- Amergis (Orange, CA)
- …to support San Clemente! Experience highly preferred. Position: Housing Case Manager Location: San Clemente, CA- onsite Shift: Monday-Friday 8:30am-5:30pm Pay Rate: ... HMIS experience required, CalOptima Connect experience preferred (or + comparable payer portal). Roles and duties: + Comprehensive Case Management: Conduct intake… more
- Boehringer Ingelheim (Los Angeles, CA)
- …consistent company sales. OSCs provide an expert understanding of the oncology payer landscape, they encourage and receive requests for expert technical information ... identifies/supports regional business needs through active involvement of Direct Manager , Oncology Marketing Team, Regional Marketing, National and Strategic… more
- Medtronic (Los Angeles, CA)
- …Partner with Market Access leadership to **anticipate and address policy and payer changes** impacting patient access. + In collaboration with IT, create ... interact with a computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions and Physical requirements… more
- Baylor Scott & White Health (Sacramento, CA)
- …audits on paper and electronic claims for accuracy utilizing the billing scrubber, payer edits and custom edits. Communicate specific problems or concerns to ... Manager as appropriate. Review electronic claims transmission reports and resolves electronic claims submission (ECS) rejections by making corrections in system, and… more
- Elevance Health (Los Angeles, CA)
- …programs is a must, the last 5 years must be with similar healthcare/ payer systems supporting new business models and also demonstrated examples of profitable growth ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- Cardinal Health (Sacramento, CA)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... This position will report to the Vice President and General Manager of Sonexus (TM) Access and Patient Support. **Territory:** Nationwide **Responsibilities:**… more
- Sharp HealthCare (La Mesa, CA)
- …billing order of insurance plans.Medicare patients - Medicare Secondary Payer (MSP) questionnaire is completed.Validate insurance eligibility electronically (eg MPV, ... post regulatory review, address outstanding alerts in the Centricity Alerts Manager based upon your department's workflow.Document Imaging - Secure necessary Access… more
- CenterWell (Sacramento, CA)
- …verbal/written communication and presentation skills + Advanced knowledge with Payer requirements, ADR requests, Denials, Appeals, RAC/ZPIC and CERT responses ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
- Oracle (Sacramento, CA)
- …bring products to market quickly, navigate the regulatory pathway and negotiate payer reimbursement and coverage. KEY OUTCOMES As a Senior Research Consultant, you ... which may include your details being shared with the hiring manager . **Responsibilities** An experienced professional who is responsible for applying scientific,… more
- Elevance Health (Walnut Creek, CA)
- …medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology preferred. For candidates working ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
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