- Abt Global Inc. (Sacramento, CA)
- **The Opportunity** As a Project Director , you will lead large project teams through complex health analytic engagements, serving both State and Federal ... strategy, and visualization. You will help to operationalize and execute Medicaid policy and IT transformation projects. You will oversee interdisciplinary teams… more
- Humana (Sacramento, CA)
- …to innovate + **Resides in KY** **Additional Information** Reports to the Lead Medical Director - North Central Medicaid Markets. The Medical Director ... community and help us put health first** The Medical Director relies on medical background and reviews health claims.... market populations. May provide cross-coverage for other state Medicaid markets. May participate on project teams… more
- Cognizant (Sacramento, CA)
- …among patients, hospitals, and government agencies to ensure eligibility for Medicaid , social security, county indigent, or other types of healthcare funding. ... process, standards, and documentation by client. + Evaluates and reports project status, schedules, issues, resolutions, and completions. + Guide underperforming… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Sacramento, CA)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other… more
- Humana (Sacramento, CA)
- …us put health first** Humana is seeking a strategic and experienced Director of Business Performance Management, to lead the development, implementation, and ... effectiveness, compliance, and the achievement of key business objectives. The Director will be responsible for establishing clear performance metrics, driving… more
- HCA Healthcare (San Jose, CA)
- …of the range. **Introduction** Do you have the career opportunities as an HIM Director you want with your current employer? We have an exciting opportunity for you ... colleagues. Do you want to work as an HIM Director where your passion for creating positive patient interactions...a key HIM contact for facility implementation activities and project core team meetings. + Responsible for managing facility… more
- Humana (Sacramento, CA)
- …of our caring community and help us put health first** The Director , Risk Adjustment Strategy Advancement will provide business intelligence and strategic planning ... support for business segments and the company at large. The Director , Risk Adjustment Strategy Advancement requires an in-depth understanding of how organization… more
- Gilead Sciences, Inc. (Foster City, CA)
- …will improve the lives of patients with life-threatening illnesses worldwide. As Senior Director , US Market Access Strategy, HIV, you will be reporting to Executive ... Director US MAS Virology and are responsible for three...to develop/recommend innovative access solutions across all segments (Commercial, Medicaid , Medicare, etc.). + Provide the "voice of the… more
- Gilead Sciences, Inc. (Foster City, CA)
- …position is based in Foster City, CA and reports to the Sr. Director , Contracting and Pricing Strategy, Virology, Managed Markets. As **Associate** ** Director ... the nuanced differences of different business segments, eg, Commercial, Medicare, Medicaid , and Federal. + Ensure brand access strategies are incorporated into… more
- Humana (Sacramento, CA)
- …of this evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid , and other health plans to millions. By integrating insurance with care ... plays a pivotal role in defining the future of Humana's Medicare and Medicaid businesses, which generate the majority of the company's total revenue and earnings.… more
- Datavant (Sacramento, CA)
- …and external stakeholders. The manager will collaborate with other managers and the department director to set strategy and mobilize the team to be as performant as ... their direct reports with guidance and collaboration from the director and other department managers + Develop core relationships...3+ years of experience working with Medicare, ACA, and/or Medicaid risk adjustment models + 5+ years of data… more
- Evolent (Sacramento, CA)
- …issue resolution, process improvement, and more. This position reports to the Director . Provider Data Managment. + Leadership responsibility for a team of 3-7 ... + Use data-driven decision-making skills to effectively prioritize day-to-day operations, project work, and address client requests and escalations + Identify areas… more
- LA Care Health Plan (Los Angeles, CA)
- …investigate, assist with coordination and management of teams and workgroups, project documentation and workflows, draft and complete presentations, auditing and ... unit, the Advisor also advises and supports the Manager, Director , and Chief Compliance Officer on other duties as...of Health Care Services (DHCS), Centers for Medicare and Medicaid Services (CMS), and Knox-Keene requirements, as well as… more