- Humana (Sacramento, CA)
- …of our caring community and help us put health first** The Senior Market Finance Professional collects, analyzes and reports on various market data to connect ... financial outcomes with operational effectiveness. The Senior Market Finance Professional work assignments involve moderately complex to complex issues where the… more
- Humana (Sacramento, CA)
- …from the data exchange between Humana and its trading partners, Medicare and Medicaid . The Senior Encounter Data Management Professional will work with ... and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation of… more
- Aston Carter (Valencia, CA)
- …expertise in navigating the intricacies of private insurance carriers, Medicare, and Medicaid , along with a robust ability to drive evidence-based strategies that ... to secure coverage, reimbursement, and pricing for medical devices across Medicare, Medicaid , and private payers. + Build relationships with commercial payers, PBMs,… more
- Abbott (Alameda, CA)
- …leadership and analytical insights to support decision-making. We seek an experienced finance or contract operations professional with strong attention to detail ... operations across multiple customer channels, including Managed Care, Medicare, Medicaid , DME, and Government. The position will work cross-functionally with… more
- Stanford Health Care (Palo Alto, CA)
- …and operations support for Health Information Management, Hospital and Professional Coding Services, Charge Capture procedures, Revenue Integrity and Clinical ... Managed Care Contracting, Quality, Controller's Office, Technology and Digital Solutions, Finance , Office of General Counsel and Compliance. They are accountable for… more
- Providence (CA)
- …operates a self-administered claims program for General and Healthcare Professional Liability, Directors and Officers, Employment Practices, Fiduciary, Property, ... and technical support for caregivers regarding Centers for Medicare and Medicaid Services (CMS) Medicare Secondary Payer reporting, applicable laws, insurance… more
- Option Care Health (Sacramento, CA)
- …health care compliance including, but not limited to FWA, Medicare & Medicaid billing requirements, and interactions with healthcare professionals. Lead or support ... Operations, Market Access, Internal Audit, Legal, Clinical & Quality, Human Resources and Finance and others as required. Serve as a liaison between the Compliance… more
- Humana (Sacramento, CA)
- …& Clinical Innovation + Corporate Strategy & Transformation Office + Medicare & Medicaid Market Operations + Provider Relations & Network Performance + Marketing & ... Customer Engagement (including MarketPoint) + Finance , Accounting & Risk Management + Human Resources &...in a Master of Business (MBA) or other advanced professional degree (eg MPH, MD, JD, Ph.D.), with a… more
- Humana (Sacramento, CA)
- …They will partner with cross-functional stakeholders-including business, product, architecture, finance , and delivery teams-to ensure that Enrollment solutions are ... department(s) and could lead multiple managers or highly specialized professional associates. **Responsibilities** Lead end-to-end technology delivery for Enrollment… more
- Providence (CA)
- …as the efficiency and effectiveness of Financial Assistance Programs and the Medicaid submission process for 51 Providence and Affiliate hospitals, over 1,000 ... + Oversee Patient Financial Counseling functions, including the insourcing of the Medicaid eligibility program and vendor strategy. + Set strategic and performance… more
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