- CommonSpirit Health (Rancho Cordova, CA)
- …including an understanding of national standards for fee-for-service and value-based provider reimbursement methodologies. + Experience in contributing to ... between CommonSpirit Health providers and payers. Recommends strategies for maximizing reimbursement and market share. Develops new managed care products with… more
- Humana (Sacramento, CA)
- …- 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts. + Proficiency in analyzing, understanding ... part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes dental provider contracts… more
- 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
- Humana (Sacramento, CA)
- …for services rendered is complete, compliant and accurate to support optimal reimbursement . The Nurse Auditor 2 work assignments are varied and frequently require ... in the state they reside. + Minimum of 2 consecutive years acute inpatient hospital care experience in critical, intensive care setting within the last 5 years (Not… more