Sr. Digital Product Development Manager Hyundai Capital America, Inc.Sr. Digital Product Development ManagerIrvine, CAThis role partners with Product and business stakeholders to clarify outcomes, translates needs into technical plans and requirements, governs vendor delivery (scope, quality, timelines), and contributes directly through coding, code reviews, and ongoing platform support in an agile environment. Digital Product Development Manager leads an outsourced delivery partner who provides scalable and secure solutions that meet business needs while also serving as a hands-on technical leader who can design, build, and maintain key platform capabilities.
Envista Sr. Manager, Salesforce Architect (Brea/Irvine, CA) Envista DentistryEnvista Sr. Manager, Salesforce Architect (Brea/Irvine, CA)Brea, CaliforniaRemoteEnvista will consider unsolicited referrals and/or resumes submitted by vendors such as search firms, staffing agencies, professional recruiters, fee-based referral services and recruiting agencies (Agency) to have been referred by the Agency free of charge and Envista will not pay a fee for any placement resulting from the receipt such unsolicited resumes. An Agency must obtain advance written approval from Envista's internal Talent Acquisition or Human Resources team to submit resumes, and then only in conjunction with a valid fully-executed contract approved by the Global Talent Acquisition leader and in response to a specific job opening.
Director, Healthcare - Forensics Litigation Bdo ConsultingDirector, Healthcare - Forensics LitigationLos Angeles, CA$160,000–$260,000 / yearThe ideal candidate brings a proven track record of expert testimony, deep subject matter expertise in Medicare Severity Diagnosis-Related Groups (MS-DRGs) and inpatient billing practices, and the ability to lead complex engagements while developing junior staff in a highly leveraged consulting model. Provides subject matter leadership on MS-DRG classification systems, grouper logic, ICD-10-CM/PCS coding frameworks, Medicare IPPS rules, CMS regulatory guidance, and commercial payer reimbursement policies impacting inpatient claims.
Director, Forensics Healthcare Bdo ConsultingDirector, Forensics HealthcareLos Angeles, CA$160,000–$260,000 / yearThe ideal candidate brings a proven track record of expert testimony, deep subject matter expertise in Medicare Severity Diagnosis-Related Groups (MS-DRGs) and inpatient billing practices, and the ability to lead complex engagements while developing junior staff in a highly leveraged consulting model. Provides subject matter leadership on MS-DRG classification systems, grouper logic, ICD-10-CM/PCS coding frameworks, Medicare IPPS rules, CMS regulatory guidance, and commercial payer reimbursement policies impacting inpatient claims.
NewMedical Management Coordinator I AltaMed Health Services CorpMedical Management Coordinator IMontebello, CA$26.91–$33.53 / hourMinimum 2 years' experience working in a healthcare environment; knowledge of prior authorization and case management regulations governing Medi-Cal, Commercial, Medicare, CCS, and other government and commercial programs. Minimum 2 years of experience working in a medical billing environment (IPA or HMO preferred), with pre-authorizations and reimbursement regulations on Medi-Cal, CCS, and other government programs required.
Manager, Revenue Cycle Management AltaMedManager, Revenue Cycle ManagementCommerce, CA$97,923.27–$122,404.10 / yearThe position will be responsible for the management and implementation of the revenue cycle systems, processes and staff and for the control/maintenance, reporting/analysis and accounting of revenue, procedures and policies within the Revenue Cycle and Clinical operations, Will manage a team of A/R Data Entry Coordinators and other staff including the corporate cashier and Medical Coders, Responsible for the overall analysis and reporting of revenue cycle activities and streams to support various business strategies and the management of Key Performance Indicators. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.
Inpatient Audit Specialist- PRN Datavant LLCInpatient Audit Specialist- PRNCARemote$35–$45 / hourWhat You Will Do: Performs Inpatient Facility coding audits according to scope of work, for the purpose of Onboarding, Focused, Service Level Agreements or Other Types of reviews, using appropriate assignment of codes and other coding-related elements using MS DRG or APR DRGs. What We're Looking For: As an Inpatient Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews.
