• Program Director (Temporary)

    Sevita (Fresno, CA)
    …other stakeholders; identify opportunities by following industry trends and responding to payer need + Direct program strategy to manage census, maintain occupancy, ... improve daily attendance, and/or maximize utilization + Financial Management + When applicable, approve purchase of food, supplies, and equipment; review and monitor monthly invoices for accuracy and budgetary compliance + Oversee census, attendance… more
    Sevita (08/27/25)
    - Related Jobs

  • Vice President, Strategic Accounts

    Evolent (Sacramento, CA)
    …initiatives, strategies, and developing/managing performance scorecards and action plans ( payer , provider, initiative, etc.). + Ability to travel as needed ... (up to ~40%) **.** **To comply with HIPAA security standards (45 CFR sec. 164.308 (a) (3)), identity verification may be required as part of the application process. This is collected for compliance and security purposes and only reviewed if an applicant… more
    Evolent (08/27/25)
    - Related Jobs

  • Job Profile Name Care Navigator

    Centene Corporation (Woodland Hills, CA)
    …management activities to ensure compliance with current state, federal, and third-party payer regulators + May perform on-site visits to assess member's needs and ... collaborate with providers or resources, as appropriate + May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits + Other duties or… more
    Centene Corporation (08/27/25)
    - Related Jobs

  • Medical Front Office - Patient Service Specialist

    Select Medical (Orange, CA)
    …business development team + Collect co-pays from patients, manage payer approvals and conduct insurance authorizations and verifications **Qualifications** ... **Qualifications** Minimum Qualifications: + High School Diploma or GED required + Bilingual (English/Spanish Speaking) + Insurance Verification Experience Preferred Qualifications: + 1 Year of Scheduling Experience + 1 Year of Front Desk Experience Physical… more
    Select Medical (08/27/25)
    - Related Jobs

  • Medicaid Pricing Actuary

    Humana (Sacramento, CA)
    …+ Experience with capitation rate development from either the state agency or payer perspective + Detailed understanding of healthcare claims Travel: While this is a ... remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week)… more
    Humana (08/27/25)
    - Related Jobs

  • Multi-Specialty Portfolio Specialist/Associate…

    Sumitomo Pharma (Anaheim, CA)
    …and marketing materials. + Proficient knowledge and understanding of the payer landscape including commercial, Medicaid, and Medicare or relevant experience. + ... Demonstrates the ability to analyze complex data to develop strategic and actionable business plans to deliver sales results. + Candidates must have excellent communication & organizational skills and be proficient with technology platforms and business… more
    Sumitomo Pharma (08/27/25)
    - Related Jobs

  • Patient Access Representative (Part-Time) - UCLA…

    UCLA Health (West Hills, CA)
    …to expeditiously coordinate follow-up + Working knowledge of third party payer verification terminology + Working knowledge of medical terminology to sufficiently ... identify various procedures to obtain optimum benefit information and reimbursement + Ability to accurately and completely process payments and cash receipts + Ability to write concise, grammatically correct reports and correspondence + Ability to type 55… more
    UCLA Health (08/27/25)
    - Related Jobs

  • Medical Front Office - Patient Service Specialist

    Select Medical (Marina Del Rey, CA)
    …and business development team + Collect co-pays from patients, manage payer approvals and conduct insurance authorizations and verifications + Provide patients ... with pertinent information about their next appointment as they check out + Respond to requests for information from patients, providers, and coworkers **Qualifications** **Qualifications** Minimum Qualifications: + High School Diploma or GED required + Health… more
    Select Medical (08/27/25)
    - Related Jobs

  • Business Development Specialist / Healthcare Sales

    BrightSpring Health Services (San Diego, CA)
    …industry trends/competitive activity and updates information as needed. + Completes payer pipeline and account information projects as required. + Collaborates with ... operational and clinical team members to ensure the very best outcomes for all patients. + Participates in weekly sales team calls and bi-weekly coaching calls as directed by Director of Business Development. + Participates in special projects and performs… more
    BrightSpring Health Services (08/27/25)
    - Related Jobs

  • Clinical & Population Health Analyst

    Highmark Health (Sacramento, CA)
    …data + 1 year of Project leadership in a complex, matrixed environment ( payer and/or provider preferred) + 1 year of Providing analytical consultation to clinical, ... administrative, operational and financial stakeholders **Preferred** + None **SKILLS** + Demonstrated record of data-driven discovery, intense intellectual curiosity, and a passion for working with data to answer important questions about clinical care and… more
    Highmark Health (08/27/25)
    - Related Jobs