- 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)
- …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, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… 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 ... 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
- 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)
- …understanding of how organization capabilities interrelate across department(s). The Associate Director , Procurement complies with federal and state regulatory ... caring community and help us put health first** The Associate Director , Procurement generates and implements efficient sourcing and category management strategies.… 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
- 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
- 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
- Datavant (Sacramento, CA)
- …detail-oriented Compensation Manager to join our Total Rewards team. Reporting to the Director of Compensation , this individual contributor will play a key role in ... of job architecture and leveling frameworks. + Ensure compliance with all regulatory requirements related to compensation programs. + Lead change management and… 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