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- ...Analyst Role, for Documentum Operations and Maintenance project. Mandatory skills* Documentum Good to have skills* Filenet, Other CMS Domain* Content Management Qualifications 4-5 years Experience of Business Analyst. Additional Information ** U.S. citizens and those...Cms
$30 - $33 per hour
...adjustments, auditing) Minimum of three years' managed-care operations experience in an IPA like environment Working knowledge of DMHC, CMS and Health Plan requirements Proficient in Microsoft Word and Excel Excellent leadership, organizational, and communication...CmsHourly payHill Physicians Medical Group
San Ramon, CA1 day ago- ...policies and procedures with particular focus on meeting accreditation standards as outlined by Centers for Medicare and Medicaid Services (CMS) and the Accreditation Association for Ambulatory Health Care (AAAHC) Provider Competency – coordinates the provider re-appointment...CmsPart timeLocal area
PIH Health
San Ramon, CA1 day ago - ...full stack mindset is in play in his existing work stream. Exposure already to package business components like Builder for CMS, Bloomreach for Search, Payment Gateways, International or Cross Border Shipping extra will have added advantage. Exposure...Cms
InfoStride Technologies
San Ramon, CA4 days ago - ...standards. Preferred Qualifications: • Experience with headless commerce architectures and integrating Shopify with external CMS, ERP, or PIM systems. • Knowledge of cloud infrastructure, CI/CD pipelines, and DevOps practices. • Shopify certification(s) or relevant...CmsContract workWork experience placement
Jconnect Inc
San Ramon, CA8 hours ago $165k - $190k
...and the Home Office executive team. 2. Clinical & Quality Leadership Ensure 100% compliance with all government regulatory agencies (CMS) and accrediting bodies (e.g., Joint Commission, AAAHC). Develop, evaluate, and promote a robust, facility-wide Continuous Quality...CmsLocal areaHome officeRelocation package$28 - $32 per hour
...disputes are processed accurately and timely pursuant to healthplan coverage and Hill Physicians' reimbursement policies as well as within CMS and AB1455 regulations. The analyst will be Responsible for resolving/responding to complex issues for members, health plans and...CmsHourly pay- ...Nursing Case Management Acute nursing case management involving a core understanding and experience with Utilization Review (InterQual), acute discharge planning and proficiency with CMS regulatory compliance for acute care settings (weekends, call): Every other weekend...CmsWeekend work
AMN Healthcare
Oakland, CA2 days ago $45 - $60 per hour
...interdisciplinary case conferences and care planning meetings Maintain accurate documentation in EMR (Axxess) while ensuring compliance with CMS and Title 22 regulations Qualifications Master’s Degree in Social Work (MSW) from an accredited program LCSW preferred, but not...CmsHourly payDaily paidTemporary workWork at officeLocal areaFlexible hours- Job Summary: Responsible for the management of operations of therapy centers and treatment of a full patient case load. Ensures compliance with all policies and procedures. Responsible for center financial performance. Responsible for compliance with company set...CmsLocal areaDay shift
Affinity Executive Search
San Ramon, CA1 day ago - Job Description Job Description Description: The Paralegal will be responsible for working with attorneys and other departments and/or staff as assigned to provide support through all aspects of litigation in a variety of practice areas. Duties and Responsibilities...CmsFull timeWork at officeLocal areaMonday to Friday
KAHANA & FELD LLP
Walnut Creek, CAa month ago - ...what "home care" means with Archer Health . We are a 2025 trifecta winner for quality, culture, and clinical excellence, holding a CMS 5-star rating and recognized by Newsweek as one of the best home health agencies in the nation. At Archer Health, we don’t just "see...Cms
Archer Health, Inc.
