• Senior Managed Care Biller Collector

    Prime Healthcare (Lynwood, CA)
    …of state Medicaid billing guidelines + Knowledge of basic managed care, Medicaid/ Medicare billing rules, regulations, and deadline + Working experience with all ... payer types including: commercial, governmental, Medicare , Medicaid, HMO, etc. and the ability to cross-over...401K retirement plan, medical, dental, and vision coverage, tuition reimbursement , and many more voluntary benefit options. A reasonable… more
    Prime Healthcare (05/19/25)
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  • AHD Minimum Data Set (MDS) Coordinator - PB

    Alameda Health System (Alameda, CA)
    …issues to the Financial Analyst as soon as possible to minimize reimbursement . Obtains appropriate signatures as required. 4. Ensures that the Interdisciplinary team ... Assigns, assists, and instructs all staff in the RAI Process, Case-Mix, PPS Medicare , Medicaid, and the clinical computer system in relation to these processes. 8.… more
    Alameda Health System (05/06/25)
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  • Prior Authorization

    Polaris Pharmacy Services of Minnesota, LLC (Covina, CA)
    …and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their ... and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their… more
    Polaris Pharmacy Services of Minnesota, LLC (07/30/25)
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  • Prior Authorization Specialist

    Polaris Pharmacy Services of Minnesota, LLC (Covina, CA)
    …and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their ... and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their… more
    Polaris Pharmacy Services of Minnesota, LLC (07/30/25)
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  • Manager, Provider Contracts

    Molina Healthcare (Riverside, CA)
    …providers. Contract/Re-contracting with large scale entities involving custom reimbursement . Executes standardized Alternative Payment Method or Value Based ... MLTSS and other health care providers. * Utilizes established Reimbursement Tolerance Parameters (across multiple specialties/ geographies). Oversees the development… more
    Molina Healthcare (07/25/25)
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  • Senior HEOR Specialist

    Medtronic (Los Angeles, CA)
    …you will advise and collaborate with cross-functional stakeholders including reimbursement , healthcare policy, marketing, payer marketing, medical affairs, and other ... OU. + Develops US specific evidence to meet requirements for optimal reimbursement coverage and usage. Collaborates closely with reimbursement experts within… more
    Medtronic (07/25/25)
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  • Provider Contracts Manager

    Molina Healthcare (Long Beach, CA)
    …providers. Contract/Re-contracting with large scale entities involving custom reimbursement . Executes standardized Alternative Payment Method contracts. Issue ... attorney. * Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new reimbursement models from Corporate… more
    Molina Healthcare (07/17/25)
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  • Patient Safety Specialist - Medical Affairs,…

    Cedars-Sinai (Marina Del Rey, CA)
    …The role encompasses the meticulous oversight and continuous evaluation of Centers for Medicare & Medicaid Services (CMS) metrics, including but not limited to Core ... + Amazing benefits for Full-time and Part-time, including Tuition Reimbursement ! + High employee satisfaction scores! + Tuition Assistance...following on the first day of employment! + Tuition Reimbursement : Repays up to $600 per calendar year for… more
    Cedars-Sinai (07/30/25)
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  • Health Care Financial Analyst/Community Programs

    The County of Los Angeles (Los Angeles, CA)
    …patients and our communities by providing extraordinary care. DEFINITION: Prepares reimbursement claims for health and/or mental health care provided under Federal, ... production of program and financial reports. Essential Job Functions Analyzes reimbursement requirements for Federal, State, and/or Special Programs to determine if… more
    The County of Los Angeles (07/27/25)
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  • Health Care Financial Analyst / Emergency…

    The County of Los Angeles (Los Angeles, CA)
    …for permanent appointment to Health Care Financial Analyst. DEFINITION: Prepares reimbursement claims for health and/or mental health care provided under Federal, ... of program and financial reports. Essential Job Functions + Analyzes reimbursement requirements for Federal, State, and/or Special Programs to determine if… more
    The County of Los Angeles (07/25/25)
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