Health Plan Enrollment Analyst Integrated Resources, IncHealth Plan Enrollment AnalystSan Francisco, CaliforniaContractorJob DescriptionThis position is responsible for developing and overseeing the processes ensuring that all billing providers (approximately 2000) at Client and affiliates are appropriately and accurately credentialed and enrolled into all commercially contracted health plans, Medicare, Medi-Cal and Tricare which is required to appropriately generate revenue (approximately $500 million annually) in the course of patient care. Minimum of 8-10 years of work experience in healthcare environment with specific emphasis in provider enrollment, managed care, health plans affairs at an academic medical center and/or medical staff operations.
Charge Capture Expert - Fully Remote MercorCharge Capture Expert - Fully RemoteSan Francisco, CaliforniaRemoteOversee charge capture , charge integrity , and revenue integrity functions to ensure accurate and compliant charge submission. Conduct charge audits to identify missed charges, duplicate charges, and charge capture errors across clinical departments.
["Enterprise Customer Success Manager","Enterprise Customer Success Manager"] Collectly["Enterprise Customer Success Manager","Enterprise Customer Success Manager"]San Francisco$130,000–$170,000 / yearCollectly applies artificial intelligence to automate workflows, accelerate cash flow, and modernize the patient financial experience; enabling healthcare organizations to operate more efficiently and focus on delivering care. Facilitate Quarterly Business Reviews (QBRs) with key stakeholders from medium-sized accounts, driving strategic discussions and identifying opportunities for mutual growth.
NewUS Field Reimbursement Manager, Rare Neurology, Hematology, & Nephrology (Northern California) Alexion Pharmaceuticals IncUS Field Reimbursement Manager, Rare Neurology, Hematology, & Nephrology (Northern California)CA$147,017.60–$220,526.40 / yearMaintain accurate documentation and operational reporting related to customer interactions, account plans, HCP office education, and case-related activity in CRM and other approved systems, while managing work in alignment with annual priorities, key performance indicators, territory objectives, project priorities, and approved budget parameters. Demonstrated technical aptitude and working proficiency in using iPad and Laptop and working proficiency in Microsoft Word, Excel, PowerPoint, and Outlook; willingness to travel with equipment to coordinate daily with key partners on education and case work.
Manager - Arbitration Operations MaximusManager - Arbitration OperationsSan Francisco, CAFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
Psychiatric Nurse Practitioner - Petaluma Executive Mental HealthPsychiatric Nurse Practitioner - PetalumaPetaluma, CaliforniaThe rapidly growing and award-winning team at Executive Mental Health (EMH), with over 25 years of experience as a leading behavioral healthcare group in the State of California, is seeking experienced Psychiatric Nurse Practitioners for a full-time position with the company to support the growth of EMH as a trusted provider of integrated mental healthcare. EMH is expanding now by hiring physicians and nurse practitioners based on the need for competent clinicians to manage the prescription of psychotropic medications as we continue to deliver quality mental health services to a diverse, underserved population residing in skilled nursing facilities (as well as other levels of care).
Practice CRD 2 UCSF Medical CenterPractice CRD 2San Francisco, CAUses effective communication skills with patients and staff; demonstrates proper telephone techniques and etiquette; acts as an escort to any patient or family member needing directions; shows sensitivity to differences of culture; demonstrates a positive and supportive manner in which patients / families/ colleagues perceive interactions as positive and supportive. Explains first appointment procedures in layman's terminology to patient including required records, pathology slides and radiology films to bring or send prior to the first visit; prepares and mails New Patient Packet or sends through MyChart; provides other information requested by patient.
NewPRACTICE CRD 2 UCSF Medical CenterPRACTICE CRD 2San Francisco, CAUses effective communication skills with patients and staff; demonstrates proper telephone techniques and etiquette; acts as an escort to any patient or family member needing directions; shows sensitivity to differences of culture; demonstrates a positive and supportive manner in which patients / families/ colleagues perceive interactions as positive and supportive. Explains first appointment procedures in layman's terminology to patient including required records, pathology slides and radiology films to bring or send prior to the first visit; prepares and mails New Patient Packet or sends through MyChart; provides other information requested by patient.
Practice Coordinator 2 UCSF Medical CenterPractice Coordinator 2San Francisco, CAExplains first appointment procedures in layman's terminology to patient including required records, pathology slides and radiology films to bring or send prior to the first visit; prepares and mails New Patient Packet or sends through MyChart; provides other information requested by patient. The Practice Coordinator is primarily responsible for representing the administrative team as the public face of the Practice and works closely with the administrative, clinical and management teams to support practice operations and customer service recovery and intervention efforts.
Practice Coordinator II UCSF Medical CenterPractice Coordinator IISan Francisco, CAUses effective communication skills with patients and staff; demonstrates proper telephone techniques and etiquette; acts as an escort to any patient or family member needing directions; shows sensitivity to differences of culture; demonstrates a positive and supportive manner in which patients / families/ colleagues perceive interactions as positive and supportive. Explains first appointment procedures in layman's terminology to patient including required records, pathology slides and radiology films to bring or send prior to the first visit; prepares and mails New Patient Packet or sends through MyChart; provides other information requested by patient.
Practice Coordinator III UCSF Medical CenterPractice Coordinator IIISan Francisco, CAExplains first appointment procedures in layman's terminology to patient including required records, pathology slides and radiology films to bring or send prior to the first visit; prepares and mails New Patient Packet or sends through MyChart; provides other information requested by patient. The Practice Coordinator 3 is primarily responsible for representing the administrative team as the public face of the Practice and works closely with the administrative, clinical and management teams to support practice operations and customer service recovery and intervention efforts.
