- Dignity Health (Bakersfield, CA)
- …will be expected to accomodate PST business hours.** **Position Summary:** The Senior Program Manager of Operational Automation will lead the design, implementation, ... deep familiarity with the complexities of delegated services, including claims , utilization management, provider data, and network operations. Essential Functions… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** CenterWell Senior Primary Care (PCO) is a growing provider organization that currently operates about ... 340+ senior focused primary care centers in 15 states. The...that supports the PCO is responsibility to assess, investigate, audit and validate the mitigation of compliance risk across… more
- Grant Thornton (Los Angeles, CA)
- As a Healthcare Process Risk Senior Associate, you will get the opportunity to grow and contribute to our clients' business needs by helping them understand their ... exceptional expertise and experience in healthcare providers, specifically hospitals, academic medical centers, and healthcare systems. This includes areas such as… more
- Providence (CA)
- **Description** ** Senior Claims Manager - Employment Practice Liability \*Remote * Candidates residing in Alaska, Washington, Montana, Oregon, California, Texas ... or New Mexico are encouraged to apply.** The Senior Claims Manager- Employment Practice Liability ("EPL")...- they're invaluable. Join our team at Integrity Compliance Audit Services and thrive in our culture of patient-focused,… more
- Cardinal Health (Sacramento, CA)
- …with other documentation and coding and billing standards; communication of audit results to physicians, physician leadership, senior leadership, management, ... medical terminology; E/M rules, teaching physician guidelines, and/or medical necessity defense reviews; healthcare compliance audit methodology, principles… more
- Dignity Health (Bakersfield, CA)
- …for audit purposes. - Collaborate with internal departments, including claims processing, UM, compliance, and provider relations, to develop and implement ... relationships with provider representatives. - Prepare and present detailed reports on claims research activities, findings, and outcomes to senior management. -… more
- HCA Healthcare (Campbell, CA)
- …purpose and integrity. We care like family! Jump-start your career as a Senior Accountant today with HCA Healthcare. **Benefits** HCA Healthcare, offers a total ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- Movn Health (CA)
- Role Summary Movn Health is seeking a highly experienced Senior Medical Biller & A/R Specialist to take full ownership of claims processing and accounts ... receivable recovery. This is a hands-on, senior -level role focused on accelerating cash flow, reducing outstanding balances, and ensuring accurate, compliant billing… more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR NURSING INSTRUCTOR (EMERGENCY MEDICAL SERVICES) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3309230) Apply SENIOR NURSING ... hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty...the Quality Improvement program for these sections. + Reviews audit and monitoring tools on an on-going basis to… more
- CVS Health (Sacramento, CA)
- …claim processing and customer service that impact customer satisfaction, medical cost management, and operational efficiency. Consults cross-functionally with other ... + Executes both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from standard… more