + Design, develop, and maintain web applications, ... Familiarity with Agile methodologies. **Preferred Qualifications:** + Experience in healthcare , military, or government sectors. + Experience with front-end/UI… 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
- Humana (Sacramento, CA)
- …for effective risk management and measurement. Join us in shaping the future of healthcare through AI excellence. We are seeking a Lead Data Scientist to drive the ... or multi-agent alignment + Experience in regulated domains such as healthcare , finance, or defense **Additional Information** **Location/Work Style:** Remote US… more
- Ventura County (Ventura, CA)
- …+ general medical office operations, practices and procedures; + medical regulatory compliance processes and procedures (ie HIPAA ) + record retention practices; ... following: Educational Incentive -An educational incentive of 2.5% for completion of an associate 's degree, 3.5% for completion of a bachelor's degree, or 5% for… more
- Umpqua Bank (Irvine, CA)
- …AI governance and model integration. + Ensure data quality, consistency, and compliance with security and regulatory requirements. + Create dashboards and reports ... that provide actionable insights into risk, compliance , and control performance. + Support the automation of...regulatory requirements including FFIEC, SOX, PCI DSS, GLBA and HIPAA . **Job Location(s):** Ability to work fully onsite at… more
- CenterWell (Sacramento, CA)
- …to streamline workflows and maximize talk time, with knowledge in call monitoring, compliance , and data retention. + Experience working in Agile environments + Must ... CRM integration, including Salesforce. + Extensive experience in customer facing healthcare setting, with a focus on technology solution **Additional Information:**… more