• Medicaid Provider Hospital

    Humana (Sacramento, CA)
    …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
    Humana (12/02/25)
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  • Provider Contracting Executive

    Humana (Sacramento, CA)
    …The Provider Contracting Executive initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements. The Provider ... diverse scope and complexity ranging from moderate to substantial. The Provider Contracting Executive communicates contract terms, payment structures, and … more
    Humana (12/02/25)
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  • AR Physician Hospital Billing Follow up…

    Cognizant (Sacramento, CA)
    We strive to provide flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in the United ... Monday to Friday - Eastern Time **About the role:** Asan AR Physician Hospital Billing Follow Up, you will be responsible for resolving aged hospital more
    Cognizant (11/26/25)
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  • Sr. Manager, Payor Relations & Regulatory Affairs

    Abbott (Livermore, CA)
    …management in one (or multiple) of the following fields: DME, IDTF, hospital administration, Medicare, Medicaid , commercial payors + Experience leading ... savings plan with high employer contribution . + Tuition reimbursement , the Freedom 2 Save (https://www.abbott.com/corpnewsroom/strategy-and-strength/tackling-student-debt-for-our-employees.html) student debt program… more
    Abbott (09/20/25)
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  • Care Progression Physician Advisor, ABSMC

    Sutter Health (Oakland, CA)
    …of care, and observation status. + Some awareness of healthcare reimbursement systems: Health Maintenance Organization (HMO), Preferred Provider Organization ... **Position Overview:** The Physician Advisor (PA) is a key member of the hospital 's leadership team charged with meeting the organization's goals and objectives for… more
    Sutter Health (11/20/25)
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  • Manager, Clinical Documentation Integrity

    Sutter Health (Sacramento, CA)
    …+ Identify areas of improvement and communicate improvement strategies to hospital leadership. + Ability to provide leadership including innovation, ... potential impact on data quality for prospective payments, utilization, and reimbursement . Knowledge of ICD-10 desirable. + Strong Organization and Quantitative… more
    Sutter Health (11/15/25)
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  • Cardiometabolic Care Specialist I - P Santa Rosa…

    Novo Nordisk (Santa Rosa, CA)
    …of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage Requirements, Step Therapy, ... strategies + May develop and utilize relationships with specialists, key hospital decision-makers, and other individuals who make or influence the purchasing,… more
    Novo Nordisk (11/14/25)
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