Finance Systems Analyst Hogan LovellsFinance Systems AnalystLos Angeles, CA$100,000–$125,000 / yearThis will involve attending project meetings and working with other departments in Finance and Technology as required in relation to the projects concerned, keeping the appropriate manager regularly informed of progress and developments. The team currently consists of the Finance Systems Manager with analysts based in London and Hong Kong, a Senior Finance Systems Manager with analysts based in the US, and a Finance Systems Manager - Product Owner based in London.
Clinical Documentation Specialist 4 HX - Clinical Doc Integrity - FT Days HYBRID University of California, IrvineClinical Documentation Specialist 4 HX - Clinical Doc Integrity - FT Days HYBRIDIrvine, CaliforniaFull timeAs Orange County’s only academic health systems, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region’s only American College of Surgeons-verified Level I adult and Level II pediatric trauma center , American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department and a nationally recognized regional burn center verified by the American Burn Association. *Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.
NewHealthcare Contract Definition Analyst - Medical Group Experian Information Solutions IncHealthcare Contract Definition Analyst - Medical GroupCARemoteExperian''s people first, inclusive and purpose driven culture is multi award-winning; World''s Best Workplaces 2025 (Fortune Global Top 25), Great Place To Work in 26 countries to name a few. You''ll have opportunity to: Analyze as well as, define, medical group contracts for Medicare, Medicaid, Workers'' Compensation, Medicare Advantage, Managed Medicaid, and Commercial Payers.
Medical Assistant, Care Connections - CA ONLY Molina Healthcare IncMedical Assistant, Care Connections - CA ONLYLong Beach, CACoordinates care between members and providers after appointment/service delivery to support member navigation of the health care system, needs related to follow-up care and highest quality care/desired member health outcomes. Responsible for contacting members following appointments/services rendered to ensure member understanding and navigation of the health care system, and coordination support for follow-up care.
Certified Risk Coder Astrana Health IncCertified Risk CoderMonterey Park, CAThe Certified Risk Coder plays a critical role in supporting Astrana Health"s value-based care and risk adjustment initiatives by ensuring the accurate capture and validation of diagnoses through comprehensive medical record review and coding analysis. The ideal candidate brings strong coding expertise, a passion for provider education, and a commitment to enhancing organizational performance through accurate risk capture, regulatory compliance, and continuous process improvement.
Specialist (Hospital) - Revenue Cycle Operations - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaSpecialist (Hospital) - Revenue Cycle Operations - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Alhambra, CA$25–$39.69 / hourWhen extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. Quality of Work Is attentive to detail and accuracy, is committed to excellence, looks for improvements continuously, monitors quality levels, finds root cause of quality problems, owns/acts on quality problems.
Provider Success & Training Specialist Cohere Health Technologies LLCProvider Success & Training SpecialistCARemote$65,000–$82,000 / yearBacked by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes. By unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.
Medical Records Director Sun Mar Health CareMedical Records DirectorLos Angeles, CaliforniaDevelop and maintain a good working rapport with inter-department personnel, as well as other departments within the facility to assure that medical records can be properly maintained and problem areas can be identified and corrected. We are a skilled nursing facility looking for dynamic associates to join our clinical team and provide our guests with a care experience that will change their lives!
Sr. Manager, Engineering Cohere Health Technologies LLCSr. Manager, EngineeringCARemote$185,000–$225,000 / yearOpportunity Overview: We are seeking a Senior Engineering Manager to lead our Review Engineering team - roughly 20+ engineers across three squads in the US and India - building the workflows and capabilities that let clinical operations staff deliver care at scale, efficiently and with high quality. Leading through dedicated technical leads on each squad, you''ll own the reliability and technical direction of Review''s systems while partnering closely with Product, Design, Security, Clinical Operations, and peer engineering teams on shared platforms.
Financial Clearance Specialist III - PreArrival - Full Time 8 Hour Rotating (Non-Exempt) (Non-Union) University of Southern CaliforniaFinancial Clearance Specialist III - PreArrival - Full Time 8 Hour Rotating (Non-Exempt) (Non-Union)Los Angeles, CA$26–$41.28 / hourWhen extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. As a leading academic medical center, hundreds of clinical trials are currently taking place at Keck Hospital and its affiliated research institutions, giving patients access to novel and promising therapies that are generally not available elsewhere.
Commercial Managed Care Collections and Denials Manager - HB Patient Financial Services - FT Days University of California, IrvineCommercial Managed Care Collections and Denials Manager - HB Patient Financial Services - FT DaysAnaheim, CaliforniaFull timeAs Orange County’s only academic health systems, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region’s only American College of Surgeons-verified Level I adult and Level II pediatric trauma center , American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department and a nationally recognized regional burn center verified by the American Burn Association. Responsibilities: Position Summary: The Commercial/Managed Care Collections/Denials Manager reports to the Assistant Director-Patient Financial Services and is responsible for managing hospital accounts receivables (A/R) and the collections, denial, and workflow activities for Commercial/Managed Care payers – Commercial, Managed Care, Workers Compensation, TriWest/VA and all other third-party payers.
