- Humana (Sacramento, CA)
- …development; and + Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root ... a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence… more
- CenterWell (Sacramento, CA)
- …for multiple Medicaid markets. This role is responsible to ensure compliance with client contracts, as well as to identify opportunities and implement program ... us put health first** The Lead - Medicaid Customer Success oversees strategy and operations...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- Prime Healthcare (Ontario, CA)
- …seeking new members to join our corporate team! Responsibilities The Revenue Integrity Compliance Manager is a highly motivated and detail-oriented. This role ... Rule and other federal and state financial reporting requirements. The Revenue Integrity Compliance Manager is a strategic thinker with strong leadership skills… more
- Robert Half Management Resources (Burbank, CA)
- …This role will play a key part in evaluating and optimizing Medicaid enrollment and eligibility operations, ensuring compliance , efficiency, and accuracy ... Our client, a leading healthcare organization, is seeking an experienced Medicaid Enrollment & Eligibility Consultant for a fully remote, contract-based opportunity.… more
- CVS Health (Sacramento, CA)
- …accreditation from the National Health Care Anti-Fraud Association (AHFI) + Experience In Medicaid Compliance , Medicaid Investigations, MCO Medicaid FWA ... Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role...Investigation or Medicaid / Medicare / Commercial Compliance role + Strong verbal and written communication skills.… more
- Molina Healthcare (San Jose, CA)
- …goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits & ... complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination,… more
- Abbott (Sylmar, CA)
- …for developing, updating and maintaining basic and routine elements of Abbott's compliance program at the franchise, business unit, divisional or corporate level. + ... The Senior Analyst performs the following with moderate supervision from the OEC Manager /Director + Supports and communicates with the business to provide OEC and… more
- The County of Los Angeles (Los Angeles, CA)
- MANAGER II, FACILITIES OPERATIONS AND CRAFTS, ENVIRONMENTAL SERVICES Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4762503) Apply MANAGER ... hospital, clinical and administrative space. Acts as first assistant to a Manager IV, Facilities Operations and Crafts. Essential Job Functions Plans, assigns,… more
- Abbott (Livermore, CA)
- …out of our Livermore, CA location in the Heart Failure division. As the Manager , Revenue Cycle Management you will lead and manage the company's healthcare cash ... the company's healthcare cash posting and lockbox activities , including Medicaid , Medicare, Managed Care, and third-party payors transactions on multiple EMR's… more
- Dignity Health (Bakersfield, CA)
- …execution of contract compliance with PHP policy as well as compliance with applicable Medicare, Medicaid and other third party guidelines. ... will be expected to work PST business hours.** **Position Summary:** The Manager , Network Strategy and Contracting reports to the Director of Provider Contracting.… more