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- Hill Physicians Medical Group in California is seeking a Utilization Management Business Analyst to optimize Epic UM workflows and support IT integration. You will analyze processes, design solutions, and maintain the Epic Utilization Management module to ensure efficiency...Cms
- Candidates must have web application development with MVC experience. Must also have expertise with Ajax/JQuery/AngularJS or any other FE library. Experience with web services SOAP and RESTful also required. 8-10 years of experience with Java and J2EE required along with...Cms
INA Solution
San Ramon, CA5 days ago - ...minimum of 3 years’ experience in OPO organ operations, actively engaged in donor management/oversight. Thorough knowledge of OPTN and CMS regulations and standards. Compensation Donor Network West takes a market‑based approach to pay. All candidates' starting pay will be...Cms
Dnwest
San Ramon, CA3 days ago - ...utilization performance improvement, • ensure medical necessity and revenue cycle processes are completed accurately and in compliance with CMS regulations and hospital policy, • ensure timely and effective patient transition and planning to support efficient patient...Cms
Veracity
San Ramon, CA5 days ago - GSPANN Technologies, Inc. seeks an experienced CMS Expert with Bynder DAM expertise to configure, administer, and optimize Bynder for digital content operations and brand management. You will design metadata schemas, manage governance, and integrate Bynder with CMS, PIM...Cms
- Work Hours & Availability Must be available to work weekends (Saturday & Sunday) regularly. Must have availability to work a minimum of 4 days per week. Must be able to work an average of 16 hours per week, with flexibility up to 24 hours. Must be available during Clinic...Cms16 hoursShift workAfternoon shift
Skin Laundry
San Ramon, CA7 hours ago $20 per hour
Sales Associate Location: San Ramon, CA Job Type: Part Time Compensation: $20 per hour Schedule/Availability: • Must be available and able to work weekends (sat AND sun) regularly. • Must have availability to work a minimum of 4 days per week. • ...CmsHourly pay16 hoursPart timeFlexible hoursShift workAfternoon shiftSkin Laundry
San Ramon, CA5 days ago$84k - $105k
Responsibilities Responsible for leading packaging development for new product launches, reformulations and product modifications. This includes sourcing within target cost, engineering, development, testing, and shipping. Ensure that all package testing and validation...CmsWork at office1 day per weekRodan and Fields Beauty, LLC
San Ramon, CA1 day ago- ...revision, and auditing of applicable policies and operational procedures, compliance with federal and state regulatory requirements (CMS, DHS, etc.) and other standards of practice (NCQA, ACA, etc.). Leads and chairs system-level initiatives and workgroups upon request...CmsFull timePart timeRemote work
Geisinger Health System
Danville, CA4 days ago $133k - $165k
...state management interventions for best patient outcomes. Collaborate with Quality team to create interventions that ensure high IHA and CMS Star quality measure compliance, especially on medication management and disease state management measure. Perform patient and...CmsWork at office$2,772 per week
...Travel Experience Required : - Certifications : BLS, BSN or MSN*, CA LicenseSkills : Acute Hospital*, Audits, Audits, Care coordination, CMS: Centers for Medicare and Medicaid Services, Continued Stay Reviews, Data Abstraction, Data Abstraction, Emergency Department, HIPAA...CmsFull timeContract workShift workNight shiftWeekend workPrime Staffing
Hayward, CA1 day ago- ...events. Modern office methods, procedures, organization and equipment including Office 365, Meta Business Suite, Canva, and website CMS. Photography, videography, and content collection. Ability to: Work independently, creatively, collaboratively, and efficiently with...CmsContract workFor contractorsWork at officeLocal areaFlexible hoursAfternoon shift
Town of Danville (California)
Danville, CA5 days ago $100k - $127k
Utilization Management Business Analyst The Utilization Management Business Analyst will serve as a critical link between our Authorizations operations and IT teams, focusing on optimizing the utilization management workflows within the Epic system. This role will analyze...CmsFixed term contract$100k - $127k
DE&I Statement At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome ALL that you are. We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion...CmsWork at office$120k - $140k
Job Title PM/CM Services Owner's Representative Location 200 Pringle Ave., Suite 470, Walnut Creek, CA, 94596, United States Base Pay $120,000.00 - $140,000.00 / Year Industry Construction, Owner's Representative, HCAI Employee Type Exempt - FT...CmsKitchell
