- NTT America, Inc. (Los Angeles, CA)
- …services, and industry vertical solutions to include things like regulatory compliance solutions, digital solutions, mobile solutions, transformational ... organization, apply now. We are currently seeking a Sr Sales Executive- IT Sales/ Managed Services ( Healthcare Payer) - Remote to join our team in… more
- Cedars-Sinai (Beverly Hills, CA)
- …metrics, identifying trends, variances, and areas for improvement. + Analyze managed care contracts for compliance and financial performance, identifying ... implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and presentations to… more
- Humana (Sacramento, CA)
- …be required to work in either Central or Eastern Time. Associate Director, Regulatory Intake Compliance is responsible for enterprise-wide regulatory ... risk exposure for the organization. The Associate Director, Regulatory Intake Compliance will be responsible for/to:...years of management experience + Advanced experience working in compliance , risk management, or managed -care field +… more
- Highmark Health (Sacramento, CA)
- …healthcare operations, risk, audit, or legal functions + 5 years in Healthcare Compliance or Privacy **LICENSES or CERTIFICATIONS** **Required** + None ... rules as well as a solid working knowledge of managed care operations, compliance program structures, information...(CIA) + Certified Fraud Examiner (CFE) + Certified in Healthcare Compliance (CHC) + Certified Compliance… more
- Sharp HealthCare (San Diego, CA)
- … and accreditation requirements including NCQA, DMHC and CMS.Keep abreast of the healthcare regulatory environment and regulatory changes to ensure the ... care experience. + 3 Years experience in a managed care or healthcare environment interfacing with...maintains project files. + Quality and Process ImprovementMonitors the healthcare regulatory environment and reports out on… more
- Molina Healthcare (Long Beach, CA)
- …network development and management, or project management experience in a managed healthcare setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : ... in a managed care setting. * Working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare… more
- Molina Healthcare (Riverside, CA)
- …position * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ... group and hospital contracting, etc. * Working experience with various managed healthcare provider compensation methodologies, primarily across Medicaid and… more
- Iron Mountain (Sacramento, CA)
- …preferred. + Strong understanding of healthcare data standards, interoperability, and regulatory compliance (eg, HIPAA, GDPR). + Proven ability to define and ... to improve patient care and reshape how information is managed and delivered in a clinical setting? Iron Mountain...Leverage your deep understanding of EHRs, the exchange of healthcare information, regulatory requirements (eg, HIPAA), and… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …+ Collaborate across departments to ensure alignment on improvement strategies and goals. Regulatory Compliance & Governance + Ensure reporting accuracy and ... The analyst ensures data accuracy, provides actionable insights, and supports compliance with regulatory and value-based care programs. Compensation: $32.46… more
- Molina Healthcare (Long Beach, CA)
- …environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ... group and hospital contracting, etc. * Working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and… more
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