- Dignity Health (Rancho Cordova, CA)
- …Enrollment Supervisor assists with developing and maintaining the EDI maps to ensure compliance with health plans, trading partners, and regulatory agencies. The ... or general equivalency diploma (GED) + 3 years of managed care enrollment experience + 3 years of ...managed care enrollment experience + 3 years of healthcare senior-level/ advanced eligibility, enrollment processes experience + 3… more
- Grifols Shared Services North America, Inc (Modesto, CA)
- …work performance and deliverables meet or exceed goals and objectives. + Ensures compliance with all applicable regulatory , legal, and operational rules and ... an international team working to improve the future of healthcare ? Do you want to enhance the lives of...to appropriate groups such as the following: key accounts, managed care organizations, integrated systems, national medical associations, and… more
- BeOne Medicines (San Mateo, CA)
- …+ 3+ years of experience in secondary payer analytics, and payer strategy, or managed care in the pharmaceutical or healthcare industry. + Expertise in market ... negotiations, etc.) to evaluate impact on BeiGene's portfolio, ensuring compliance and identification of strategic opportunities. Present findings to leadership… more
- City National Bank (Long Beach, CA)
- …Qualifications* * Working knowledge of Bank operations, policies and procedures, and regulatory compliance . * Working knowledge of Bank products and services. ... the risk associated with those decisions can be effectively managed . * Responsible for tracking individual performance goals and...and Credit policies and procedures as well as all regulatory requirements (eg Bank Secrecy Act, Know Your Client,… more
- UCLA Health (Los Angeles, CA)
- …ensuring accurate financial reporting, maximizing Medi-Cal Waiver reimbursement, managing regulatory cost reports, and providing critical analysis for revenue and ... and decision support teams to ensure financial accuracy and policy compliance . The Senior Reimbursement Manager also leads audit response efforts, supports… more
- City National Bank (Encino, CA)
- …Qualifications* * General knowledge of Bank operations, policies and procedures and regulatory compliance . * General knowledge of Bank products and services. ... the risk associated with those decisions can be effectively managed . * Maintains collaboration with the City Loan Center...and Credit policies and procedures as well as all regulatory requirements (eg Bank Secrecy Act, Know Your Client,… more
- Cardinal Health (Sacramento, CA)
- …closely with internal teams to resolve credit balances and maintaining compliance with regulatory guidelines.** **_Essential Functions:_** **Review EOBs and ... a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The… more
- Robert Half (Los Angeles, CA)
- …uses technology to protect and enhance enterprise value- controls & regulatory compliance , security, privacy, software development, disaster recovery, technology ... increased effectiveness and efficiencies in audit, risk, control, and compliance domains. This includes leveraging artificial intelligence, advanced analytics and… more
- Banner Health (CA)
- …areas assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office ... to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of… more
- The County of Los Angeles (Los Angeles, CA)
- …follow policies and procedures, established by departmental by-laws and regulatory agencies, to evaluate and verify professional licensure, education, training, ... Ensures physicians, allied health professionals and other practitioners of a healthcare facility are properly licensed, trained, and certified as mandated by… more