- Highmark Health (Sacramento, CA)
- …including the growing number of laws and regulations governing managed care organizations. The Manager , Medicaid Compliance & Operations acts as a trusted ... contracts. The position actively manages the day-to-day operations of the Medicaid Compliance Program, and contributes to the operational workflow for … more
- 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
- CVS Health (Sacramento, CA)
- …problem-solving abilities **Preferred Qualifications** Clinical Coding Experience - Content Manager Claim Processing Medicaid Working with SQL Application ... and every day. Remote: can work anywhere in the US **Position Summary** Medicaid Claim Editing Content Management team. Must oversee ongoing content delivery and… more
- Humana (Sacramento, CA)
- …health outcomes for our dual members - members that qualify for both Medicare and Medicaid . The Lead Product Manager sits in the center of strategy, design, ... first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… 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
- LA Care Health Plan (Los Angeles, CA)
- …for the Regulatory Compliance unit, the Advisor also advises and supports the Manager , Director, and Chief Compliance Officer on other duties as assigned to ... Compliance Advisor II Job Category: Administrative, HR, Business...of Health Care Services (DHCS), Centers for Medicare and Medicaid Services (CMS), and Knox-Keene requirements, as well as… more
- Abbott (Alameda, CA)
- …and professionals measure, track and analyze glucose levels. As a Senior Manager Contracts Operations, you will be responsible for managing contract operations ... across multiple customer channels, including Managed Care, Medicare, Medicaid , DME, and Government. The position will work cross-functionally with Account… 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)
- …LVNs/RNs in support of organizational quality improvement initiatives across Medicare, Medicaid and Commercial space. He/She will partner with other departments, ... system/national level in the population health space. **Position Summary:** The Manager , Clinical Quality Improvement, is responsible for leading multiple large… more
- Walgreens (San Francisco, CA)
- …growing the business at the site. Performs all duties of the Pharmacy Manager in their absence **.** **Customer Experience** + Ensures that store personnel provide ... eligibility and all required reporting and documentation. + Responsible for ensuring compliance of team members with regard to the documentation of patient… more
- LA Care Health Plan (Los Angeles, CA)
- Financial Compliance Auditor III Finance Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: ... required to achieve that purpose. Job Summary The Financial Compliance Auditor III Finance is a hybrid role and...D-SNP, and PASC-SEIU. This role works closely with the Manager and other team members on the identification and… more
- The County of Los Angeles (Los Angeles, CA)
- MANAGER III, FACILITIES OPERATIONS AND CRAFTS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4855820) Apply MANAGER III, FACILITIES ... Essential Job Functions Plans, assigns, coordinates, and manages, through subordinate Manager , Facilities Operations and Crafts staff, a variety of craft and… more
- Sunnyside Nursing and Post-Acute Care (Torrance, CA)
- …Timely submits required data to the Center for Medicare and Medicaid Services (CMS). + CHART AUDITS/ COMPLIANCE : Coordinates monthly interdisciplinary ... or long-term care. Job Description + The Health Information Manager (HIM) is responsible for the overall management of...compliance Full-time (Monday - Friday) Some weekends as Manager of the Day Job Type: Full-time Must be… more
- Alameda Health System (Oakland, CA)
- Assistant Manager , Imaging Services + Oakland, CA + Highland General Hospital + HGH Radiology Diagnosis + Full Time - Day + Management + $49.36 - $82.28/HR + Req ... #:42240-31319 + FTE:1 + Posted:June 10, 2025 **Summary** **SUMMARY:** The Assistant Manager , Imaging Services plays a vital leadership role in the day-to-day… more
- Abbott (Livermore, CA)
- …health and get on with their lives. This position provides regulatory compliance leadership for the business, ensuring the policies, procedures, and practices of ... On** + Directly manages team responsible for following: CMS enrollment, Medicaid enrollment, state licenses, Joint Commission accreditation, payor contract review,… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Customer Solution Center Appeals and Grievances Job Category: Management/Executive Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Manager , Customer Solution Center Appeals and Grievances is responsible...Department of Health Care Services, Centers for Medicare & Medicaid Services, as well as requirements from the National… more
- Humana (Sacramento, CA)
- …we expand our cloud capabilities, we are looking for a Principal Product Manager to lead our multi-CSP strategy, drive cross-domain collaboration, and optimize our ... customer onboarding experience. As a Principal Cloud Platform Product Manager , you will own the vision, strategy, and execution for our multi-cloud platform-focusing… more
- Gentiva (Monterey, CA)
- …people's lives every day. **Overview** We're looking for a **RN Patient Care Manager ** to join our team.You will report directly to the Executive Director, ... Administrator, or Senior Patient Care Manager . You will be responsible for maintaining a high...and ensuring adherence to company policies and procedures and compliance with local, state, and federal regulations and regulatory… more
- Datavant (Sacramento, CA)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy and ... and support value-based client delivery across Medicare Advantage, ACA, and Medicaid programs. The ideal candidate combines deep healthcare analytics expertise with… more
- Alameda Health System (Oakland, CA)
- Regulatory Affairs Manager + oakland, CA + Quality + Regulatory Affairs + Full Time - Day + Business Professional & IT + $61.76- $102.90 + Req #:42090-31204 + FTE:1 ... + Posted:May 8, 2025 **Summary** **SUMMARY:** Plans, coordinates, monitors compliance with federal, state and local regulations; manages accreditation activities… more