- Humana (Sacramento, CA)
- …APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing ... first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer… more
- Kyndryl (Sacramento, CA)
- …Healthcare IT Applications - Systems Engineer (EPIC) - (10) is a senior -level, client-facing role dedicated to driving the adoption, integration, and optimization of ... Electronic Medical Record, Imaging, Medical Device Integrations, Contact Centers, Claims , Provider, Sales, cloud-based solutions), emerging technologies (eg, AI/ML,… more
- Amentum (Sacramento, CA)
- …objectives. The Director acts as a key advisor to business units and senior leadership on risk-related matters and ensures compliance with regulatory and contractual ... global insurance programs (property, casualty, cyber, D&O, aerospace, marine, professional , etc.), including annual renewals, broker engagement, and carrier… more
- The Clorox Company (Pleasanton, CA)
- …and finished products related to consumer goods including cleaning, professional cleaning/sanitization, water filtration, charcoal, cat litter, food, personal care ... and Development Center in Pleasanton, California for a Chemistry Expert ( Senior Scientist) in Analytical Chemistry to provide analytical chemical leadership to… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …of the Quality Systems and Risks will be reported periodically to Senior Management through the Management Review process to ensure alignment with Company ... goals. **Empowered Development -** Play an active role in professional development as a business imperative. Minimum $245,454.00 -...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …to feedback and self-improvement + Demonstrates experience interacting with and supporting senior leadership + Ability to champion new ideas or positions to meet ... goals. **Empowered Development -** Play an active role in professional development as a business imperative. Minimum $245,454.00 -...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- PCL Construction (Los Angeles, CA)
- …help you build a career you're proud of. We are in search of a professional to serve as the Assistant Manager Finance and Commercial Risk for our California ... * Oversees the preparation of insurance, subcontract default insurance, and/or legal claims . * Leads the interpretation, negotiation, and approval of deviations from… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …a matrixed organization with global and local colleagues + Ability to gain senior leadership alignment on functional area initiatives and programs + Excellence in ... goals. **Empowered Development -** Play an active role in professional development as a business imperative. Minimum $183,335.00 -...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- University of Southern California (Los Angeles, CA)
- …management programs, manage health plan member services and in collaboration with senior leaders monitor plan expenses. The Associate Director, Health Plans: . Plans ... program information. Resolves problems or questions referred by program staff, senior university administrators, or external vendors. . Develops and recommends… more
- Sharp HealthCare (San Diego, CA)
- …SHP and its Chief Medical Officer. Is accountable for and provides professional leadership and direction to the utilization/cost management and clinical quality ... with medical management such as provider relations, member services, benefits and claims management, etc. Assists (as determined by the plan Chief Medical Officer)… more