- American Water (Sacramento, CA)
- …business partner providing advice for California and Hawaii ensuring coordination of rates and regulatory strategy with state operations, functional groups ... diverse pipeline of talent to enable long-term high performance of the rates and regulatory function. Oversees complex rate and regulatory proceedings for… more
- Humana (Sacramento, CA)
- …and overseeing audit activities to ensure compliance with internal policies, regulatory requirements, and industry standards. The Director Internal Audit ... part of our caring community and help us put health first** The Director , Internal Audit develops, plans and evaluates internal audit programs for the organization's… more
- CenterWell (Sacramento, CA)
- …our caring community and help us put health first** The National Medical Director for Home-Based Care Programs is a key clinical leadership position responsible for ... and high-risk Medicare patients within a full-risk, value-based framework. The Medical Director collaborates in a dyad partnership with the Strategy Advancement and… more
- Datavant (Sacramento, CA)
- …experiences to realize our bold vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the ... suite. + Define multi-year plans aligned to customer outcomes, regulatory drivers, and market trends in risk adjustment, care...risk score impact, and concurrent coding capture and correction rates . + Establish and track KPIs that measure both… more
- Datavant (Sacramento, CA)
- …experiences to realize our bold vision for healthcare. **Role Summary:** The ** Director of Internal Audit** will design, implement, and oversee Datavant's legal and ... audit standards. Reporting to the Chief Compliance and Privacy Officer, the Director of Internal Audit will evaluate the effectiveness of internal controls, risk… 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, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
- Humana (Sacramento, CA)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... authorized at the Inpatient level. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national… more
- Humana (Sacramento, CA)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national… more
- PSI Services (Sacramento, CA)
- **Description** **Title:** Sr. Director , Federal Program Management **Location:** Remote-US **Salary:** $175K / annually + STIP **About PSI** Join Us at PSI - Where ... why we've benchmarked all our roles against local market rates and why you'll always see salary details in...aligns with your expectations. **About the Role** The Senior Director , Federal Program Management is a critical leadership role… more
- Baylor Scott & White Health (Sacramento, CA)
- …implementing policies, procedures and performance metrics to improve appeal success rates , ensure regulatory compliance and optimize reimbursement outcomes. Will ... **Job Summary** The Director , Denial Resource Center is responsible for the...Strong understanding of payer denial codes, appeal strategies and regulatory frameworks. + Familiarity with RAC audit processes preferred… more
- Humana (Sacramento, CA)
- …satisfaction, engagement, and business value. We're looking for a customer-obsessed, results-driven Director of Product Design to lead the evolution of our digital ... focused on solving customer needs while enabling strategic and operational goals. As Director of Product Design, you'll lead a team of product designers while… more
- Humana (Sacramento, CA)
- …caring community and help us put health first** The Associate Director ; Software Renewals establishes and implements hardware and software acquisition, protection, ... procedures that are aligned with IT standards and strategy. The Associate Director ; Software Renewals requires a solid understanding of how organization capabilities… more
- Wolters Kluwer (Sacramento, CA)
- …Consolidation & Reporting, CCH Tagetik has developed pre-packaged solutions addressing regulatory reporting requirements for ESG, Tax, Insurance & Banking. The ... **North American** team is seeking a ** Director of Solution Consulting, North America** to lead a...+ Track and report on key performance metrics (win rates , demo quality, utilization). + Optimize pre-sales processes and… more
- Travelers Insurance Company (Sacramento, CA)
- …regularly engage in unique and intellectually stimulating business problems. As a Director , Product Management, you will manage the growth and profitability for ... in the formulation of recommendations based on analysis and interpretation of rates , data, and trends to achieve business objectives. By collaborating and… more
- Evolent (Sacramento, CA)
- …of our specialty programs and administrative platform. Role Overview The Associate Director role on Client Analytics will support both internal teams (EAS, Specialty ... partners. + Advanced Reporting & Compliance: Lead the development of regulatory and ad hoc reporting strategies, ensuring accuracy, compliance, and alignment… more
- Xerox (Sacramento, CA)
- …Job Level Individual Contributor Job Type Experienced Job Field ATTORNEYS Seniority Level Director Currency USD - United States - US Annual Base Salary Minimum ... internal postings, please visit Xerox Careers (https://xerox.avature.net/en\_US/careers) . **Monthly:** Monthly rates for this position can be shared with you per… more
- PSI Services (Sacramento, CA)
- …with feeling valued. That's why we've benchmarked all our roles against local market rates and why you'll always see salary details in our job postings. We believe ... a standard 09:00 - 17:30 schedule. The role reports to the Snr Director of Information Security, Governance, Risk and Compliance and may be performed remotely,… more
- Humana (Sacramento, CA)
- …the Regional Vice President of Health Services (RVP) and Health Services Director (HSD). This position focuses on enabling connections with physicians and providers, ... supplement them with regular reviews to ensure vendor programs comply with regulatory standards and internal policies. + Provide insights to inform program… more