Legal Office Assistant, Medicaid Fraud - Bay View

Serves as an entry level professional who develops baseline plans for ensuring the integrity and accuracy of claims processes and protocols. · ...

Monitors the processing and reconciliation of incoming electronic medical records, importing of prepay claims and records, and generating other operation reports related to process of prepay claims. Supports research of prepay and post-pay record questions as well as research and ...

We're looking for a Lead Power BI & AI Dashboard Developer to drive the design, architecture and delivery of next generation analytics solutions across our clients healthcare payer ecosystem. · ...

We're looking for a Lead Power BI & AI Dashboard Developer to drive the design, architecture, and delivery of next generation analytics solutions across our clients healthcare payer ecosystem. · ...

We're looking for a Lead Power BI & AI Dashboard Developer to drive the design, · architecture, · and delivery of next generation analytics solutions across our clients healthcare payer ecosystem. · ...

We're looking for a Lead Power BI & AI Dashboard Developer to drive the design, architecture, and delivery of next generation analytics solutions across our clients healthcare payer ecosystem. · This role blends deep technical expertise with strategic leadership — guiding teams, ...

We're looking for a Lead Power BI & AI Dashboard Developer to drive the design, architecture, and delivery of next generation analytics solutions across our clients healthcare payer ecosystem. · 8–12+ years in BI, data analytics, or data engineering. · ...

We're looking for a Lead Power BI & AI Dashboard Developer to drive the design, architecture, · & delivery of next generation analytics solutions across our clients healthcare payer ecosystem. · This role blends deep technical expertise with strategic leadership — guiding teams, ...

We are seeking a skilled Palantir Engineer to join our team. · Ingest and clean AMP/BP pricing data and state utilization files. · Replace Model N's formula builder with LLM-backed functions. · Perform automated validation tests on state invoices. · ...

Join our team as a skilled Palantir Engineer to design, develop and maintain data solutions using the Palantir platform. · ...

The Risk Adjustment Compliance team plays a critical role in ensuring that Blue Shield maintains appropriate adherence to federal and state regulations. · ...

+The Director of Government Pricing & Contract Operations will report to the Executive Director of Pricing, Contracting & Government and will be responsible for all government price reporting and contract operations related to managed care rebates (commercial and government); the ...

The Director, Government Pricing & Contract Operations will report to the Executive Director, · Pricing, Contracting & Government and will be responsible for all government price reporting · and contract operations related to managed care rebates (commercial and government);the r ...

We're delighted you're considering joining usAt Hill Physicians Medical Group we're shaping the future actively managed care that prevents disease supports those with chronic conditions and anticipates needs members h2>Responsibilities · Assist in coordination implementation Comp ...

We're delighted you're considering joining us. At Hill Physicians Medical Group, we're shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members. · Hill Physicians has much to ...

We're delighted you're considering joining us · At Hill Physicians Medical Group, we're shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.Hill Physicians has much to o ...

The Risk Adjustment Compliance team plays a critical role in ensuring that Blue Shield maintains appropriate adherence to federal and state regulations. The Director, Risk Adjustment Compliance will report to the Senior Director, Government Programs Compliance. · ...

Habitat Health provides personalized care for older adults in their homes through its Program of All-Inclusive Care for the Elderly (PACE) in collaboration with healthcare partners such as Kaiser Permanente. · We build engaged care teams to deliver personalized care. · ...

The LPN/LVN will oversee patient assessments and ensure timely completion of tasks. They will also direct nursing assistants daily functions according to current rules. · ...