Healthcare Analyst Jobs in Ladera Ranch, CA

Lead the charge in conducting medical record reviews and applying clinical judgment to ensure accurate claim payment decisions while supporting fraud investigations and compliance efforts...

Join a team that ensures precise medical coding by reviewing outpatient records using ICD-10-CM and CPT guidelines. Enhance reporting accuracy and support clinical review processes for better patient...

Join a team that's dedicated to accurate outpatient coding and risk adjustment oversight. Engage in comprehensive medical record reviews, ensuring compliance with CMS guidelines while supporting healt...

Lead comprehensive care for participants, collaborating with a dedicated team to enhance health outcomes and build lasting relationships in a supportive environment focused on value-based care...

Join a team that champions compassionate care for seniors by coordinating health services. As a Case Manager, RN, you'll provide pivotal support and build lasting relationships while ensuring personal...

Transform healthcare delivery by leveraging your actuarial expertise. Collaborate across functions to develop innovative strategies that enhance service to the senior population while positively impac...

Drive transformative strategies for enterprise risk adjustment, overseeing operations to achieve financial and operational goals while fostering collaboration across teams and providers for sustainabl...

Advance your nursing career by training for a Health Services Director role. Gain leadership skills through hands-on experience, mentorship, and comprehensive community training in a supportive enviro...

Advance your career by gaining hands-on leadership experience in health services. Participate in a structured training program designed for licensed nurses, preparing you for a pivotal role in managin...

Develop your leadership skills as you train to manage healthcare teams, gaining hands-on experience in a supportive environment while driving quality care for seniors across multiple communities...

Drive impactful reporting solutions by developing dashboards and analytics. Collaborate with stakeholders to transform data into insights, optimize performance, and ensure data accuracy. Leverage expe...

Lead the charge in designing and implementing Clinical Health services, ensuring high-quality care through effective management of healthcare teams and compliance with regulations while driving operat...

Empower our data migration efforts by designing robust ETL processes that ensure seamless transitions from legacy systems to innovative healthcare solutions, collaborating across teams to maintain dat...

Optimize financial outcomes through advanced data analytics and actuarial expertise, collaborating with senior leadership to transform analyses into impactful insights. This role bridges data validati...

Empower your career by driving the integration and migration of data for a vital financial management system. Collaborate with experts to enhance system reliability and operational efficiency in a ful...

Engage in comprehensive risk adjustment audits and compliance reviews, ensuring accurate data submission to CMS. Collaborate with coding teams and management to uphold regulatory standards and improve...

Lead the design and optimization of scalable data engineering solutions using Databricks and cloud technologies. Collaborate with stakeholders to develop robust data pipelines, enhancing analytics and...

Join a team that's dedicated to delivering strategic insights through analytics. This role supports commercial operations by providing data-driven forecasts, dashboards, and actionable insights to enh...

Elevate healthcare compliance by leading detailed coding audits, mentoring auditors, and implementing action plans. Drive innovation and ensure adherence to standards while fostering a culture of cont...

Lead the transformation of clinical programs through strategic design and implementation, driving interdisciplinary collaboration to enhance health outcomes and member experiences across the enterpris...

Build innovative solutions and optimize Oracle Fusion applications to enhance supply chain efficiency. Collaborate with business teams and IT partners to identify process improvements and support orga...

Shape pediatric healthcare by leveraging data science to enhance clinical outcomes for children with special needs. Collaborate with teams to build models and insights that drive impactful patient car...

Reimagine pediatric care by providing compassionate nursing to oncology patients and their families, ensuring excellence in service and interdisciplinary collaboration to optimize healing and support...

Unlock potential by leading strategic HEOR initiatives to enhance patient access, integrating health outcomes research throughout drug development, and collaborating across teams to deliver impactful...

Unlock potential by leveraging your data analytics expertise to drive program effectiveness and inform policy decisions. Collaborate with teams to enhance operational efficiency and ensure compliance...