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Credentialing

Sacramento,CA

430 Credentialing jobs in Sacramento,CA

Featured Opportunity

Grocery Delivery Driver

DoorDash - Sacramento, CA

DoorDash - Sacramento, CA

Grocery Delivery Driver
OnsiteFlexible Schedule
New, Posted 18 hours ago
Recommended
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Medical Records Collector (Remote)

Molina Healthcare

Sacramento, CA 95813

$20.34-$30.39/hr
Remote

  • At least 1 year customer service experience, preferably in an administrative support capacity in a health care setting, or equivalent combination of relevant education and experience.
  • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements.
  • Excellent customer service and active listening skills.
  • Proficiency with data analysis tools (e.g., Excel).
  • Ability to manage files, schedules and information efficiently.
  • Ability to effectively interface with staff, clinicians, and leadership.
  • Strong prioritization skills and detail orientation.
  • Strong verbal and written communication skills, including professional phone etiquette.
  • Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs.
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Claims Examiner, Workers' Compensation

Gallagher

Rancho Cordova, CA 95670

RemoteFlexible ScheduleHealth InsurancePaid Time OffRetirement Benefit

  • This is a remote position based in California, and candidates must reside within the state.
  • High school diploma
  • 3 years related claims experience required
  • Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the licenses/certification per local requirements.
  • Knowledge of accepted industry standards and practices.
  • Computer experience with related claims and business software.
SmartExplore AI is experimental.
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New, Posted 19 hours ago
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Enrollment Specialist Non-Clinical - Human Resources

LHH US

Sacramento, CA 95833

$25/hr
OnsiteHealth InsurancePaid Time OffRetirement Benefit

  • High school diploma or equivalent combination of education and experience
  • Minimum one year of recent experience in health plan enrollment, insurance operations, healthcare administration, eligibility processing, or a related field
  • Member and group enrollment processing
  • Eligibility verification
  • Enrollment terminations
  • PCP changes
  • Demographic updates
  • Retroactive eligibility corrections
  • Proficiency with Microsoft Office Suite, including Excel, Word, and PowerPoint
  • Experience working with databases, enrollment systems, data validation, and file management
  • Strong attention to detail and ability to work accurately in a high-volume environment
SmartExplore AI is experimental.
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New, Posted 1 day ago
LMFT (Virtual)

Headway

Sacramento, CA

$117.73/hr
Remote
New, Posted 1 hour ago
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Claims Supervisor Workers Compensation

Gallagher Bassett

Sacramento, CA 95833

RemoteFlexible ScheduleHealth InsurancePaid Time OffRetirement Benefit

  • Claims Background: Must have a workers compensation claims background handling California indemnity claims plus litigation.
  • Minimum of 2 years prior leadership/people management experience in a claims environment required
  • Jurisdictional experience: California Workers Compensation
  • CA Designation required.
  • SIP optional.
  • High School Diploma
  • Minimum of 10 years related claims experience
  • Appropriately licensed and/or certified in all states in which claims are being handled
  • Knowledge of all team member related functions
SmartExplore AI is experimental.
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New, Posted 12 hours ago
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Customer Experience Advocate I - ECC

Amerigas

Rocklin, CA 95677

New, Posted 20 hours ago
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Manager, Healthcare Services - Remote (Must Reside in California)

Molina Healthcare

Sacramento, CA 95813

$84,067-$163,931/yr
Remote

  • At least 7 years experience in health care, and at least 3 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience.
  • At least 1 year of health care management/leadership experience.
  • Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW).
  • Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
  • Experience working within applicable state, federal, and third party regulations.
  • Demonstrated knowledge of community resources.
  • Proactive and detail-oriented.
  • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
  • Ability to work independently, with minimal supervision and demonstrate self-motivation.
  • Responsive in all forms of communication, and ability to remain calm in high-pressure situations.
  • Ability to develop and maintain professional relationships.
  • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
  • Excellent problem-solving and critical-thinking skills.
  • Excellent verbal and written communication skills.
  • Microsoft Office suite/applicable software program(s) proficiency.
SmartExplore AI is experimental.
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New, Posted 1 day ago
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Family Care Coordinator - Sacramento

DCI Donor Services

West Sacramento, CA 95691

~ 14 min OnsiteHealth InsurancePaid Time OffRetirement Benefit

  • A bachelor's degree
  • 2 – 4 years of healthcare experience with families, counseling, bereavement, and/or crisis intervention
  • Knowledge of medical and legal principles of authorization, donor evaluation, and management.
  • Valid Driver's license with ability to pass MVR underwriting requirements
  • New employees must have their first dose of the COVID-19 vaccine by their potential start date or be able to supply proof of vaccination.
SmartExplore AI is experimental.
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New, Posted 5 hours ago
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Mentor Recruiter

Sevita

Roseville, CA 95661

$58,240/yr
~ 27 min Onsite

  • Current driver's license, car registration and auto insurance if providing transportation for individuals receiving services or driving for company purposes.
  • Current CPR/First Aid Certification as required by state.
  • Travel required as needed
  • Light work.
  • Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.
  • If the use of arm and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time, the job is rated for light work.
  • Three years related experience.
SmartExplore AI is experimental.
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Claims Specialist

Liberty Mutual Insurance

Sacramento, CA 94203

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