Payer Healthcare Data Scientist, Manager PwCPayer Healthcare Data Scientist, ManagerLos Angeles, CA$99,000–$232,000 / yearAs part of the Operations Consulting team, you will apply advanced data science and machine learning techniques to large-scale claims, clinical, and member data to surface actionable insights that reduce cost of care and improve population health outcomes for our payer clients. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy .
QNXT Program Manager Impresiv HealthQNXT Program ManagerLong Beach, CARemoteThis individual will ensure deliverables are completed accurately and on schedule, risks and dependencies are actively managed, teams remain aligned and accountable, and the organization is prepared for testing, cutover, go-live, and stabilization. Ensure claims-related deliverables are accurate, complete, and traceable, including requirements, process designs, configuration inputs, data-conversion needs, test scenarios, defect-resolution plans, readiness criteria, and go-live support materials.
Sr. Logistics Manager Niagen BioscienceSr. Logistics ManagerTustin, CaliforniaOur brands include Tru Niagen®, a consumer supplement that safely and effectively increases NAD+, a vital cellular resource that supports healthy aging and cellular health, and Niagen Plus, our pharmaceutical-grade IV and injection products offered at wellness clinics nationwide and via healthcare practitioners. The Senior Logistics Manager serves as the company's logistics subject matter expert, partnering cross-functionally with Supply Chain, Planning, Procurement, Customer Experience, Quality, Regulatory, Finance, and Commercial teams to support business growth and operational excellence.
Manager, Pharmacy Experience and Access SCAN Health PlanManager, Pharmacy Experience and AccessLong Beach, CaliforniaRemoteThe Manager will provide leadership, strategic direction, and oversight to the team while ensuring effective management of the contracted pharmacy benefit manager (PBM), including PBM performance, formulary operations, utilization management processes, and ongoing compliance requirements. 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.
Director of Patient Care Services Team Select Home CareDirector of Patient Care ServicesSanta Ana, California$90,000–$120,000 / yearThe Director of Patient Care Services shall qualify for the position by fulfilling the requirements under one of the following categories, unless the individual has been previously approved for such employment by a program flexibility issued for the individual's current position at the home health agency prior to April 1, 1995: The Director of Patient Care Services shall have sufficient background knowledge and expertise in clinical decision-making for the patient population of the home health agency to meet the needs of his or her patients, and to contribute to Quality Management review and evaluation. A registered nurse with a baccalaureate or higher degree in nursing or other health related field with three years of experience within the last five years in a home health agency, primary care clinic or health facility, at least one year of which was in a supervisory or administrative capacity; or a registered nurse with four years experience within the last five years in a home health agency, primary care clinic or health facility, at least one year of which was in a supervisory or administrative capacity.
FP&A Manager Flourish ResearchFP&A ManagerLos Angeles, CA$160,000–$190,000The FP&A Manager serves as the dedicated financial partner to Valkyrie Clinical Trials’ oncology sites in Greater Los Angeles, leading budgeting, forecasting, cash flow reporting, and financial analysis to support growth, performance, and expansion across the network. This role streamlines month-end and private equity reporting, supports revenue cycle analytics and capital investment decisions, optimizes the NetSuite Planning & Budgeting tool, and models new site P&Ls and integrations, while reporting to the Sr.
Program Manager, Ambulatory Patient Experience Torrance Memorial Medical CenterProgram Manager, Ambulatory Patient ExperienceTorrance, California$38–$61 / hourTraining, Coaching & Culture Building Support the development and delivery of patient experience training for clinical and non-clinical staff, including communication skills, empathy-based de-escalation, and phone etiquette. Operational Improvement & Collaboration Partner with Population Health, Quality, and Clinical Operations teams to integrate patient experience into value-based care workflows and HEDIS-related outreach.
NewCare Team Manager, Los Angeles Daymark HealthCare Team Manager, Los AngelesLos Angeles, CaliforniaAs a key leader within the California market, you will be responsible for building and developing a high performance team, establishing and meeting success metrics for the region, managing relationships with local providers and other key partners, and partnering with the Market Operations Leader and Medical Director on strategic initiatives. As the Care Team Manager for Los Angeles, you will be responsible for leading the daily operations of the Care Team, including Registered Nurses (RNs), Nurse Practitioners (NPs), LICSWs, Health Partners, and other staff.
National Director of Admissions and Intake Liberty Behavioral & Community Services, Inc.National Director of Admissions and IntakeLos Angeles, CA$110,000–$140,000The National Director of Admissions and Intake provide strategic leadership and oversight of all intakes, admissions, and referral management functions across the organization. The Director partners with clinical, operations, and external stakeholders to streamline access to care, enhance the client experience, and support organizational growth.
Fellow-Post Doc-Research / Dr. Lauren Asarnow Children's Hospital Los AngelesFellow-Post Doc-Research / Dr. Lauren AsarnowLos Angeles, California$71,760–$85,155.20 / yearFull timeThe role involves coordinating a large, school-based study and includes key responsibilities such as participant recruitment, maintaining partnerships with school stakeholders, overseeing study staff, and collaborating with school-based therapists. Children’s Hospital Los Angeles is consistently ranked among the top 10 children's hospitals in the nation, delivering world-class care through more than 350 specialized programs and services.