Advanced Practice Clinician (PA or NP) - OptumCare Network UnitedHealth Group IncAdvanced Practice Clinician (PA or NP) - OptumCare NetworkLos Angeles, CAIreland & UK ›India ›Philippines ›Culture of Belonging›Employee Benefits›BlogJob seeker resources Login Bookmarked jobs 0 Career areas Clinical PhysiciansAdvanced practice cliniciansPharmacyBehavioral healthNursingMedical codingClinical support Corporate and business operations Administrative supportConsultingFinance and business analyticsLegal and complianceMarketing and communicationsPeople teamProject management Customer and support services BillingClaimsCustomer ServiceData entryEarly careers Sales and account management Account managementSalesSales management Technology and data Artificial intelligenceArchitectureBusiness systems analysisData analyticsData engineeringData scienceNetwork infrastructureProduct management & developmentSecurity and riskSoftware engineering Life here U.S. Culture of BelongingEmployee BenefitsMilitary Fellowship Program Ireland & UK Culture of BelongingEmployee Benefits India Culture of BelongingEmployee Benefits Philippines Culture of BelongingEmployee BenefitsJoin our talent communityOpen search formKeyword or job numberLocationGoExplore remote jobsPursue your passion and potentialAdvanced Practice Clinician PA or NP - OptumCare Network Los Angeles California Apply Internal apply Bookmark job Jump to Our values Job description Benefits Testimonial Awards & recognitions Related content Caring. BlogsJob seeker resources Login Bookmarked jobs 0 Career areasLife hereJoin our talent communitySearch jobsClinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S.
Health Plan Data Scientist SCAN Health PlanHealth Plan Data ScientistLong Beach, CaliforniaRemote$106,200–$182,983 / yearThis role will be a key member of SCAN's Medical Economics Analytics team, responsible for identifying, quantifying, and helping capture total cost of care (TCOC) savings opportunities across the health plan's core medical cost management levers: clinical programs, utilization management (UM) and medical policy, payment integrity, network and contracting, benefit design, coordination of benefits (COB), and supplemental programs. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information.
Manager, Revenue Cycle Management AltaMed Health Services CorpManager, Revenue Cycle ManagementCA$97,923.27–$122,404.10 / yearThe position will be responsible for the management and implementation of the revenue cycle systems, processes and staff and for the control/maintenance, reporting/analysis and accounting of revenue, procedures and policies within the Revenue Cycle and Clinical operations, Will manage a team of A/R Data Entry Coordinators and other staff including the corporate cashier and Medical Coders, Responsible for the overall analysis and reporting of revenue cycle activities and streams to support various business strategies and the management of Key Performance Indicators. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.
NewManager, Operations United States Olympic and Paralympic CommitteeManager, OperationsColorado Springs, CO$70,000–$75,000 / yearFull timeThe Manager will oversee the efficient and effective operation of the CSOPTC Operations team, including all aspects of the department (organization, leadership and management, and implementation of policy) and as it relates to program management needs for NGBs, Athlete Center Front Desk and incoming camps. Perform other duties as assigned, needed, or requested, including but not limited to, serving on committees and work teams, overseeing the 24-hour on-call first response coverage, preparing incident and injury reports in cases of emergencies, and resolving difficult and sensitive inquiries and complaints from CSOPTC users.
AI Security Analyst Iconma LLCAI Security AnalystCAThese services include Cloudforce's nebulaONE multi-model AI platform hosted in Microsoft Foundry, commercial LLM offerings such as Microsoft Copilot, ChatGPT EDU, Claude EDU, and Google Gemini Enterprise, connectors and plugins, an AI gateway (in procurement), and other associated components (e.g. This position will be responsible for evaluating the security of the AI services to identify risks, recommending compensating controls and new security products, advising the teams on AI-specific security topics, and helping build.
