• Fusion SaaS ERP Functional Lead

    Oracle (Sacramento, CA)
    **Job Description** **Fusion SaaS ERP Lead ** Location: Remote /telecommuting from withing the US Note: US Citizenship is mandatory for this position. Will require ... formulate logic for new complex internal systems. Prepare flowcharting, perform coding , and test/debug programs. Develop conversion and system implementation plans.… more
    Oracle (12/24/25)
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  • Medical Director, Medical Policy

    Highmark Health (Sacramento, CA)
    …non-clinical team members for operational guidelines. The incumbent must have an understanding of medical coding (ICD-10, CPT, HCPS) as medical coding ... participates in various work-groups and sub-committees as a clinical lead /expert. Trains and orients new staff to the department...medical policy experience **Preferred** + 1 year of medical coding experience **SKILLS** + Critical Thinking… more
    Highmark Health (12/24/25)
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  • Claims Team Lead - Workers Compensation…

    Sedgwick (Riverside, CA)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - Workers Compensation | Hybrid - Riverside, CA Are you looking for an ... recommendations and written summaries as needed. + Ensures accurate claim coding and documentation by examiners. **QUALIFICATIONS** Education & Licensing: 6 years… more
    Sedgwick (11/22/25)
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  • Sr Coder

    Dignity Health (Rancho Cordova, CA)
    **Job Summary and Responsibilities** As a Senior Coder, you will act as the lead coder for your designated team. This position will train staff on department ... policies, procedures, systems and correct coding requirements. The Sr. Coder additionally will monitor staff...effectively and accurately code all services This position is remote .** **Job Requirements** **Minimum Qualifications:** - 4 years of… more
    Dignity Health (12/12/25)
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  • Team Lead - Client Onboarding

    WTW (Los Angeles, CA)
    …WTW regulations, sanctions, and key data linkages like GCIDs and industry revenue coding during the Onboarding process, specifically + Participate in the RFP process ... following (eligibility requirements apply): + Health and Welfare Benefits: Medical (including prescription coverage), Dental, Vision, Health Savings Account,… more
    WTW (12/18/25)
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  • Medical Director-Payment Integrity

    Humana (Sacramento, CA)
    …and collaborates with other team members, other departments, Humana colleagues and the Lead Medical Director. After completion of mentored training, daily work ... adapt and the courage to innovate **Additional Information** Typically reports to a Lead Medical Director. The Medical Director conducts post-service,… more
    Humana (12/11/25)
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  • Exercise Physiologist

    Lompoc Valley Medical Center (Lompoc, CA)
    …procedures. + Required to set up and use all necessary equipment including EKG lead placement for remote telemetry during exercise. + Works under immediate ... reports to the Clinical Manager and the Cardiac Rehab Medical Director oversees clinical duties. + Provides various types...+ Maintains EMR documentation to ensure efficient and accurate coding and billing of services. + Determine when assistance… more
    Lompoc Valley Medical Center (12/04/25)
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  • Medical Director -Spine

    CVS Health (Sacramento, CA)
    …anywhere in the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The ... including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address member needs across the continuum… more
    CVS Health (10/28/25)
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  • Medical Director - IP Claims Management

    Humana (Sacramento, CA)
    …to adapt and the courage to innovate **Additional Information** Typically reports to a Lead Medical Director, depending on the line of business. The Medical ... a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (12/11/25)
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  • Field Reimbursement Manager (Immunology…

    J&J Family of Companies (Fresno, CA)
    …building strong customer relationship. + Demonstrated expertise with both pharmacy and medical /buy & bill benefits (as applicable), coding , and billing. + ... Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs),… more
    J&J Family of Companies (12/18/25)
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