Accounts Payable Manager FIGS IncAccounts Payable ManagerSanta Monica, CAThrough these customer relationships, FIGS has built a community and lifestyle around a profession, revolutionizing the large and fragmented healthcare apparel market and becoming the industry's category-defining healthcare apparel and lifestyle brand. The Accounts Payable Manager will report directly to the Assistant Controller and work closely with multiple teams, including finance, accounting, HR, marketing, production, and operations.
Sr Bill Review Analyst MedRisk LLCSr Bill Review AnalystCAJob Purpose: Under moderate supervision, this position is responsible for analyzing incoming medical bills for fee schedule or usual and customary application as well as PPO interface while meeting contractual client requirements. Strong knowledge of Medical Terminology and CPT / ICD-9 / ICD-10 coding - Knowledge of multi-state fee schedules preferred.
NewMedical Assistant (M.A.) / Specialty Care Coordinator Family Health Care Centers of Greater Los Angeles, Inc.Medical Assistant (M.A.) / Specialty Care CoordinatorCommerce, CaliforniaFull timeSpecialty Care Coordinator functions as a core member of the Nutrition & Vaccine Departments as well as the Enhanced Care Management (ECM) & Medication Assisted Treatment (MAT) programs by working with FHCCGLA’s collaborative care teams to provide direct patient care support and administrative coordination (e.g., scheduling, productivity, patient contact efforts for follow-up, no-shows, etc.) to ensure efficient clinic operations and high-quality patient services. Supports specialty services & program growth by conducting patient outreach, appointment reminders, follow-up calls, and care coordination activities aimed at increasing patient engagement, retention, and participation in treatment services.
Medical Biller United Surgical Partners InternationalMedical BillerTorrance, CARequirements KNOWLEDGE, SKILLS, QUALIFICATION and EDUCATIONAL AND /OR EXPERIENCE REQUIREMENTS: High school diploma or equivalent. United Surgical Partners International is a publicly traded company that specializes in the development and operation of Ambulatory Surgical Facilities in the U.S. and the UK.
NewAssociate Director Oncology Field Reimbursement AbbVie IncAssociate Director Oncology Field ReimbursementLos Angeles, CALeading and coaching high-performing teams; building culture, trust, and accountability; portfolio and launch readiness leadership; strategic field execution; customer-focused access support; oncology reimbursement acumen; cross-functional collaboration; data-driven performance management; talent development; compliance leadership; business acumen; high-impact communication; continuous improvement. The role translates portfolio access strategy into disciplined field execution and partners cross-functionally with Patient Services, Market Access, Sales, Brand, Training, Analytics, Operations, Legal, Regulatory, Compliance, hub, and vendor partners.
Special Investigations Investigator, Consultant Blue Cross and Blue Shield AssociationSpecial Investigations Investigator, ConsultantLong Beach, CABe responsible for coordinating and overseeing efforts to recover erroneous payments made because of a claims processing error, misrepresentative billing, fraud, abuse, or any other criminal act with no assistance. The Special Investigations Unit (SIU) team s responsible for preventing, detecting, investigating, and resolving health care fraud, waste, and abuse.
Flutter Developer SarnovaFlutter DeveloperLos Angeles, CAThe ideal candidate will have hands-on experience building Flutter applications for iOS and Android, a strong understanding of software engineering principles, and experience working within Agile development teams. The Flutter Developer will collaborate with product managers, UI/UX designers, QA engineers, and backend developers to deliver scalable, secure, and user-friendly applications that support business objectives.
Claims Intake Coordinator University of CaliforniaClaims Intake CoordinatorLos Angeles, CA$26.42–$37.49 / hourAs a condition of employment, the final candidate who accepts an 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; or have filed an appeal of a finding of substantiated misconduct with a previous employer. Able to key between 6,000 to 8,000 keystrokes or type 40-50 WPM with high accuracy for alpha and numeric data inputting.
Claims Examiner MedPOINT ManagementClaims ExaminerSherman Oaks, CARemoteFull timeMedPOINT Management is a leading Independent Physician Association (IPA) management company based in Sherman Oaks, CA, dedicated to delivering high-quality healthcare administrative services. We foster a collaborative and supportive work environment where employees are empowered to grow and make a meaningful impact in the healthcare industry.
Program Manager (Oncology Revenue Optimization) City of HopeProgram Manager (Oncology Revenue Optimization)Duarte, CACity of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. This role provides program-level oversight of processes related to the review and auditing of documentation, charges, claims, and denials across services such as Principal Illness Navigation, Chronic Care Management, Health Assessments, Social Determinants of Health, and Advance Care Planning.
Revenue Cycle Manager City of HopeRevenue Cycle ManagerDuarte, CACity of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. This role provides program-level oversight of processes related to the review and auditing of documentation, charges, claims, and denials across services such as Principal Illness Navigation, Chronic Care Management, Health Assessments, Social Determinants of Health, and Advance Care Planning.
