SAN JOAQUIN COUNTY HEALTH COMMISSION jobs in United States

Medical Claims Analysis Expert

2 hours ago

Requirements · To be successful as a Medical Claims Analysis Expert, you will need: · Strong knowledge of claims data structures and data warehousing. · Strong knowledge of claims systems, metrics, and policies. · Strong knowledge of medical claims adjudication processes and proc ...

Configuration Manager

11 hours ago

The Configuration Manager is responsible for developing and implementing department business plans, overseeing resources and operations in a manner that ensures timely and accurate configuration of benefit plans and provider data. They lead a team responsible for the configuratio ...

Claims Data Insights Specialist

4 hours ago

Job Overview · ">As a Claims Data Insights Specialist, you will play a critical role in analyzing and interpreting complex data sets to inform business decisions. · Key Responsibilities: · Claims Data Analysis: Develop and implement strategies to analyze and visualize large data ...

Configuration Analyst, Senior

11 hours ago

Job Description · The Senior Configuration Analyst is responsible for managing major system configurations, health plan implementations, and conversions within the System Configuration team. · This position requires accurately interpreting specific state and/or federal guidelines ...

EDI Developer, Senior

2 days ago

Job Title · The Job Summary is a key part of the job description, providing an overview of the role and its responsibilities. · Key Responsibilities: · Complex Data Processing: The Sr. EDI Developer will be responsible for processing complex data, creating procedures and systems, ...

Analyst, Claims Data

11 hours ago

Job Description · The position involves conducting and documenting data claims analysis to identify miscoding trends, potential fraud, and other areas of opportunity. This role is eligible for remote work; candidates must reside in California. · Key Responsibilities · Defines and ...

Fraud Detection Expert

33 minutes ago

Detailed Job Description · This is an exceptional opportunity to work in a dynamic and mission-driven organization that is dedicated to improving the health of our community. As a Senior Compliance Analyst, you will play a critical role in ensuring the integrity of our health pla ...

Administrative Support III

11 hours ago

Job Description · The primary role of this position is to provide specialized administrative support to an executive, senior manager or department. · Prepare and coordinate complex correspondence, documents and reports. · Coordinate and staff committees, including high-level: pre ...

Compliance Program Manager Governance

9 hours ago

Job Overview · The SAN JOAQUIN COUNTY HEALTH COMMISSION is seeking a highly skilled Compliance Program Manager Policy to join our team. In this role, you will be responsible for maintaining oversight responsibilities of the organization's policy program and overseeing related act ...

Strategic Marketing Professional

4 hours ago

Job OverviewThe Marketing and Brand Specialist will play a critical role in driving the growth and success of our organization by developing and executing effective marketing strategies. This includes leading cross-functional teams, managing multiple projects simultaneously, and ...

Compliance Program Manager Policy

11 hours ago

Job Description · The Compliance Program Manager Policy maintains oversight responsibilities of The Health Plan's policy program and oversees related activities to ensure compliance with federal/state laws, regulations and program standards. · This position is responsible for cre ...

Executive Assistant

4 hours ago

Job Summary · Are you looking for a challenging and rewarding career in healthcare administration? Do you have excellent organizational and communication skills, with the ability to work independently and as part of a team? If so, we may have the perfect opportunity for you! · As ...

Risk Management Specialist

4 hours ago

About the Role · We are seeking a highly skilled and experienced Senior Compliance Analyst to join our team at SAN JOAQUIN COUNTY HEALTH COMMISSION. As a key member of our compliance department, you will be responsible for examining and interpreting complex data to identify trend ...

System Administration Director

22 minutes ago

About the Role · We are seeking an experienced Configuration Manager to lead our team in developing and implementing department business plans. The ideal candidate will have a strong background in healthcare operations, with a focus on system administration and integration. · The ...

Healthcare Operations Manager

8 hours ago

Job Overview · The Configuration Manager will oversee the development and implementation of department business plans, ensuring timely and accurate configuration of benefit plans and provider data in our health information system. This role requires a moderate degree of discretio ...

Compliance Analyst

8 hours ago

Job Overview · The Senior Compliance Analyst will be responsible for providing expert-level guidance and support to ensure compliance with federal and state regulations in the health care industry. This role involves advanced data analysis, trend identification, and reporting to ...

Policy Compliance Officer Specialist

5 hours ago

Responsibilities and Challenges: · This role presents a unique opportunity to make a significant impact on the organization's compliance program. As a Compliance Program Manager Policy, you will play a crucial part in ensuring that our policies and procedures are aligned with fed ...

Configuration Expertise in Healthcare Systems

3 hours ago

Key Responsibilities · The Senior Configuration Analyst will lead communications and facilitation efforts to present documented findings and results from an analytical engagement. · Additionally, this position will be required to work with and mentor people of various professiona ...

Healthcare Development Associate

5 hours ago

Company Overview · At SAN JOAQUIN COUNTY HEALTH COMMISSION, we believe that everyone deserves access to quality healthcare. Our mission is to continuously improve the health of our community through innovative programs and services. We strive to create a culture of inclusivity, r ...

Transition of Care Nurse

11 hours ago

Job Title: · Transition of Care Nurse · Summary: · Under general supervision, conducts transition of care coordination activities on assigned members where analysis, synthesis and evaluation of data and information are required. · Responsibilities: · Assesses and evaluates member ...