Medical Claims Analyst - Sacramento

We are seeking a highly organized and detail-oriented Behavioral Health Claims Analyst to support delegated and non-delegated claims operations oversight and reimbursement performance.This role manages claims operations analysis by monitoring reimbursement trends · leading escala ...

This is a full-time exempt position. The standard business schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m. · Analyze claims and reimbursement data to identify patterns, inconsistencies and root causes. · Navigate and utilize claims and billing systems to monitor perform ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safe ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safe ...

This is an exciting opportunity to join the Department of Health Care Services as a Research Data Analyst II. The incumbent performs complex data analysis and research in support of the Diagnosis Related Group payment system. · Extracts, validates, and analyzes large healthcare d ...

We enhance public safety and promote successful community reintegration through education treatment and active participation in rehabilitative justice programs. · Establish cooperative working relationships within the department other governmental agencies health care partners co ...

Senior Business Analyst position available at Net2Source, Inc. · A strong health care knowledge and experience in Payor systems is required. · ...

Job Posting: Fiscal Reporting Analyst (Hybrid Option) · Department of Health Care Services · JC-506649 · Fiscal Reporting Analyst (Hybrid Option) · ANALYST II · $6, $7,547.00 per Month · New to State candidates will be hired into the minimum salary of the classification or minimu ...

With supervisor approval, incumbents may be eligible for intermittent remote work; however, they must physically reside within the Sacramento region or have the ability to regularly report to a City of Sacramento physical worksite with little notice. · IDEAL CANDIDATE STATEMENT · ...

Job Description And Duties · Why Join DHCS? · The Department of Health Care Services (DHCS) is the backbone of California's health care safety net. Our success is made possible by the hard work of more than 4,800 DHCS team members and through collaboration with the federal govern ...

We are seeking an experienced Healthcare Data Analyst. This role will contribute to building and enhancing a groundbreaking Medicaid data platform. · Design, implement, and maintain complex database structures · Develop and manage dashboards · ...

The Analyst II performs complex technical analytical duties on the Post Payment Support Team within the Health Care Contracts and Claims Management Branch (HCCCMB), Healthcare Invoicing Section (HIS). · Performs a variety of complex technical analytical duties. · ...

Department Information · At the California Department of Public Health (CDPH), equity, diversity, and inclusion are at the core of our mission to advance the health and well-being of California's diverse people and communities. We are genuinely and strongly committed to cultivati ...

The Population Health Analyst role involves collecting, analyzing, and reporting on HEDIS data. The ideal candidate will have a bachelor's degree in information systems or computer science and six or more years of experience in programming or data analysis.Bachelor's degree in in ...

Primary Responsibilities: · • Lead HealthRules configuration support for commercial group products (benefits, pricing, provider contracts, claims rules) · • Triage and prioritize backlog of defects, enhancement requests, and annual readiness activities · • Coordinate work intak ...

This advertisement is for an Analyst I/II position(s) located at headquarters in Elk Grove. · Under the supervision of the Supervisor I, performs less complex to average difficulty analytical tasks on the Manual Claims Team within Health Care Contracts and Claims Management Branc ...

This Journey HR Analyst will be a valuable member of the Integrated Disability Management (IDM) team. We take a comprehensive approach to managing employees' medical leave and workplace accommodation needs, providing a single point of contact for employees with medical issues aff ...

Resumen: · Se busca un analista senior de datos para manejar población salud pública. · Experiencia en administración de datos e inteligencia empresarial · ...

Title : Health Rules Configuration Lead · Location : Sacramento, CA – Hybrid (Preferably candidates from the Bay Area, or those willing to relocate upon selection.) · Position type : Long Term Contract (12 Months, extendable) · Job description: · Primary Responsibilities: · Lead ...

We're delighted you're considering joining us at Hill Physicians Medical Group. · We value diversity and inclusion in our workplace. · The Application Analyst will have a complete working knowledge of assigned application, · including an understanding of department workflows for ...