- Carrington (Orange, CA)
- …procedures and reports for accuracy and completeness to identify opportunities for associate training or process improvements. + Perform other duties and ... all department activities, including vendor profile quality, documents provided and process for submittal to ensure compliance with quality assurance standards. +… more
- Humana (Sacramento, CA)
- …Partnership & Engagement + Serve as a key liaison with partners in Risk Adjustment and other enterprise teams to align priorities, communicate progress, and surface ... to continue to achieve the desired outcomes. Works with senior executives to develop and drive segment or enterprise-wide...PHI / HIPAA information. As part of our hiring process for this opportunity, we will be using an… more
- CenterWell (Sacramento, CA)
- …put health first** A **Director of Authorizations & Eligibility** is a senior revenue cycle leader responsible for the strategic oversight, operational execution, ... improvement using Lean, Six Sigma, or similar methodologies. **Compliance & Risk Management** * Ensure compliance with Medicare, Medicaid, and commercial payer… more
- Humana (Sacramento, CA)
- …report to the AVP, IT M&A, and will work closely with senior executives, corporate development team, IMO, acquired company representatives, and internal ... + Communicate due diligence findings to corporate development, IMO, and senior executives.Role Overview **Integration Planning & Execution** + Conduct baseline… more
- Copeland (Sacramento, CA)
- …refrigeration, controls hardware, and software configuration under the guidance of senior field specialists. Field work will be required with extensive overnight ... 1-3 years of experience in refrigeration, HVAC, or controls systems. + Associate 's degree or equivalent technical training in HVAC/R, Electrical, or Mechanical… more
- Northrop Grumman (Manhattan Beach, CA)
- …initiatives with program goals. + Develop and enable program data risks management process in concurrence with program risk management. + Maintain knowledge of ... + Display strong stakeholder management skills, including presenting solutions to senior leadership. + Leading organizational change and ensuring successful adoption… more
- Zurich NA (Sacramento, CA)
- …if they are currently licensed in the state of California. The Senior Workers Compensation Claims Specialist will handle single and multi-party commercial line ... Management area.OR + Zurich Certified Insurance Apprentice, including an Associate Degree with 6 or more years of experience...policy for complex claims + Ability to follow reserving process for indemnity and expense in analyzing the potential… more
- CenterWell (Sacramento, CA)
- …The Director Denials Management provides leadership for the audit, appeal and review process to preserve and recover revenue while maintaining the highest level of ... Manages the Denials Management data analytics, denial and appeal process . The Director, Home Health Grievances & Appeals assists...issues that may place patients or the company at risk + Oversee educational in-services based on analysis of… more
- Humana (Sacramento, CA)
- …and plans, monitor financial and operational performance, and coordinate activities of senior managers and their respective functions in the region. The RVP, ... should have a record of success leading the end-to-end contract negotiation process through closure for all types of providers including physicians, hospitals and… more
- Serco (Los Angeles, CA)
- …materials, status reports, and documentation to support decision-making by senior leadership. + Facilitate stakeholder meetings, maintain minutes, and monitor ... degree and 2 years of experience + OR an Associate 's degree and 4 years of experience + OR...PowerPoint, and Word. + Experience preparing high-quality documentation, tracking risk and action items, and supporting program leadership in… more