- Humana (Sacramento, CA)
- …ensure successful submission and reconciliation of encounter submissions to Medicaid /Medicare. Ensures encounter submissions meet or exceed all compliance standards ... and develops tools to enhance the encounter acceptance rate by Medicaid /Medicare. Looks for long term improvements of encounter submission processes. Understands… more
- Humana (Sacramento, CA)
- …ensure successful submission and reconciliation of encounter submissions to Medicaid /Medicare. Ensures encounter submissions meet or exceed all compliance standards ... and develops tools to enhance the encounter acceptance rate by Medicaid /Medicare. Looking for long-term improvements of encounter submission processes. Begins to… more
- Dignity Health (Bakersfield, CA)
- …and contract structures for operational clarity. - Collaborate with market leadership, finance , claims, and network teams to align contracting strategy with growth ... - Partner with Claims and Configuration teams to audit system inputs, reducing payment errors and improving contract load accuracy. - Develop and own weekly KPIs… more
- Humana (Sacramento, CA)
- …This is a cross-functional role bridging technical safety research , systems engineering, governance, and product implementation. **Key responsibilities** ... responsible scaling and deployment + Contribute to and publish novel research on alignment of LLM-based agents, multi-agent cooperation/conflict, or value learning… more
- CommonSpirit Health (Rancho Cordova, CA)
- …internal leaders. Research contract and regulations to assist with claim payment issues and/or credentialing issues with payers. + Drafts and summarizes content ... Experience Bachelor's Degree - equivalent experience and/or education in Finance and health care may be considered in lieu...Working knowledge of state and federal programs such as Medicaid and Medicare + Working knowledge of various reimbursement… more
- Aveanna Healthcare (Seal Beach, CA)
- …Job Details Requisition #: 207154 Location: Seal Beach, CA 90740 Category: Accounting/ Finance Salary: $23.00 - $24.00 per hour Position Details Position Overview ... branch location personnel while constantly and consistently attempting to ensure maximum payment from all Regional Centers are received timely. This includes … more