• Sr. Medicare (PPS) Provider Hospital…

    Humana (Sacramento, CA)
    …on Pricer edit resolution + Provide consultation to internal business partners on Medicare reimbursement/ editing logic and Humana system logic **Use your skills ... closely with IT, the pricing software vendor, CIS BSS, claims operations, and other business teams involved in the...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
    Humana (12/19/25)
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  • Director Of Claims

    TEKsystems (Martinez, CA)
    …system changes are appropriately tested, documented, and implemented * Implementing a claims editing software and establishing workflows to ensure payment ... environment, including responsibility for complex, high-volume systems * Knowledgeable in Medicaid and Medicare : Demonstrates deep understanding of Medi-Cal and… more
    TEKsystems (01/10/26)
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