- CVS Health (Sacramento, CA)
- …Develop SSIS packages to extract, transform, and load (ETL) data from CVS Health pharmacy claims systems, 340B third-party administrator (TPA) platforms, Covered ... At CVS Health , we're building a world of health...our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company… more
- Deloitte (Fresno, CA)
- …vendors by reviewing services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against ... Work you'll do + Prepare self-insured financial projections and support health plan management, including financial reporting, premium rate setting, and employee… more
- Dignity Health (Long Beach, CA)
- …faith-based hospital in 1923 by the Sisters of Charity of the Incarnate Word, Dignity Health - St. Mary Medical Center is a 389-bed, acute care, nonprofit ... Manager of Patient Safety and Risk at St. Mary Medical Center, you will oversee the facility's Patient Safety...collaborate with other key stakeholders to implement learnings from claims . You will also spearhead the the coordination of… more
- Ethos Veterinary Health (San Marcos, CA)
- …the standard in veterinary excellence. Discover more at EthosVet.com. Ethos Veterinary Health offers a comprehensive benefits program including medical , dental, ... Discounted pet food & free wellness exams for Blood Bank donors. Full-Time Benefits + Medical , dental, vision, disability & life insurance. + FSA, 401(k) & EAP. + 3… more
- CVS Health (Sacramento, CA)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...customer benefits questions, and clarifications on billing, eligibility, and claims processes. + Retain and grow the client relationship… more
- Highmark Health (Sacramento, CA)
- …to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for ... to internal and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment… more
- Sutter Health (Burlingame, CA)
- …management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers ... We are so glad you are interested in joining Sutter Health ! **Organization:** Bay Administration **Position Overview:** Responsible for Care Coordination and Care… more
- Sutter Health (Modesto, CA)
- …management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers ... We are so glad you are interested in joining Sutter Health ! **Organization:** SMCS-Sutter Med Center - Sacramento **Position Overview:** Responsible for Care… more
- CVS Health (Sacramento, CA)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...compliance impacting plan sponsors. + Collaborate with internal departments-including claims , customer service, and client management-to ensure effective issue… more
- UCLA Health (Los Angeles, CA)
- Description Take on a significant role within a world-class health organization. Elevate the operational effectiveness of a complex health system. Take your ... You can do all this and more at UCLA Health . As a key member of our Medicare Advantage...+ Five or more years of experience managing enrollment, claims , or encounters in a Medicare or managed care… more