Sacramento, California, United States · Hybrid
$70k–$85k/yr
Claims & Provider Relations Oversight SpecialistWestern Health Advantage Location: Sacramento, CA (Hybrid) Salary: $70,304 – $85,000 annually "Purpose that inspires. Impact that improves lives. Join us in building health…
Skills: Healthcare Compliance, Regulatory Filings, Auditing, Project Coordination, Policy Development
Phoenix, Arizona, United States · On-site
$135k–$178k/yr
Job Description: At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. We do this by driving Responsible Growth and delivering for our clients, t…
Skills: Coaching, Customer and Client Focus, Leadership Development, Risk Management, Talent Development
Sacramento, California, United States · On-site
$169k–$309k/yr
Are you energized by leadership, education, and the development of partnerships with key External Experts and Professional Bodies? If so, this Field Based Medical Science Liaison role could be an ideal opportunity to exp…
Skills: Digital Fluency, Enterprise Thinking, External Stakeholder Management, High Impact Communication, Patient Impact
Sacramento, California, United States · On-site
$32/hr–$42/hr
We are so glad you are interested in joining Sutter Health! Organization: SMF-Sutter Med Foundation- Central Position Overview: Performs a variety of technical procedures that will require judgment and knowledge of sophi…
Skills: Visual Acuity Testing, Functional Dexterity Test, Contrast Sensitivity Testing, IOL Master, Pachymetry
Sacramento, California, United States · On-site
POSITION SUMMARYU.S. AutoForce, a division of U.S. Venture, Inc., brings together more than 100 years of experience as an industry leader in the distribution of tires, undercar parts, and lubricants to independent tire r…
Skills: Professional Driving, Box Truck Operation, Customer Service, Vehicle Inspection, Log Maintenance
Sacramento, California, United States · On-site
$42k–$67k/yr
Who we are looking for In this role, you will work with various State Street teams to support middle office services and processing. The position will interface daily with the client’s investment operations and act as a …
Skills: Middle Office Services, Client Relationship Management, Project Management, Financial Analysis, SLA Management
Sacramento, California, United States · On-site
$70k–$72k/yr
Job DetailsLevel: ExperiencedJob Location: South Sacramento - Sacramento, CA 95831Position Type: Full TimeEducation Level: Graduate DegreeSalary Range: $70,308.00 - $72,000.00 Salary/yearTravel Percentage: Up to 50% Job …
Skills: Case Management, Family Support, Crisis Intervention, Training Development, Family Service Planning
Sacramento, California, United States · On-site
$21/hr–$26/hr
Requisition Number: 230751 Job Description Cintas is seeking a Warehouse Associate – Loader/Unloader to support the Rental Division. Loader/Unloaders are responsible for driving company trucks to designated areas in the …
Skills: Loading, Unloading, Driving, Attention To Detail, Work Ethic
McClellan Park, California, United States · On-site
BSN SPORTS, A VARSITY BRANDS COMPANY - THE RECOGNIZED LEADER IN TEAM ATHLETIC GEAR For over 50 years, BSN SPORTS has been the largest team sporting goods equipment and apparel distributor of choice in the United States. …
Skills: Screen Printing, Quality Control, Machine Maintenance, Pallet Jack Operation, RF Scanner
Folsom, California, United States · On-site
$28/hr–$34/hr
We are so glad you are interested in joining Sutter Health! Organization: SMF-Sutter Med Foundation- Central Position Overview: Provides clinical and clerical support to providers and members of the patient care team(s) …
Skills: Vital Signs, Patient Preparation, Administering Injections, Medical Terminology, Electronic Health Records
Sacramento, California, United States · On-site
Building a career at Granite may be the most valuable thing you could do... Find your dream job today, and be part of something great. Our most powerful partnership is the one we have with our employees. Our people are o…
Skills: Quality Assurance Testing, ISO 9000, Equipment Calibration, Microsoft Excel, Measurement Tools
Sacramento, California, United States · On-site
$22/hr–$27/hr
About Us A fully owned subsidiary of Quanta Services, Inc. (NYSE: PWR), FiberTel, LLC. is locally grown in Utah’s Art City and has rapidly expanded over the Northwest and Western regions. As an advocate for economic grow…
Skills: Class A CDL, Utility Construction, Fiber Optics Installation, Heavy Equipment Operation, Hand Tool Proficiency
Sacramento, California, United States · On-site
Overview WHO WE ARE: We are more than a nonprofit organization. We are a ministry of service that includes nearly 400 paid, professional employees dedicated to helping those in need to rebuild their lives and reach their…
Skills: Crisis De-escalation, Trauma-Informed Care, Compassionate Communication, Computer Skills, Organizational Skills
Sacramento, California, United States · On-site
$37/hr–$56/hr
We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Position Overview: Provides data and analyses, including financial modeling and forecasting, to support co…
Skills: Financial Modeling, Financial Analysis, Managed Care Reimbursement, Healthcare Accounting, Contract Negotiation
DDNSacramento, California, United States · Remote OK
