• Senior Charge Description Master Specialist…

    Providence (CA)
    …(CDM) is consistent with all coding and billing regulations and accurately represents services provided. The Senior CDM Specialist acts as the liaison between ... and much more. Learn more at providence.jobs/benefits. **About the Team** Providence Shared Services is a service line within Providence that provides a variety… more
    Providence (07/29/25)
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  • Registered Nurse or Physical Therapist Denials…

    CenterWell (Sacramento, CA)
    …caring community and help us put health first** The **Denials Management Specialist ** is responsible to respond to, monitor and analyze all governmental requests, ... administrative, supervisory, quality assurance or teaching position in/or related to a Medicare certified home health agency. + A thorough knowledge of federal… more
    CenterWell (07/30/25)
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  • Customer Solution Center Audit Readiness…

    LA Care Health Plan (Los Angeles, CA)
    Customer Solution Center Audit Readiness Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible for the execution, oversight, and...Care Services (DHCS), Department of Public Social Services (DPSS), Centers for Medicare and Medicaid… more
    LA Care Health Plan (07/17/25)
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  • Customer Solution Center Appeals and Grievances…

    LA Care Health Plan (Los Angeles, CA)
    Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider… more
    LA Care Health Plan (07/08/25)
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  • Operations Specialist

    Aveanna Healthcare (Sacramento, CA)
    …customer service , personnel and operations support. The successful Operations Specialist will excel in a dynamic environment, demonstrating the ability to handle ... Operations Specialist ApplyRefer a FriendBack Job Details Requisition #:...as a point of contact for inquiries, providing exceptional service and fostering positive relationships with a diverse range… more
    Aveanna Healthcare (07/17/25)
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  • Budgeting Specialist - Industry Trials

    University of Southern California (Los Angeles, CA)
    …and negotiation of budgets for industry sponsored clinical trials. The budget specialist is responsible for reviewing the Medicare coverage analysis, protocol, ... a part of a world-class research university and a member of the "Trojan Family," which is comprised of...out the study, as well as costs for ancillary services . The budget specialist should be familiar… more
    University of Southern California (07/30/25)
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  • Enhanced Care Management Clinical…

    LA Care Health Plan (Los Angeles, CA)
    Enhanced Care Management Clinical Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... purpose. Job Summary The Enhanced Care Management (ECM) Clinical Specialist II is responsible for the management and oversight...to ECM Providers to support effective delivery of ECM services and ensure compliance with local, State, and Federal… more
    LA Care Health Plan (07/16/25)
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  • Quality Improvement Specialist Senior

    Centene Corporation (Sacramento, CA)
    …Remote position. Must work PST. California resident strongly preferred **Prior Medicare STAR ratings, HEDIS, and Quality Improvement experience needed.** **Valid ... Quality (CPHQ) preferred.** **Position Purpose:** The Senior Quality Improvement Specialist is responsible for coordinating assigned regulatory, accreditation, clinical… more
    Centene Corporation (07/31/25)
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  • Correspondence Policy Specialist

    Evolent (Sacramento, CA)
    …to providing better health outcomes. **Collaboration Opportunities:** A Correspondence Policy Specialist on the Shared Services Correspondence team will be ... Employee Retirement Income Security Act of 1974 (ERISA), Centers for Medicare and Medicaid Services (CMS), and Company Policy across product lines and business… more
    Evolent (06/17/25)
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  • Bilingual Community Relations Specialist

    Aveanna Healthcare (Dixon, CA)
    … Specialist Position Summary TheCommunity Relations Specialistis an essential member of the Aveanna team, responsible for generating new referrals, supporting ... Bilingual Community Relations Specialist ApplyRefer a FriendBack Job Details Requisition #:...Requisition #: 206007 Location: Dixon, CA 95620 Category: Client Services Salary: $58,656.00 - $62,000.00 per year Position Details… more
    Aveanna Healthcare (06/27/25)
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