• Medicare ( PPS ) Provider

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Medicare ( PPS ) Provider Hospital Reimbursement Analyst also known as a Senior ... the Pricer Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team… more
    Humana (10/18/25)
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  • Physician Advisor, Utilization Review/Management

    Sutter Health (Sacramento, CA)
    …Organization (HMO), Preferred Provider Organization (PPO), Patient Processing Service ( PPS ),Centers for Medicare and Medicaid Services (GR) Grouper (CMS) ... Physician Advisor (PA) is a key member of the hospital 's leadership team charged with meeting the organization's goals...and strengthening the relationship with System Enterprise and the hospital to appropriately optimize the use of Sutter Health… more
    Sutter Health (10/29/25)
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