- Robert Half Accountemps (Vista, CA)
- …ICD-10, and HCPCS coding standards. + Familiarity with Medicare, Medi-Cal, Tricare, and Managed Care payers. + Valid California driver's license, proof of ... oversee the billing department and ensure timely, accurate claims submission and reimbursement . The ideal candidate is a hands-on leader with deep understanding of… more
- Evolent (Sacramento, CA)
- …experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity + Ability to ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- WM (CA)
- …as needed on each of the regulations associated with the waste streams being managed (ie, EPA, DOT, DEA, and any other state or local regulations) * Conduct ... and deliver customized training for the implementation and maintenance of the contract * Regularly schedule and complete customer-facing activity with focus on… more
- Centene Corporation (Sacramento, CA)
- …degree in related field or equivalent experience. Three or more years of managed care or medical group experience, provider relations, quality improvement, ... management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. Participate in the… more
- Elevance Health (Cypress, CA)
- …and provider utilization patterns. + Conducts proactive outreach to support the understanding of managed care policies and procedures, as well as on a variety of ... Surveys, required corrective action plan implementation and monitoring education, contract questions and non-routine claim issues. + Coordinates communications… more
- Centene Corporation (Sacramento, CA)
- …two to three years experience in an automated medical claims environment and managed care /multiple product environment desired. Minimum one to two years ... changes; implements changes to related processes, documents, such as contract compensation, and appropriate databases, ensures proper follow-up and resolution… more
- Royal Electric (Monterey, CA)
- …build great relationships, one project at a time! We believe in taking care of our team. From comprehensive wellness programs to continuous learning opportunities, ... this position. + Proven track record of profitable and productive construction projects managed or overseen. + Must have a good reputation in the construction… more
- LEGOLAND (Carlsbad, CA)
- …(DEI)** + Manage complex employee relations cases by exception, ensuring risk is managed and legal obligations are met. + Support the implementation of regional and ... capability + Commitment to diversity, equity and inclusion principles **MERLIN VALUES** **We Care ** + Go above and beyond for both guests and colleagues, showing… more
- Amgen (Thousand Oaks, CA)
- …strategies and risk mitigation with members of the healthcare community ( managed care organizations, hospitals, Group Purchasing Organizations (GPO) and ... strategic business considerations + Overseeing pricing agreement interpretation and contract enforcement, advising and managing commercial dispute resolution +… more
- Prime Healthcare (Redding, CA)
- …closure. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Minimum of three years hospital managed care /commercial collector experience 2. 2 years of recent ... to making a difference. Shasta Regional Medical Center is a 226-bed acute care facility serving Northern California. The hospital offers a comprehensive range of… more
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