- Highmark Health (Sacramento, CA)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... audit activities. Reviews medical records to determine data quality and accuracy of...of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines.… more
- Elevance Health (Walnut Creek, CA)
- …strategic planning as Third Party Administrator for the Children and Youth Behavioral Health Initiative (CYBHI). The CYBHI is part of Governor Gavin Newsom's Master ... Plan for Kids' Mental Health , a historic investment by the State of California...design, researching and resolving phone and written inquiries, resolving claims , benefit and enrollment issues. + Presents monthly, ad… more
- Elevance Health (Walnut Creek, CA)
- _Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, ... eliminate and prevent unnecessary medical -expense spending._ **Account Service Manager Senior - Carelon Payment Integrity Commercialization** **Locations:** +… more
- Elevance Health (Costa Mesa, CA)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically. **How you ... will make an impact:** + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs and a specific care… more
- Option Care Health (Sun Valley, CA)
- …provider, there is no limit to the growth of your career.** Option Care Health , Inc. is the largest independent home and alternate site infusion services provider in ... states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and… more
- Dignity Health (Bakersfield, CA)
- …with health plans and other key partners. Coordinates with Claims , UM, Compliance, and Finance for cross-functional integration and execution. - Ensures ... providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel… more
- Elevance Health (Sacramento, CA)
- …care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. **How you will make an impact:** + Responsible ... identification, evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long term services… more
- Stanford Health Care (Menlo Park, CA)
- …Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** The Facilities Services division provides planning, design and construction ... management for Stanford Medicine, supporting its mission of improving health through leadership, collaborative discoveries, and innovation in healthcare, education,… more
- Defense Health Agency (Oceanside, CA)
- …for federal civilian healthcare providers as they are covered by the Federal Tort Claims Act (28 USC | 1346(b)) while acting within the scope of their employment. ... benefits and perks to include competitive compensation packages, paid-time off, medical benefits, student loan repayments, and retirement package with Thrift Savings… more
- Terumo Medical Corporation (CA)
- …- Prairies Date: Aug 28, 2025 Req ID: 5124 Location: CA Company: Terumo Medical Canada, Inc. Department: TIS Canada Sales Terumo Medical Corporation (TMC) ... develops, manufactures, and markets a complete, solutions-based portfolio of high-quality medical devices used in a broad range of applications for numerous areas of… more