What you’ll do Contribute to Lustre architecture and lead implementation of new features across core subsystems including MDS/OSS, LDLM, DNE, DoM, FLD, layout, snapshot, quota, security, and recovery Write high-performan…
Skills: Lustre, C Programming, Linux Kernel Development, Distributed Systems, Parallel File Systems
DDNSacramento, California, United States · Remote OK
DDN is expanding our Enterprise and Sovereign AI Solution offerings, for example Hyperpod - a turnkey NVIDIA AI Data Platform built on DDN Infinia storage, NVIDIA AI Enterprise (NVAIE), and Supermicro reference hardware,…
Skills: NVIDIA AI Enterprise, Kubernetes, Vector Databases, RAG Workflows, GPU Optimization
Sacramento, California, United States · On-site
$23/hr–$26/hr
Job DetailsJob Location: Sacramento - Sacramento, CA 95841Position Type: Full-TimeSalary Range: $23.00 - $26.00 HourlyDo you have a passion for helping people achieve their dreams of a growing family? An exciting opportu…
Skills: Phlebotomy, Patient Care, Blood Drawing, Electronic Health Records, Sample Labeling
Sacramento, California, United States · Hybrid
$42/hr–$45/hr
Who We Are: West Yost is a water resource management and engineering firm focused exclusively on water. Since our founding in 1990, we have partnered with public agencies including cities, counties, utilities, and water …
Skills: Payroll Processing, Prevailing Wage Reporting, Tax Compliance, Deltek, Certified Payroll
Sacramento, California, United States · On-site
We are so glad you are interested in joining Sutter Health! Organization: SCP-Sutter Center for Psychiatry Position Overview: Fellowship will entail two concurrent components equally weighted under the supervision of the…
Skills: Clinical Psychology, Psychological Assessment, Diagnostic Planning, Evidence-Based Interventions, Psychotherapeutic Modalities
Sacramento, California, United States · Hybrid
$65/hr–$95/hr
Position Overview A nationwide provider of comprehensive school-based therapy services is seeking dedicated SLP clinicians to support and develop students' critical communication skills. Your contributions will directly …
Skills: Speech-Language Pathology, Pediatric Speech Development, Individualized Education Program (IEP), Clinical Assessment, Treatment Planning
Sacramento, California, United States • Hybrid
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The specialist ensures departmental compliance with federal and state regulations, accreditation standards, and internal policies within Claims and Provider Relations. Key duties include coordinating audits, managing regulatory filings, and overseeing external vendors to ensure accurate claims processing.
Candidates must have a bachelor's degree and at least three years of experience in healthcare compliance or regulatory operations. Specific experience with California-based HMOs and regulatory frameworks like NCQA and Knox-Keene is required.
Location: Sacramento, CA (Hybrid)
Salary: $70,304 – $85,000 annually
"Purpose that inspires. Impact that improves lives. Join us in building healthier communities."
Western Health Advantage
Western Health Advantage is seeking a detail-oriented Claims & Provider Relations Oversight Specialist to support compliance and regulatory operations within our Claims and Provider Relations department. This role is responsible for ensuring departmental compliance with federal and state regulations, accreditation standards, and internal policies while serving as a key resource for audits, regulatory filings, reporting, and compliance initiatives.
The ideal candidate is organized, analytical, and collaborative, with experience in California managed care, claims and provider operations, and healthcare compliance.
Access to quality health care for Northern CA. Flexible plan choices and closely tied to the communities we serve.
WHA helps people obtain quality health care in the Northern ca communities we serve. Western Health offers affordable coverage to employer groups, individuals, and families, for every stage of life. We help our members stay healthy and facilitate the care they need when they need it. we love being local WHA prides itself in being the choice of thousands—from Fairfield to Fremont and Penryn to Petaluma. Your community is our community. We strengthen our neighborhoods and enrich the lives of community members by supporting local organizations. We affect positive change in our community through charitable outreach and volunteer efforts. Supporting the communities where we live and work is one of WHA’s core values. we’re always here for you We build long-term, personal relationships because we’re easy to work with, reliable and innovative. The mission of our local service team is to provide exceptional service to our members, providers and partners. You can easily reach us in person or on the phone. We’re responsive and make decisions without delay. we’re proud of our reputation For 25 years and counting, we’ve been a reliable partner in your community. We are known for acting with integrity and for interacting honestly with our partners while building relationships of trust. We support the doctor-patient relationship and offer access to quality doctors and hospitals.
Offices: 2349 Gateway Oaks Drive, Suite 100, Sacramento, CA 95833, US
