- Cognizant (Sacramento, CA)
- About the role As a ** Quality Analyst with Healthcare - Claims & Membership experience** . You will make an impact by designing and executing end-to-end ... test strategies that ensure the quality and reliability of healthcare claims and membership applications. You will be a valued member of the Quality … more
- Molina Healthcare (San Diego, CA)
- **JOB DESCRIPTION** **Job Summary** The Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. This position designs ... on how to use reports related to Risk and Quality /HEDIS for Medicaid, Marketplace and Medicare/MMP. **Job Duties** +...plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and… more
- Evolent (Sacramento, CA)
- …**What You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, ... working seamlessly with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including… more
- Amazon (San Francisco, CA)
- … healthcare delivery. Key job responsibilities * Lead complex analysis efforts using healthcare data (EMR, claims , clinical quality ) to inform strategic ... Description As a Business Analyst II on the Amazon One Medical At-Risk...experience with large datasets - Experience with EMR data, claims data, and clinical quality metrics -… more
- The Cigna Group (Walnut Creek, CA)
- …with local healthcare providers-physicians, hospitals, clinics, and other healthcare facilities-to help deliver high- quality , cost-effective healthcare . ... and negotiate contracts, initiate new agreements, and contribute to building strong healthcare provider networks. **As a Network Contracting Analyst , you will:**… more
- Cedars-Sinai (Beverly Hills, CA)
- …field of study **About Us** Cedars-Sinai is a leader in providing high- quality healthcare encompassing primary care, specialized medicine and research. Since ... care we strive for. **What will you be doing:** The Senior Financial Analyst is responsible for assisting with the development, design, maintenance, coordination and… more
- UCLA Health (Los Angeles, CA)
- …building and maintaining Tableau dashboards + Proven experience generating reports using healthcare data, with a focus on encounter/ claims , membership, and ... Description As the Business Data Analyst for our Medicare Advantage Risk Adjustment team,...internal and external reporting. You will: + Ensure data quality and accuracy through rigorous assurance checks. + Develop… more
- Highmark Health (Sacramento, CA)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- Evolent (Sacramento, CA)
- …Codes, CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing ... and estimate Evolent's ability to reduce costs and improve quality . + Develop models to quantify and articulate value...health, biology) + 1+ years of professional experience in claims -based healthcare analytics with a payer, provider,… more
- Robert Half Technology (Martinez, CA)
- …strategic thinker with a knack for turning data into actionable insights? As a Data Analyst at our East Bay client, you'll be at the heart of helping our client's ... validate ad-hoc data requests, and recommend process improvements to increase data quality and accuracy. -Work with business leaders to support team deliverables and… more
- CVS Health (CA)
- …accordance with company standards while meeting and exceeding accessibility, compliance, quality , and cost initiatives. Verifies contract compliance and adherence to ... metrics and training to ensure compliance with the company's regulatory, safety, quality , and confidentiality protocols and standards. + Ensures a high level of… more
- Evolent (Sacramento, CA)
- …You Will Be Doing:** + **Strategic Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, ... monthly, quarterly, and annual client reporting. In addition to quality review and client Q & A reporting. +...areas of sensitivity + 2 years of Account Management healthcare experience To ensure a secure hiring process we… more
- Highmark Health (Sacramento, CA)
- …Developers, and other team members to capture capability needs and drive quality business solutions. Create and maintain deliverables such as business vision, ... years in a relevant operational area (eg customer service, claims , enrollment and billing, etc.) to include 1 -...Insurance Industry + 1 - 3 years in the Healthcare Industry + 1 - 3 years in Lean/Six… more
- The County of Los Angeles (Los Angeles, CA)
- …technicians providing a full-range of orthopedic services in inpatient and outpatient healthcare settings and for ensuring these services are rendered. Essential Job ... hiring of orthopedic technician personnel. + Makes daily rounds to evaluate the quality of orthopedic technician work at all assigned locations. + Consults with… more
- The County of Los Angeles (Los Angeles, CA)
- …employees who work in roles as broad as law, civil engineering, public safety, healthcare , and human services, the County operates with an annual budget of nearly ... a fair outcome through our consumer protection programs, including Small Claims Advisor, dispute resolution and mediation programs, immigration legal services,… more
- The County of Los Angeles (Los Angeles, CA)
- …Los Angeles County Department of Health Services (DHS) is more than just a healthcare provider - we're a cornerstone of our community's health. As the second largest ... budget exceeding $6.9 billion, DHS is dedicated to transforming healthcare and creating lasting change in our community. For...Determines need for and conducts in-service training to improve quality of admission and continued stay reviews, and to… more
- City and County of San Francisco (San Francisco, CA)
- The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its ... Eighteen (18) months (equivalent to 3,000 hours) of experience billing, claims processing and/or collecting healthcare service reimbursements or medical… more
- The County of Los Angeles (Los Angeles, CA)
- …written instructions, forms and manuals to improve and ensure quantity and quality of production. + Plans, assigns and supervises central service workers engaged ... established quotas, safety and housekeeping practices. + Maintains and establishes quality control by sampling processed items. + Assists physicians in developing… more
- The County of Los Angeles (Los Angeles, CA)
- …center, supervising multiple facilities operations and crafts functions in a healthcare setting** implementing Title 22 requirements, Joint Commission on the ... Accreditation of Healthcare Organizations (JCAHO) standards, and all other pertinent local,...Organizations (JCAHO) is the accreditation agency utilized to meet quality and safety standards consistent with the Centers for… more
- The County of Los Angeles (Los Angeles, CA)
- …the management** of a facilities operations and building crafts program in a healthcare setting implementing Title 22 requirements and The Joint Commission on the ... Accreditation of Healthcare Organizations (JCAHO) standards, and all other pertinent local,...Organizations (JCAHO) is the accreditation agency used to meet quality and safety standards consistent with the Centers for… more