Clinical Program Manager International Rescue CommitteeClinical Program ManagerOakland, CaliforniaThis is an opportunity to implement and operationalize ACBHD’s established EI model — activating clinical operations, standing up Medi-Cal billing infrastructure, and building IRC’s capacity to deliver high-quality early intervention behavioral health services in Alameda County. Job Overview: The International Rescue Committee (IRC) is launching a new Early Intervention (EI) Specialty Mental Health Services (SMHS) program in partnership with Alameda County Behavioral Health Department (ACBHD), funded under the Behavioral Health Services Act (BHSA).
Engineering Manager (Revenue Engine) Therapymatch, Inc.Engineering Manager (Revenue Engine)San Francisco, CA$222,800–$278,500 / yearWhy its interesting: designing the state machine that decides which financial actions an appointment is eligible for and in what order; guardrail APIs that can refuse a write the domain doesnt allow yet; immutable snapshots of every input and output, so a commitment made months ago can be reconstructed and explained exactly; a shadow mode that lets other teams simulate pricing and billing logic (and compare ML models) against real data without ever committing a financial outcome; and the non-happy paths that make it real, where a refiling, a fee-schedule change, or a correction has to reopen settled state and re-settle it safely. Cross-functional partnership: with the other Revenue Engine teams, with the platform teams whose inputs and outputs you depend on (benefits, payments, payouts, corrections, claims operations), and with Finance and Accounting, who consume your systems output as the companys financial record.
Patient Financial Clearance Specialist MercorPatient Financial Clearance SpecialistSan Francisco, CaliforniaRemote5+ years of experience in patient financial counselling, financial clearance, or self-pay revenue cycle management, with at least 2 years in a leadership role. Lead patient financial counselling and financial clearance operations, including charity care screening, financial assistance applications, and self-pay resolution.
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Elevance Health IncDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)Walnut Creek, CA$86,560–$155,808 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
Engineering Manager (Revenue Engine) HeadwayEngineering Manager (Revenue Engine)San Francisco, CaliforniaWhy it's interesting: designing the state machine that decides which financial actions an appointment is eligible for and in what order; guardrail APIs that can refuse a write the domain doesn't allow yet; immutable snapshots of every input and output, so a commitment made months ago can be reconstructed and explained exactly; a shadow mode that lets other teams simulate pricing and billing logic (and compare ML models) against real data without ever committing a financial outcome; and the non-happy paths that make it real, where a refiling, a fee-schedule change, or a correction has to reopen settled state and re-settle it safely. Cross-functional partnership: with the other Revenue Engine teams, with the platform teams whose inputs and outputs you depend on (benefits, payments, payouts, corrections, claims operations), and with Finance and Accounting, who consume your systems' output as the company's financial record.
Epic Credentialed Trainer & Super User Lead InterSources Inc.Epic Credentialed Trainer & Super User LeadSFO, CAMember will collaborate with internal health clinical ops members and internal HIT colleagues to plan, develop and facilitate learning opportunities, triage requests to appropriate teams and serve as an interface between end-users and the broader HIT teams meeting facilitation -needs assessments -Survey distribution -escalation and prioritization of tasks - educational content development -cross-team collaboration -coordination of small to medium size training initiatives -collaborating with stakeholders to produce communications -collaborating with Epic Analysts and Managers to ensure communications are targeted to end user, user needs and inquiries are addressed. InterSources Inc , is a Small, Woman, and Minority-Owned Business Enterprise, ISO/IEC 27001, SOC 2 Type 2 certified company with massive 18+ years of diversified experience in providing IT Consulting Services, Artificial Intelligence, Data Analysis, Application Development, Cloud Services, Cybersecurity, Digital Marketing, ERP Management, Custom Software Development, Web Development, UI/ UX Design, System Integration, QA Support etc.
Software Engineer, Agent - Healthcare Sierra AISoftware Engineer, Agent - HealthcareSan Francisco, CADevelop voice and chat agents for healthcare providers that help members find in-network specialists, check availability, and locate providers based on specialty or location; Create AI agents for multi-site primary and urgent care providers that manage appointments and answer common questions across 30+ clinics; Build agents that replace lengthy paper intake forms with conversational experiences, boosting pre-visit intake conversion rates; Develop AI agents for healthcare financial platforms that help patients understand billing, payment status, explanations of benefits, and financial assistance eligibility - all while maintaining HIPAA compliance and strong PHI/data privacy safeguards. Partner with healthcare leaders: You'll work directly with executives and technical teams at health plans, provider networks, and healthcare technology companies to understand their most pressing challenges - from managing high call volumes to reducing administrative burden and building AI agents that transform how they operate at scale.
Product Manager, Agent Development - Healthcare Sierra AIProduct Manager, Agent Development - HealthcareSan Francisco, CAOur healthcare customers include major health insurance networks, nonprofit providers, multi-site primary and urgent care practices, healthcare diagnostics companies, and healthcare financial platforms. Build enterprise-grade AI agents for healthcare: As an Agent PM at Sierra, you will be responsible for partnering directly with our engineers and customers to build and ship AI agents that handle thousands of customer conversations a day.
Imaging Support Specialist Inpatient -NBMC (Per Diem, Variable) NorthBay Medical CenterImaging Support Specialist Inpatient -NBMC (Per Diem, Variable)Fairfield, CAWe are expanding access to care across our communities through two acute-care hospitals, including a Level II Trauma Center and a Level III NICU maternity unit, along with a cancer center, urgent care locations, and a growing network of primary and specialty care clinics. Skills: Exquisite customer service skills, comprehensive knowledge of payer and managed care requirements, advanced medical terminology, minimum of 35-wpm typing, computer data entry and math skills.