- CenterWell (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of ... reviews to identify educational opportunities. + Conduct research as needed . + Participate in Payer calls/chart reviews. + May...to 20% travel nationally within CenterWell markets **Work at Home Requirements** To ensure Home or Hybrid… more
- Fresenius Medical Center (Palm Desert, CA)
- …help patients live better lives and accomplish important professional objectives. As part of an interdisciplinary team within our Medical Services division, the ... FMS policy requirements. Provides nutritional services for the facility's in-center and home patients as applicable in order to maximize the patient's nutritional… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Pharmacy Contracting Professional 2 ensures contract compliance and performs analysis ... situations, and requires minimal direction and receives guidance where needed . Follows established guidelines/procedures. The Pharmacy Contracting Professional 2… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Technology Solution Implementation Professional delivers new technological solutions to ... data stewards, project managers, and business SMEs to obtain programming specifications needed to submit information in our proprietary ticketing system that moves… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Intelligence Engineer will be an integral part of the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Network Adequacy Professional 2 understands department, segment, and organizational ... situations, and requires minimal direction and receives guidance where needed . Follows established guidelines/procedures. This role will produce recurring and… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... ambiguous situations, and requires minimal direction and receives guidance where needed . Follows established guidelines/procedures. **Use your skills to make an… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Clinical Integration Strategy Professional provides data-based strategic direction to ... or expand), and identification of future services and programs needed . + This individual must be comfortable with business...+ Lean certification + Six Sigma certification **Work at Home Statement** To ensure Home or Hybrid… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The State Technology Lead understands departmental and IT organizational strategy and ... In ambiguous situations, they require minimal direction and receive guidance where needed . This role serves as the primary state IT implementation contact, and… more
- VNA Health (Santa Barbara, CA)
- …care with other interdisciplinary team members and with community resources as needed . + Teach, supervise and counsel the patient/family regarding pain and symptom ... + Assess and maintain patient safety. + Teach the patient and family/ caregiver self-care techniques as appropriate. Provide medication, diet and other instructions… more