• Senior Business Analyst

    Public Consulting Group (Sacramento, CA)
    …of their user base. Services: + Strategy, Architecture, Planning, and Procurement + Business Enablement + Business Solutions + Project Assurance **Duties and ... key stakeholders + Provides IT job duties which include Business and Technical Leadership, System Analysis, Code + Development,...of relevant industry experience + Public sector experience + Medicaid experience + Must be located in the western… more
    Public Consulting Group (04/12/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Sacramento, CA)
    …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer ... operations, and other business teams involved in the administration of Medicaid business at Humana. The Senior Business Intelligence Engineer will… more
    Humana (05/29/25)
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  • Senior Quality Analyst , Claims…

    Providence (CA)
    …Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims. The Senior Quality Analyst assists the Claims leaders in managing a ... with laws and regulations pertaining to self-insured health care organizations. The Senior Quality Analyst is also responsible for maintaining a claims… more
    Providence (05/09/25)
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  • Senior Compliance Analyst - Remote…

    Prime Therapeutics (San Diego, CA)
    …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst - Remote in the California market **Job Description** The ... Senior Compliance Analyst assists in the implementation...to validate regulatory reporting requirements are met and that business operations are aligned with expectations of applicable regulatory… more
    Prime Therapeutics (05/20/25)
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  • Senior Analyst - Network Management…

    CVS Health (Sacramento, CA)
    …And we do it all with heart, each and every day. **Position Summary** As a Senior Database Analyst , you will be responsible for using MS Access, SAS and related ... and for Sales/Clients for all CVS Health adjudication platforms and lines of business (Medicare Part D, Commercial, Medicaid , etc.). Our Analysts make high… more
    CVS Health (05/25/25)
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  • Senior Health Care Audit Analyst

    LA Care Health Plan (Los Angeles, CA)
    Senior Health Care Audit Analyst Job...and reporting of AB1455 Claims data by line of business submitted by Plan Partners (PP), Preferred Provider Groups ... of LA Care deficient delegates. Participates in Centers for Medicare and Medicaid Services (CMS) claim audit section of LA Care delegates. Distributes, collects… more
    LA Care Health Plan (05/26/25)
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  • Claims Business Analyst - Remote

    Cognizant (Sacramento, CA)
    …for the Configuration and IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an ... you on our team. **Purpose:** This position is responsible for working with business partners within one business function to align technology solutions with… more
    Cognizant (05/20/25)
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  • Mental Health Program Manager II / Emergency…

    The County of Los Angeles (Los Angeles, CA)
    …program administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum recovery costs for ... supervising a multi-disciplinary team at the level of Mental Health Supervisor, Senior Mental Health Counselor, RN, or Supervising Psychologist. Option III: A… more
    The County of Los Angeles (05/24/25)
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