- Humana (Sacramento, CA)
- …will be an integral part of the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. ... Intelligence Engineer will be primarily responsible for implementation, maintenance and support of Medicaid provider reimbursement for hospitals and facilities.… more
- CVS Health (Sacramento, CA)
- … Provider Data Compliance is responsible for overseeing the compliance of provider data operations in support of federal requirements, state regulations, ... or compliance. + A minimum of 2 years of experience in provider data management and contracting support . + A minimum of 3 years managing, mentoring and growing a… more
- Molina Healthcare (Long Beach, CA)
- …and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 2 - 4 years provider contract support or negotiation experience in the health care field ... live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and… more
- Providence (Anaheim, CA)
- …role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace ... **Description** Under the supervision of the Director, the Provider Relations Representative functions as a liaison among...and requirements for driving. Caregivers will be expected to provide proof of driver license and auto insurance upon… more
- Stanford Health Care (Palo Alto, CA)
- …management of Adult Heart Transplant, Adult Lung Transplant and Mechanical Circulatory Support Device (MCS) patients. Responsibility begins at the time of first ... education to meet the needs of referring physicians, patient support groups and lay community throughout Northern and Central...**What you will do** + A. An NP may provide only those medical services which he/she is competent… more
- Humana (Sacramento, CA)
- …Government Contract Requires US Citizenship for this Position. Overview: Join Humana Military's Provider Data Solutions team to support the TRICARE T5 contract ... in Agile ceremonies (SCRUM/Kanban); understand business purpose of software requests. + Provide scheduled on-call support . **Requirements:** + Must be a US… more
- Molina Healthcare (Long Beach, CA)
- **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims, coordinating, ... incorrectly paid claims, by working with operational areas and provider billings and analyzing the systems. + This role...line of business or state **Job Function** Provides customer support and stellar service to assist Molina providers with… more
- Huron Consulting Group (Los Angeles, CA)
- …examines the intricate patient care challenges encountered by payor and provider healthcare entities to stabilize business today and create tomorrow's growth ... and firm development o Work closely with principals and partners to support business development efforts o Actively manage the individual professional development of… more
- Elevance Health (Los Angeles, CA)
- ** Provider Comm Coordinator Sr** **Location:** Woodland Hills, CA; Costa Mesa, CA; Walnut Creek, CA; Norfolk, VA; Richmond, VA & Roanoke, VA. This role requires ... week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …holiday and on-call obligations **Position Summary:** The Nocturnist Advanced Practice Provider (APP) provides care to complex acute, critical and chronically ill ... Congenital Diaphragmatic Hernia, complex surgical specialties, highly specialized ventilatory support & home ventilation program, Newborn Follow-Up, and more. **Job… more