Walnut Creek, CA2 days ago- ...donation performance across the Donor Service Area (DSA). This role owns hospital partner engagement strategies that directly impact key CMS and organizational metrics, including referral timeliness, authorization rates, and organ conversion outcomes. This role serves as a...CmsWork experience placementLocal area
$2,290 - $2,520 per week
...17:00 Openings: 1 Start Date: 07/27/2026 Experience: 5.0 year(s) Certifications: BLS, CA License Skills: Audits, Care Coordination, CMS: Centers for Medicare and Medicaid Services, Continued Stay Reviews, Data Abstraction, Emergency Department, HIPAA Guidelines, ICU, Quality...CmsAya Healthcare
Hayward, CA23 hours ago$25.24 - $31.55 per hour
...programs, and in‑services deemed necessary. Ensures compliance with current federal, state, and local laws and regulations, including CMS and UNOS, meets AOPO standards, and follows DNWest’s policies and procedures. Cultivates and grows external stakeholder...CmsWork experience placementLocal areaNight shift$2,910 per week
Registered Nurse (RN) Case Management (CM) Est.pay: $2910/Week Oakland, CA Start Date: 07-13-2026 Duration: 13 Weeks Travel Nurses, Inc.Cms- ...governmental and third-party regulations. Ensures compliance with all applicable federal and state reimbursement regulations, including CMS rules, Medicare/Medicaid payment methodologies, and related billing and documentation requirements across hospital, professional, and...CmsFull timePart timeFor contractorsWork at office
$100k - $150k
...Location San Ramon, CA Salary Range $100,000-$150,000 a year Responsibilities and Qualifications Sitecore XM Cloud (SaaS-based, headless CMS) - hands-on experience with cloud-native Sitecore architecture Sitecore Headless SXA and Experience Edge for global content delivery...CmsFlexible hoursWeekend work$3,056 per week
...care (LOC) requirements with providers. Consistently documents in the EHR and other electronic software. Maintains current knowledge of CMS and Joint Commission Transitions of Care requirements, Conditions of Participation (COPs), and other regulatory requirements....CmsFull timeContract workLocal areaShift workNight shiftWeekend workPrime Staffing
Oakland, CA4 days ago- ...telephonic or video MTM sessions for Medicare and commercial patients. Document clinical interventions and CMRs in compliance with CMS standards. Identify and resolve medication-related problems and adherence barriers. Qualifications: PharmD and MTM...CmsFull timePart timeRemote workWork from homeFlexible hours
Pharmacy Careers
Fremont, CA5 days ago - ...guide RNs in case management while collaborating with the interdisciplinary team to deliver participant-centered care. You will drive quality initiatives, ensure compliance with PACE/DHCS/CMS, and manage staffing, onboarding, and training. #J-18808-Ljbffr Habitat HealthCms
- FreemanMathisandGary,LLPisarapidlygrowingnationallitigationlawfirmandweareseekinganenthusiasticlitigationsecretarytojoinourWalnutCreekteam.Weareeagerlyseekingcandidateswhofosterateamworkmentality,haveexcellentcommunicationskills,problem-solvers,andwillingtotakeownershipoftheirjob...Cms
$167.44k - $251.16k
...lines of business. This role requires collaboration with teams to meet state and national benchmarks, ensuring compliance with NCQA and CMS standards. Applicants should have a Master's degree in a health care field and extensive experience in quality leadership within...Cms$110k - $150k
Jobot is hiring a Construction Project Manager to lead ground‑up multifamily projects across California. You will drive planning, execution, and closeout, ensuring on‑time delivery and budget adherence. The role requires 5+ years in construction project management, a Bachelor...Cms- ...Quality Systems & Regulatory to lead QMS development, regulatory strategies, and accreditation initiatives. You will drive compliance with CMS, Joint Commission, and Abbott standards, while partnering with Operations, Legal, Finance, and Clinical Services to enable compliant...Cms
- ...areas within each facility to the appropriate supervisor immediately. Comply with the State Licensing Board of California, Title 22, CMS, and California Labor Board Guidelines. Additional Information All your information will be kept confidential according to EEO guidelines...CmsFull timeImmediate start
1 Legacy, Inc
Oakland, CA4 days ago $60 - $65 per hour
...provisional license and Clinical Fellowship. If no provisional licensure in the state, must meet the supervision requirements set forth by CMS for patients with Medicare for the duration of the Clinical Fellowship. 3. Communicates status of Clinical Fellowship and licensure...CmsPermanent employmentFull timePart timeH1bWork from homeVisa sponsorshipRelocation package
