• Medical Director - Claims Mgmt (Remote)

    Humana (Sacramento, CA)
    …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, and ... outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community… more
    Humana (11/01/25)
    - Related Jobs
  • Medical Review Coordinator

    Prime Healthcare (Ontario, CA)
    …Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states providing more than 2.5 million patient visits ... skills to build effective partnering relationships with physicians, nurse staff, coding staff and hospital management staff.6. Ability to work independently in… more
    Prime Healthcare (10/31/25)
    - Related Jobs
  • Sr. Manager - Business Operations

    Stanford Health Care (Menlo Park, CA)
    …) and new construction, such as new multi-specialty outpatient clinics in Redwood City ( https://stanfordhealthcare.org/construction/redwood-city.html ). You ... of internal systems compatible with overall division needs to ensure correct coding and charge capture. + Analyzes volume, revenue, cost, quality, productivity, and… more
    Stanford Health Care (09/27/25)
    - Related Jobs