DTLA Legal Billing Coordinator Adams & Martin GroupDTLA Legal Billing CoordinatorLos Angeles, California$55,000–$75,000The Legal Billing Coordinator should have a minimum of 2+ years of experience and will be responsible for managing the firm's full-cycle legal billing process, including electronic invoice submission, pre-bill review, invoice finalization, client billing compliance, and billing system maintenance. The ideal candidate will possess strong legal billing experience, strong knowledge of e-billing platforms, and a thorough understanding of law firm billing practices and client guidelines.
Principal AI Developer Experience Architect SentinelOne IncPrincipal AI Developer Experience ArchitectCA$216,000–$260,000 / yearAs a Principal AI Developer Experience Architect, you will serve as the technical authority for the AI engineering layer at SentinelOne, designing how enterprise-grade AI coding assistants and LLM platforms integrate into our engineering workflows. Partner with the AI Champions Network and Learning & Development to define curricula, hands-on labs, and "day‑in‑the‑life" workflows that level up prompt engineering and AI‑assisted development skills across developer organizations.
Field Reimbursement Liaison - Northwest Crinetics Pharmaceuticals IncField Reimbursement Liaison - NorthwestCA$162,000–$203,000 / yearThe FRL interfaces with healthcare professionals, including their ancillary staff, nurse case managers (NCMs), HUB coordinators, Market Access team, and various Channel Partners on complex access and reimbursement cases by providing education on Crinetics sponsored patient programs and process guidance in response to prior authorizations, resubmissions, and denials. Essential Job Functions and Responsibilities: These may include but are not limited to: Conduct office calls with HCPs and/or office staff for support with appropriate patient access to Crinetics' products, including assistance in resolving reimbursement, patient programs, and coverage questions.
Director, RCM Shared Services OneOncology IncDirector, RCM Shared ServicesCARemoteThe Director, RCM Shared Services (Urology) is responsible for leading strategic and operational initiatives for practice-based revenue cycle management (RCM) teams, third-party RCM vendors, and internal OneOncology stakeholders supporting urology practices. This position drives revenue cycle projects, utilizes analytics to optimize performance, implements best-practice workflows, and leads corporate in-house RCM teams focused on maximizing financial outcomes while maintaining exceptional patient and provider experiences.
Clinical Validation Auditor (CVA) Auditor III ExlService Holdings IncClinical Validation Auditor (CVA) Auditor IIICARemote$70,000–$85,000 / yearEXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates.
NewMedical Director, Behavioral Health (Part Time) Blue Cross and Blue Shield AssociationMedical Director, Behavioral Health (Part Time)Long Beach, CAIn this role, you will: Review concurrent, pre- and post-service behavioral health service requests and render decisions based on the member''s benefits, medical necessity, Blue Shield of California medical policy, FEP (Federal Employee Program) medical policy, as well as legal and regulatory requirements. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
Senior Software Engineer Software Resources, Inc.Senior Software EngineerBurbank, CA$80–$83 / hourMinimum 3+years of experience in database technology, including SQLServer, Oracle, MongoDB and MySQL and caching mechanisms such as server caching, browser caching, CDN caching, database query caching, in-memory caching (like Redis and Memcached), and application caching. - Collaborate with various teams, including third party vendors, Enterprise Applications and Infrastructure teams on various projects and day-to-day deliverables.
Clinical Documentation Integrity Specialist I (Relief, Non-benefitted) Stanford Health CareClinical Documentation Integrity Specialist I (Relief, Non-benefitted)CA$55.85–$74 / hourThe Relief Clinical Documentation Integrity Specialist I uses clinical and coding knowledge for conducting clinically based concurrent and retrospective reviews of inpatient and/or outpatient medical records to evaluate the clinical documentation of clinical services by identifying opportunities for improving the quality of medical record documentation. Utilizes Hospital coding code set, policies and procedures, Federal and State coding reimbursement guidelines, and application of the Coding Clinic Guidelines to assign working DRG, reviewing patient records throughout hospitalization that have been identified as focus DRG by regulatory agencies or the facility to ensure the codes are reported at the highest specificity.