- Highmark Health (Sacramento, CA)
- …charges. The incumbent will also conduct or assist with provider and subscriber investigations to verify the validity of services and charges; will monitor internal ... facility and professional provider over-payments. + Investigation Support: Assist with investigations : Assist in the interviews of customers and providers to obtain… more
- County of El Dorado (Placerville, CA)
- Health Education Coordinator Print (https://www.governmentjobs.com/careers/edcgov/jobs/newprint/4956528) Apply Health Education Coordinator Salary $67,184.00 - ... activities. Click here to view the minimum qualifications for Health Education Coordinator , as well as the physical, environmental, and working conditions. IDEAL… more
- Cardinal Health (Sacramento, CA)
- …regulations, standards and operating procedures. + Demonstrates ability to perform investigations / root cause analysis and develop corrective actions. + ... Demonstrates an understanding of the requirements and has the ability to perform gap assessments to those requirements. + Demonstrates an understanding of quality concepts such as: cost of quality, analytical metrics and / or statistics, trending, quality… more
- Cardinal Health (Sacramento, CA)
- …+ Experience conducting and documenting patient health insurance benefit investigations , prior authorizations, and appeals, preferred (2+ years) + Knowledge ... of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred + Critical and creative thinking, preferred + Knowledge of Medical/Pharmacy billing and coding, preferred + Strong attention to detail is vital + Bilingual, preferred… more
- Cardinal Health (Sacramento, CA)
- …of applicable regulations, standards, and operating procedures. + Conduct investigations /root cause analysis and formulate corrective action recommendations. + Show ... an understanding of the program requirements and be capable of conducting gap assessments based on those requirements. + Uphold quality standards that adhere to company, regulatory, and HIPAA policies and procedures. + Collaborate across various functions,… more
- Cardinal Health (Sacramento, CA)
- …regulations, standards, and operating procedures. + Demonstrates ability to perform investigations / root cause analysis and develop corrective actions. + ... Demonstrates an understanding of the requirements and has the ability to perform gap assessments to those requirements. + Demonstrates an understanding of quality concepts such as: cost of quality, analytical metrics and / or statistics, trending, quality… more
- BioLife Plasma Services (Roseville, CA)
- …Refer to EHS guidance regarding employee incidents. You can be a Pandemic Coordinator when authorized by EHS and support investigations associated with pandemic ... threats within the local community as indicated by EHS or Medical Affairs. What you bring to Takeda: High school diploma or equivalent to including graduate equivalent of a recognized educational nursing program with state requirements Currently licensed or… more
- County of El Dorado (Placerville, CA)
- …offices and may be assigned to specialty units such as Investigations , School Resource Officers, Narcotics Detectives, Psychiatric Emergency Response and Homeless ... witnesses, overseeing collection and preservation of physical evidence. + Serves as a coordinator or team member in such special projects as drug enforcement, Office… more
- WSP USA (Sacramento, CA)
- …suppliers and vendors for transportation projects throughout California. * Primary Coordinator of all Project Stakeholders in providing required Quality for all ... the appropriate regulations. + Ability to plan and conduct inspections and investigations on various aspects of the construction of facilities or structures,… more