NewMedical Case Manager (LVN) (PACE - Utilization Management) CalOptima HealthMedical Case Manager (LVN) (PACE - Utilization Management)Garden Grove, CaliforniaWe are hoping you will join us as a Medical Case Manager (LVN) (PACE-Utilization Management) and help shape the future of healthcare where you’ll be an integral part of our PACE- Clinic team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet.
NewMedical Case Manager (LVN) (PACE - Utilization Management) CalOptimaMedical Case Manager (LVN) (PACE - Utilization Management)Garden Grove, CA$77,863–$124,581 / yearWe are hoping you will join us as a Medical Case Manager (LVN) (PACE-Utilization Management) and help shape the future of healthcare where you'll be an integral part of our PACE- Clinic team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. Screens inpatient and outpatient requests for the PACE Medical Director review, gathers pertinent medical information prior to submission to the PACE Medical Director; follows up with the requester by communicating the PACE Medical Director's decision; documents follow-up in the utilization management system.
Commercial Hospital Collections Representative UCLA Health SystemCommercial Hospital Collections RepresentativeLos Angeles, CA$27.65–$39.27 / hourUnderstanding of collection techniques and laws, including AB1455, the Knox-Keene Act, Health & Safety Codes, etc., Familiarity with medical terminology, CPT codes, HCPCS codes, health networks, IPAs, HMOs, PPOs, PCPs, and contract affiliations. As a condition of employment, the final candidate who accepts an 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; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
Head of Data Seen HealthHead of DataLos Angeles, CaliforniaBuild new pathways for data in and out, structured and unstructured: state and payer feeds, vendor SFTP drops, partner APIs, regulatory exports, CMS audit deliverables, plus call recordings, visit notes, faxes, and scanned records that live outside any system of record today. We want to empower our clinicians and staff with tools that deliver relevant data at the time and site of care and enable them to deliver exceptional care to our participants, which improve clinical outcomes, participant & provider satisfaction, and ultimately our strength as an organization.
Commercial Hospital Collections Representative University of CaliforniaCommercial Hospital Collections RepresentativeLos Angeles, CA$27.65–$39.27 / hourUnderstanding of collection techniques and laws, including AB1455, the Knox-Keene Act, Health & Safety Codes, etc., Familiarity with medical terminology, CPT codes, HCPCS codes, health networks, IPAs, HMOs, PPOs, PCPs, and contract affiliations. As a condition of employment, the final candidate who accepts an 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; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
Provider Educator Foreign Medical Graduate Herself Health (US)Provider Educator Foreign Medical GraduateCARemoteAbout the Provider Educator Role: The Provider Educator provides analysis, reporting, education, training, and ongoing support to treating clinicians and care teams to promote accurate and complete documentation of patient conditions. Develop and update presentations, quick-reference sheets, case studies, and other educational resources, ensuring content is clinically accurate, current, appropriately sourced, and aligned with applicable guidance.
Claims Examiner I Clever Care Health Plan IncClaims Examiner IHuntington Beach, CA$27–$32 / hourThis position requires considerable interaction with clients, claimants on the phone, with management, other Claims Examiners, and other staff in the office; therefore, consistently being at work in the office or home office location as applicable, in a timely manner, is inherently required of this position. At Clever Care, you'll have the opportunity to make a real difference, shape the future of healthcare, and be part of a fast-moving, game-changing organization that celebrates diversity and innovation.
Software Engineer- Tech Ex AI Assets Foundry Team West MonroeSoftware Engineer- Tech Ex AI Assets Foundry TeamLos Angeles, New York$96,600–$113,600 / yearThis is an internal product engineering role focused on building reusable, scalable, secure AI-enabled applications and platform components in partnership with product owners, designers, architects, senior engineers, governance, and engineering teammates. West Monroe is seeking a Software Engineer to join the AI Assets Foundry Team, working with the internal Labs product team to develop proprietary software assets and AI capabilities that help our consultants sell and deliver more effectively and efficiently.
Staff Software Systems Engineer Rivian and Volkswagen Group TechnologiesStaff Software Systems EngineerIrvine, CaliforniaRivian and Volkswagen Group Technologies may share your Candidate Personal Data with (i) internal personnel who have a need to know such information in order to perform their duties, including individuals on our People Team, Finance, Legal, and the team(s) with the position(s) for which you are applying; (ii) Rivian and Volkswagen Group Technologies affiliates; and (iii) Rivian and Volkswagen Group Technologies’ service providers, including providers of background checks, staffing services, and cloud services. Rivian and Volkswagen Group Technologies may use your Candidate Personal Data for the purposes of (i) tracking interactions with our recruiting system; (ii) carrying out, analyzing and improving our application and recruitment process, including assessing you and your application and conducting employment, background and reference checks; (iii) establishing an employment relationship or entering into an employment contract with you; (iv) complying with our legal, regulatory and corporate governance obligations; (v) record keeping; (vi) ensuring network and information security and preventing fraud; and (vii) as otherwise required or permitted by applicable law.