Oakland, CA2 days ago $101k - $135k
...and Supply Chain finance and operations. Roles and Responsibilities Output completed engines from the Cost Management System (CMS) to the product line ledgers Monitor and report on output part cost variance drivers Actively manage and review engine output cost...CmsContract workRelocation package- Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Case Management - Nurse, Senior will report to the Manager of Care Management...Cms
Blue Shield of CA
Oakland, CA2 days ago - Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report to the Manager of Care Management. In ...Cms
Blue Shield of CA
Oakland, CA3 days ago $140 per hour
...role focuses on conducting thorough in-home and telehealth assessments for members. The Nurse Practitioner will ensure compliance with CMS regulations, provide education on chronic conditions, and maintain communication with health plans. Candidates must hold a current...CmsDaily paid- ...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, CA1 day ago - ...understanding treatment options, and ensure adherence to infection control practices. A high school diploma or GED is required, along with CMS certification. This position involves direct patient care and may require lifting up to 40 lbs. Join a compassionate team committed...Cms
- ...utilization performance improvement Ensure medical necessity and revenue cycle processes are completed accurately and in compliance with CMS regulations and Tenet policy Ensure timely and effective patient transition and planning to support efficient patient throughput...CmsFull timeLocal areaFlexible hoursShift work
- ...Care Services (DHCS) privacy requirements for Medi-Cal Managed Care Health Plans and Centers for Medicare or Medi-Cal and Medicaid (CMS) Medicare or Medi-Cal Managed Care Plans Preferred: Privacy healthcare-related experience that includes a familiarity with Privacy...CmsWork at office
Blue Shield of CA
Oakland, CA3 days ago - Clinical Coordinator (RN) **$6,500 Sign On Bonus** WHAT YOU WILL DO As a Clinical Coordinator (RN) you will be responsible for the delivery of safe, quality care of dialysis treatments by assisting the Center Manager (CM) with oversight of the center's operations...CmsFull timePart timeRelocation package
Vivian Health
Oakland, CA3 days ago $63 - $70 per hour
...Accurately document patient care, observations, and updates Collaborate with interdisciplinary care teams Maintain compliance with DOL, CMS, and state regulatory requirements Qualifications Current RN license in the state of CA Current CPR certification...CmsShift workNuclear Care Partners
Alameda, CA3 days ago- ...effectiveness and improved quality. Oversee compliance with all health plan, state and federal regulatory requirements (e.g., DMHC, Medicaid, CMS Medicare Part C & D, NCQA where applicable) with respect to prior authorization services, such as turnaround times and appropriate...Cms
360X Staffing
Oakland, CA2 days ago - ...services. This role involves submitting claims, ensuring accurate coding, and resolving denials. Ideal candidates will be well-versed in CMS regulations, HCPCS, and ICD-10 codes, and will communicate effectively with various stakeholders. The position offers benefits...Cms
- ...reimbursement guidelines Compliance & Coding Apply appropriate ICD-10, CPT, and HCPCS codes Maintain compliance with CMS, CHAP, and state hospice regulations Monitor regulatory updates and billing requirements affecting hospice services NOE & Hospice...Cms
Alameda Care Hospice
Walnut Creek, CA1 day ago $44 per hour
...Acute & Skilled Nursing in San Leandro is looking for a dedicated RT to join our specialized sub-acute team. We are proud of our 5-star CMS rating and our reputation for delivering dynamic, life-saving care. Compensation & Benefits: Starting Pay: $44.00 per hour - Part...CmsHourly payFull timePart timeImmediate startPACS Inc
San Leandro, CA2 days ago- ...environment is suitable for patient dialyzing at home and whether or not the home will be a safe and appropriate setting in compliance with CMS regulations. ABOUT YOU You will play a vital role to ensure that we deliver on our Mission to make life better for those...CmsFull timePart timeTraineeship
Satellite Holdings, LLC
Oakland, CA2 days ago - Freeman Mathis and Gary, LLP is a rapidly growing national litigation law firm and we are seeking an enthusiastic litigation secretary to join our Walnut Creek team. We are eagerly seeking candidates who foster a teamwork mentality, have excellent communication skills,...CmsLocal area
Freeman Mathis & Gary
Walnut Creek, CA8 hours ago $75.03 - $112.55 per hour
...related to infection prevention, including The Joint Commission (TJC), California Title 22, and the Center for Medicare and Medicaid (CMS), etc. Proficient in Microsoft Office Products (Word, Excel, Outlook and Power Point). Ability to apply statistical methods,...CmsHourly payFull timeWork at officeLocal areaShift workJohn Muir Health
Walnut Creek, CA8 hours ago- Senior Planner Unigen, headquartered in Newark, California, is a trusted partner for businesses seeking to power their next generation of products. Founded in 1991, we've grown into a leading provider of electronics manufacturing services (EMS), offering a comprehensive...CmsContract workWork experience placement
Unigen
Newark, CA3 days ago
