- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: This Trauma Division Physician Assistant (PA) position is accountable for a defined patient population under the supervision of a licensed physician ... healthcare services within the scope of licensure and in accordance with hospital policies and procedures. Some positions will be responsible for being on… more
- Rady Children's Hospital San Diego (San Diego, CA)
- **This employment opportunity is being recruited by Rady Children's Hospital -San Diego on behalf of Children's Specialists of San Diego.** JOB SUMMARY: The ... Physician Assistant provides comprehensive physical assessment, treatment, psychosocial support,...within the scope of licensures and in accordance with hospital policies. Some positions will be responsible for being… more
- US Tech Solutions (San Francisco, CA)
- …experience; Admissions, Discharges, and Transfers (ADT) experience + Previous experience in hospital , insurance payer, or physician 's office setting + Basic ... of professionalism. He or she is required to utilize a variety of hospital information systems to effectively communicate with patients and visitors and to… more
- Dignity Health (San Luis Obispo, CA)
- …**Minimum Requirements:** + Minimum 1 year of experience working in a hospital Patient Registration department, physician office setting, healthcare insurance ... Qualifications:** + Minimum 2 year of experience working in a hospital Patient Registration department, physician office setting, healthcare insurance… more
- Sharp HealthCare (San Diego, CA)
- …meetings at plan medical group office sites or virtually, and conducts physician , hospital and/or ancillary meetings, as necessary.Ensures provider network meets ... providers on new protocols, policies, and procedures.Assesses training needs of physician office staff and PMG personnel. Develops, implements, and conducts… more
- Sharp HealthCare (San Diego, CA)
- …+ Thorough understanding of health services and delivery models, including hospital , physician , ancillary, home health, prescription drugs, etc. Knowledge ... of various managed care reimbursement methodologies. + Ability to analyze and interpret data, and prepare summary reports from findings. + Familiarity with DMHC, DHS, CMS, and other regulatory agency standards related to appeals and grievances. + High level of… more
- Sharp HealthCare (San Diego, CA)
- …+ Thorough understanding of health services and delivery models, including hospital , physician , ancillary, home health, prescription drugs, etc. Knowledge ... of various managed care reimbursement methodologies. + Ability to analyze and interpret data and prepare summary reports from findings. + Familiarity with DMHC, CMS, and other regulatory agency and accreditation standards related to Commercial appeals and… more
- Highmark Health (Sacramento, CA)
- …Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or auditing, as well as, education ... techniques and methods. (Internal transfer and promotion candidates may have a minimum of 3 years experience) + In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG/APC structure, National Correct Coding Initiatives,… more
- Highmark Health (Sacramento, CA)
- …+ 3-7 years of experience in a clinical setting or general understanding of hospital / physician practice operations + 3-7 years of experience in the healthcare ... industry, particularly as it relates to hospitals or other providers + 1-2 years of Project Management Experience **Preferred** + Master's MBA, MIS, or Related Field + Relevant technical certifications (Strata, SQL, Tableau, Alteryx, etc.) + CPA or CMA +… more
- Deloitte (Monterey, CA)
- …reviews for Self-insured Health plans administrators and PBMs + Experience performing hospital / physician network discount and network disruption analyses + ... Experience with evaluating the pricing arrangements for PBMs contracts, including evaluation of disruption related to formulary changes + Experience reviewing and negotiating pharmacy contracts (pricing and business terms) with PBMS + Experience performing… more