• Encounter Data Management Professional

    Humana (Sacramento, CA)
    …to make an impact** **Required Qualifications** + 1 - 5 years or more of claims processing experience + Minimum of 1 year experience in conducting thorough root ... first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data Management Professional work assignments are varied… more
    Humana (08/22/25)
    - Related Jobs
  • Principal Accountant

    Ventura County (Ventura, CA)
    …We support work life balance by offering compressed work (eg, 9/80) and remote hybrid telework schedules for some positions subject to organizational needs and ... flexible credit allowance of up to $25,558 annually to offset the purchase of medical , dental, and/or vision insurance for you and your dependents. + Employee only -… more
    Ventura County (07/28/25)
    - Related Jobs
  • Human Resources - Payroll Professional

    Essel (Fairfield, CA)
    …employee record management, worker's comp and unemployment insurance management and claims processing Development, Implementation and oversight of HR ... you to join our team! This is primarily a remote position but you will occasionally be required onsite...systems Assists with asset management, background checks, drug screens, medical exams and logistics for employees Ensures candidates meet… more
    Essel (06/09/25)
    - Related Jobs
  • Medicaid Lead, Technology Solutions

    Humana (Sacramento, CA)
    …and processes + Solid understanding of healthcare operations, particularly around claims processing , enrollment, provider data management and clinical ... organization focused on continuously improving consumer experiences While this is a remote opportunity,** **it will require the willingness to travel to the market… more
    Humana (08/26/25)
    - Related Jobs
  • Senior Process Improvement Professional

    Humana (Sacramento, CA)
    …as Word, Excel, PowerPoint, and Lucid. **Preferred Qualifications** + Minimum 1 year of experience medical claims payment and processing in a medical ... forward to next round. Travel: While this is a remote position, occasional travel to Humana's offices for training...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
    Humana (08/27/25)
    - Related Jobs
  • Certified Risk Adjustment Coder (CRC), Senior…

    Ankura (Los Angeles, CA)
    …processes, anatomy and pharmacology. + Intermediate to advanced understanding of in claims processing procedures, state and federal regulations, and Medicare ... and code diagnoses based on information in a patient's medical record according to specific guidelines for each project....and verbal communication skills, ability to work in a remote environment, and time management skills. + Prior success… more
    Ankura (08/26/25)
    - Related Jobs
  • IBM i (AS400) Infrastructure Specialist

    Cognizant (Sacramento, CA)
    …team is responsible for 24x7x365 monitoring of all IBM i LPARS, along with processing all backups. This role will also involve monitoring the IBM i RxClaim health, ... monitoring of: Claim adjudication jobs, ASP alerts, CPU alerts, Claims queue monitoring, Storage monitoring, Connect Direct subsystem. +...flexible shift environment (24 x 7) This is a remote opportunity within the US. Candidate must be currently… more
    Cognizant (08/28/25)
    - Related Jobs
  • Financial Underwriting Representative

    Humana (Sacramento, CA)
    …in assisting the underwriting team by providing essential support in the evaluation and processing of renewal and new business work on a group level basis. This ... coverage + Experience in negotiation + Experience working with healthcare or claims related data **Additional Information** **Work At Home / Internet Information:**… more
    Humana (08/27/25)
    - Related Jobs
  • Medicaid State Technology Lead

    Humana (Sacramento, CA)
    …and processes + Solid understanding of healthcare operations, particularly around claims processing , enrollment, provider data management and clinical ... to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more
    Humana (08/19/25)
    - Related Jobs