Director Payer Solutions - Rancho Cordova

Optum Insight is improving the flow of health data and information to create a more connected system. · ...

This is a remote position that serves and supports all stakeholders through ongoing educational and problem-solving support for managed care payer reimbursement models.As Senior Analyst Payer Analytics & Economics performs managed care financial analysis strategic pricing payer c ...

Under the supervision of the Refund Analyst, the Refund Analyst Lead is responsible for providing operational support and training to the Reimbursement/Refund Analyst team including rounding with staff, triaging issues and offering solutions. · ...

Under the supervision of the Refund Analyst, the Refund Analyst Lead is responsible for providing operational support and training to the Reimbursement/Refund Analyst team including rounding with staff, triaging issues and offering solutions. · Additionally, they will assist supe ...

We're looking for a Utilization Review (UR) Nurse to join our team and support high-quality, cost-effective patient care from a fully remote environment.We're ideal for nurses who enjoy clinical evaluation, structured decision-making, and collaborating with providers to ensure ap ...

We are uniquely structured to be a responsive and agile community provider, yet we also possess the stability and effectiveness of a large enterprise. As a thriving business, our chief focus is on what really matters: reducing hospital re-admissions, optimizing outcomes and impro ...

The Center Operations Director (COD) plays a crucial role in providing exceptional care to Concentra's patients. · Spend 80% of their time performing patient facilitation. · Support day-to-day execution of the medical model by collaborating with clinicians. · Create a professiona ...

Improving the lives of those with chronic care diseases while providing solutions to our customers. · ...

This position is offered in a hybrid work model for candidates located near one of our primary sites in Alpharetta GA; Oakland San Francisco or Rancho Cordova CA; or Camp Hill PA The Director Applications Development overseeing Care Delivery Revenue Cycle and Patient Experience A ...

This position is offered in a hybrid work model for candidates located near one of our primary sites in Alpharetta GA; Oakland San Francisco or Rancho Cordova CA; or Camp Hill PA The Director Applications Development overseeing Care Delivery Revenue Cycle and Patient Experience A ...

At SuperCare Health you have the chance to reach your dreams by helping us in serving the healthcare needs of our ever-growing patient population. · ...

Utilizes clinical expertise, discretion, and independent judgment in assessing/reassessing, facilitating care coordination, utilization management, and patient advocacy. Responsible for assuring medical appropriateness criteria are met for status and level of care. · ...

We are seeking a travel nurse RN Case Management for a travel nursing job in Carmichael, California. · Utilizes clinical expertise, · discretion, · and independent judgment in assessing/reassessing, · fascilitating care coordination, · utilization management, · and patient advoca ...

Voca Healthcare is seeking an experienced travel nurse RN Case Management for a travel nursing job in Carmichael, · California.This position provides the opportunity to work as part of a dynamic team and make a meaningful difference in patient care. · ...

At Concentra you will be a vital member of our patient care team and play a crucial role in providing exceptional care to our patients. · ...

+Job summary · Voca Healthcare busca un enfermero viajero para un puesto de gerente de casos en Carmichael, California. · +Revisar e analizar información relativa al ingreso según la política de Centura. · Asegurar que las necesidades físicas, psicosociales, culturales y espiritu ...

This position involves designing, developing, administering and evolving SQL Server databases that support data collection analytics reporting for Opeeka's Person Centered Intelligence System. · • Assist in the design implementation maintenance of database systems. · • Develop te ...

The Center for Autism and Related Disorders (CARD) is seeking a highly motivated Clinical Supervisor to join their team.Clinical Supervisors will be responsible for all clinical aspects of treatment for patients they oversee. · ...

The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. This role uses clinical expertise to assess the appropriateness of current treatment plans based on the patient's medical and physical condition. ...

This position involves adapting existing methods and procedures to create alternative solutions for complex problems in the US Healthcare Payer market. · You will design and implement Medicare-compliant solutions. · You will understand the strategic direction set by senior manage ...