- Sunnyside Nursing and Post-Acute Care (Torrance, CA)
- … Records department. Requirements + At least 3-5 years of experience as a Medical Records Director/ Health Information Manager of a skilled nursing facility + ... Our team of qualified professionals provides compassionate care by: + Maintaining high medical integrity + Fostering a team spirit among staff + Creating friendly,… more
- Baylor Scott & White Health (Sacramento, CA)
- …2 Years of Experience in Healthcare Analytics + 2 years working with ACA and Medical Claims , MMR, MOR, MAO-002, MAO-004 and RAPs/EDS data + Experience with ... and outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter data, submission… more
- Cardinal Health (Sacramento, CA)
- …Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off ... is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following up on unpaid… more
- Elevance Health (Costa Mesa, CA)
- …(ABMS) or American Osteopathic Association (AOA). + Must possess an active unrestricted medical license to practice medicine or a health profession. + Unless ... **Manager, Medical Director - Transformation Initiatives** Location: This role...programs preferred. + Strong understanding of healthcare data systems ( claims , EHR, analytics platforms) and payer operations preferred. +… more
- LA Care Health Plan (Los Angeles, CA)
- …activities such as health fairs. (25%) Outreach to providers to request medical reports by fax, electronic medical records, or on-site visits if needed. ... Quality and Population Health Coordinator I (ALD) Job Category: Administrative, HR,...(15%) Review medical records, claims , and encounter data to...(15%) Review medical records, claims , and encounter data to identify key information to… more
- CVS Health (Sacramento, CA)
- …every day. Medical Director - SIU (Special Investigations Unit) CVS Health - Special Investigations Unit (SIU) Join our mission to safeguard healthcare integrity ... At CVS Health , we're building a world of health...and protect patient well-being. As the Medical Director of Healthcare Fraud Investigations, you'll lead our… more
- Cardinal Health (Sacramento, CA)
- …Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off ... Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope...plan + Health savings account (HSA) + 401k savings plan +… more
- Elevance Health (Sacramento, CA)
- **Behavioral Health Provider Quality Manager** **Candidates must posses a licensure for the state of California.** **Location: The ideal candidate will reside in or ... California.** **Schedule:** Pacific Standard Time A proud member of the Elevance Health family of companies, **Carelon Behavioral Health ** , formerly Beacon… more
- Cardinal Health (Sacramento, CA)
- …Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off ... Legal function. **_Job Summary_** The Assistant General Counsel, Nuclear & Precision Health Solutions (NPHS) is responsible for providing outstanding legal advice to… more
- Sharp HealthCare (San Diego, CA)
- …improve quality, and reduce costs. + Internal and External Customer ServiceInterface with Health Plans, Providers, Members, Medical Groups and Internal Sharp ... and responding to internal and external benefit inquiries, and supporting claims testing activities. Provides training to new and less experienced Benefit… more