SIU Clinical Healthcare Fraud Investigator III (ATL) The Intersect GroupSIU Clinical Healthcare Fraud Investigator III (ATL)Los Angeles, CARemote$45–$55 / hourThe SIU Clinical Healthcare Fraud Investigator III leads complex, high impact investigations into fraud, waste, and abuse across multiple healthcare service lines. The Intersect Group partners with mission focused healthcare organizations dedicated to improving access, quality, and equity of care for large and diverse member populations.
Sr Analyst Revenue Cycle Management (RCM) Analytics Baylor Miraca Genetics Laboratories LLCSr Analyst Revenue Cycle Management (RCM) AnalyticsCAThe role maintains recurring reporting, checks data for accuracy, investigates performance changes, and gives leaders clear information they can use to improve cash, reimbursement, turnaround time, productivity, quality, and payer performance. Analyze RCM performance across workflows, payers, tests, teams, aging, and denial types to identify trends, root causes, bottlenecks, and improvement opportunities.
Field Reimbursement Manager - Central ImmunityBio IncField Reimbursement Manager - CentralEl Segundo, CAThe Field Reimbursement Manager proactively provides education and support to appropriate providers and their office staff on reimbursement programs for designated therapeutic products in their defined geographically aligned accounts. Designated an FDA Breakthrough Therapy, ANKTIVA is the first FDA-approved immunotherapy for non-muscle invasive bladder cancer CIS that activates NK cells, T cells, and memory T cells for a long-duration response.
Medical Director, Clinical Policy L.A. Care Health PlanMedical Director, Clinical PolicyLos Angeles, CAThis position ensures clinical policies and utilization management frameworks are evidence-based, operationally sound, compliant with regulatory and accreditation requirements, and aligned with organizational goals related to quality, safety, affordability, and member experience. The Medical Director oversees policy architecture, authorization strategy, and utilization oversight across all lines of business, ensuring clinical intent is accurately translated into authorization requirements, coding structures, and system configuration through partnership with internal teams.
Medical Director, Utilization Management L.A. Care Health PlanMedical Director, Utilization ManagementLos Angeles, CAThis position plays a critical role in the mitigation of Fraud, Waste and Abuse (FWA) and requires proactive analysis of service level utilization data to identify trends, outliers and emerging risk areas and recommend corrective action to minimize utilization variation, prevent improper payments and ensure financial stewardship. The Medical Director, Utilization Management provides clinical oversight of authorization decision making and processing, pre and post payment claims review activities, payment integrity clinical validation and program integrity functions.
Manager, Payment Integrity Program Development & Innovation HGS Healthcare LLCManager, Payment Integrity Program Development & InnovationCAJob Description: Manager, Payment Integrity Program Development & Innovation is responsible for leading a team of healthcare payment integrity experts focused on developing, implementing, and optimizing complex audit programs that identify and recover healthcare overpayments. Manager, Payment Integrity Program Development & Innovation is responsible for leading a team of healthcare payment integrity experts focused on developing, implementing, and optimizing complex audit programs that identify and recover healthcare overpayments.
Pharmacy Biller/Office Manager Oncare PharmacyPharmacy Biller/Office ManagerDowney, CaliforniaCompletion of classes in medical terminology, anatomy and physiology, ICD-9 and Current Procedural Terminology (CPT) coding conventions, and disease process from an accredited program. At least two (2) year billing experience in private or health care organization (preferred but required); Experience with physician or ambulatory setting coding preferred.
Claims Auditor MedPOINT ManagementClaims AuditorSherman Oaks, CARemoteFull timeMedPOINT Management is a leading Independent Practice Association (IPA) management company serving the greater Los Angeles area, dedicated to delivering high-quality, coordinated healthcare to patients across Southern California. Our team enjoys a collaborative work culture, opportunities for professional growth, and the satisfaction of making a meaningful impact in the healthcare industry.
NewClinical Documentation Specialist, Risk Adjustment Cedars-Sinai Medical CenterClinical Documentation Specialist, Risk AdjustmentLos Angeles, CA$51.72–$82.75 / hourReq ID 19993 Working Title Clinical Documentation Specialist, Risk Adjustment Department MNS Quality Mgmt Business Entity Cedars-Sinai Medical Center Job Category Patient Financial Services Job Specialty Revenue Integrity Overtime Status NONEXEMPT Primary Shift Day Shift Duration 8 hour Base Pay $51.72 - $82.75. Our range takes into account the wide range of factors that are considered in making compensation decisions, including knowledge/skills: relevant experience and training, education/certifications/licensure; and other business and organizational factors.