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Job Summary Supervises and monitors the daily activities of non-licensed and licensed staff to successfully complete the daily work, maintains contact with the clinical departments to ensure accurate charge capture and works with the CDM analyst to maintain a compliant Charge Master. Works with MBA staff to meet the daily DNB goals and contributes to meeting the Revenue Integrity Departmen...

Job Summary Supervises and monitors the daily activities of non-licensed and licensed staff to successfully complete the daily work, maintains contact with the clinical departments to ensure accurate charge capture and works with the CDM analyst to maintain a compliant Charge Master. Works with MBA staff to meet the daily DNB goals and contributes to meeting the Revenue Integrity Departmen...

Department Name:
Quality
Work Shift:
Day
Job Category:
Risk, Quality and Safety
Estimated Pay Range:
$31.53 - $52.55 / hour, based on location, education, & experience.
In accordance with State Pay Transparency Rules.
Great careers are built at Banner. We understand that talented professionals appreciate having options. We are proud to offer our team members many career and lifestyle cho...

Job Details
Level: Experienced Job Location: Sacramento - Rancho Cordova, CA Position Type: Full Time Education Level: High School Diploma or GED Salary Range: $90000.00 - $100000.00 Salary Travel Percentage: None Job Shift: Day Job Category: Insurance
Claims Examiner III _ (Hybrid)
This is a Hybrid position at our Rancho Cordova, CA branch. Please sign the applica...

Description
POSITION SUMMARY:
The Claims Adjuster is responsible for managing workers compensation claims and assisting the process of determining benefits due the injured worker, ensure ongoing adjudication of claims within company standards and industry best practices and comply with all statutory and regulatory requirements for the administration of workers compensation benefits on behalf ...

Job Introduction
Maximus is hiring for a Training Coordinator to support the New York Independent Assessor Program (NYIAP). The Training Coordinator will design, develop, and implement training materials in a classroom-style training environment. The Training Coordinator will work closely with the training leadership team to assess the impact of each training course to ensure trainees are succe...

Overview
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!
Reporting to the Supervisor, Grievance & Appeals, the Grievance & Appeals Nurse, RN (G&A Nurse, RN) is responsible for working directly with the IPAs, Hospitals, internal IEHP departmen...

Overview
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!
Reporting to the Grievance & Appeals (G&A) Quality Supervisor, the G&A Quality Assurance/Continuous Improvement (QA/CI) Nurse, RN is responsible for ensuring the highest quality process...

About Transcarent
Transcarent and Accolade have come together to create the One Place for Health and Care, the leading personalized health and care experience that delivers unmatched choice, quality, and outcomes. Transcarent’s AI-powered WayFinding, comprehensive Care Experiences – Cancer Care, Surgery Care, Weight – and Pharmacy Benefits offerings combined with Accolade’s health advocacy, ex...

The Manager-Transition of Care oversees a group of Transition Coordinator Supervisor I and II roles. As the leader of the supervisory team, the Manager-Transition of Care, supports the Transition Coordinator Supervisors in ensuring that our Transition Coordinator/Physical Health teams are preforming efficient and contract compliant Transitional Care Management in Acute Care Facilities, State De...

Job Details
Job Location: Sacramento - Rancho Cordova, CA Position Type: Seasonal Education Level: High School Diploma or GED Salary Range: $85000.00 - $95000.00 Salary/year
Claims Examiner III (Hybrid)
SIP Certification Required
POSITION SUMMARY: At the Direction of the Claims Supervisor and/or Manager - manages all aspects of complex and litigated indemnity claims from in...

Job Details
Level: Experienced Job Location: Sacramento - Rancho Cordova, CA Position Type: Temporary Education Level: High School Diploma or GED Salary Range: $85000.00 - $95000.00 Salary Job Shift: Day Job Category: Insurance
Description
This is a Hybrid position. Position needs SIP certification.
POSITION SUMMARY: At the Direction of the Claims Supervisor and/or ...