NewNurse Practitioner National InstituteNurse PractitionerLos Angeles, CaliforniaIf you are an experienced Nurse Practitioner looking to apply your clinical expertise in an innovative, research driven environment, this role offers the perfect blend of clinical practice and research oversight. Who We Are From our roots in Nephrology, we have expanded into many other specialty fields, including cardiometabolic, infectious diseases, geriatrics, and many other challenging & underserved areas of healthcare.
Senior Case Manager ABA Integrated Resources, IncSenior Case Manager ABAOrange, CaliforniaFull timeAssists with shaping of ABA services and assures coordination with other services providers such as medical, speech, occupational therapy, physical therapy and IEP services provided through the school setting. Assists Care Center efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.
Home Health Director Of Quality Outcomes CompassusHome Health Director Of Quality OutcomesAnaheim, CA$124,180–$138,000 / yearS/he audits documentation, compiles and reviews clinical performance data for quality and regulatory compliance, participates in activities to support survey readiness, provides education to support clinical development and positive outcomes, and works closely with Program leadership. Collaborates effectively with Home Health Regional Executive of Clinical Operations, Director(s) of Clinical Services and members of senior leadership to assure clinical excellence in each location.
Research & Development Manager O PositivResearch & Development ManagerSanta Monica, California$135,000–$160,000 / yearOur growing portfolio spans PMS & hormone balance, vaginal & urinary health, digestion, menopause, and conception support—offering vitamins, supplements, and personal care products that women trust. Since launching in 2018, O Positiv has reshaped the women’s health space, tackling long-overlooked issues with innovative, science-backed products and boldly breaking taboos along the way.
Product Line Manager - Defense Electronics Manufacturing Teledyne TechnologiesProduct Line Manager - Defense Electronics ManufacturingTorrance, CA$140,000–$160,000 / yearThese markets include aerospace and defense, factory automation, air and water quality environmental monitoring, electronics design and development, oceanographic research, deepwater oil and gas exploration and production, medical imaging and pharmaceutical research. Background checks may include, but are not limited to, education verification, employment history and verification, criminal convictions, Motor Vehicle Report (MVR & driving history), reference check, credit checks/credit history and drug testing.
Senior Data Analyst South Coast Community ServicesSenior Data AnalystMission Viejo, CA$100,000–$125,000 / yearThis role partners with stakeholders across Marketing, Customer Care, Finance, Clinical Operations, and IT to deliver reporting and analysis that supports day-to-day operations and ongoing performance improvement. A key focus of this role is ensuring data clarity and consistency by documenting existing data sources, reporting logic, and system relationships, enabling more effective and scalable analytics across the organization.
Advanced Therapies Benefits Specialist (Financial Clearance) Shields Advanced TherapiesAdvanced Therapies Benefits Specialist (Financial Clearance)Los Angeles, CAFull timeCredentials & RequirementsIdeal candidate will have 5+ years of experience in healthcare billing, insurance coordination, or patient financial counsellingFamiliarity with healthcare financial systems and the insurance verification process requiredStrong communication and interpersonal skills are crucial for effectively assisting patientsAttention to detail, organizational abilities, and proficiency with healthcare information systems are also importantPrior experience/familiarity with payer navigation specifically related to cellular therapy (CAR T, TIL, etc.), gene therapy, and/or bone marrow transplant patient journeys and applicable prior authorizations required to enable is preferredPrior exposure with both inpatient & outpatient site-of-care also preferred but not required CompensationCompetitive base salary with bonus opportunity tied to outcomes metrics, with comprehensive benefits coverage also offered. Core Responsibilities Benefits Investigation & VerificationWork with all payers (Government, Commercial, and otherwise, including out-of-state Medicaid agencies), pharmacy benefit managers (PBMs), and third-party administrators (TPAs) to identify, investigate and verify patient insurance coverage and benefits as early as possible within the care journey to ensure timely access to care, accurate billing, and minimal claim denials.
Advanced Therapies Nurse Coordinator Shields Advanced TherapiesAdvanced Therapies Nurse CoordinatorLos Angeles, CAFull timeCore Responsibilities Patient & Therapy Coordination / FacilitationCoordinate the entry and integration of prospective patients into and through the advanced therapies care journey, ensuring timely evaluations and collaboration among the different disciplines involved, including but not limited to the following duties:Execute bespoke pathways tailored to each product covered by the advanced therapy program across USC service lines and therapeutic programsDevelop timeline for therapy based on patient status, product availability, and program scheduleEnsure evaluations including testing are completed in accordance with program SOPs and in the appropriate timeframe to meet timelineCoordinate with manufacturers to ensure manufacturing slot is secured and facilitated and financial assistance is facilitated and secured (if appropriate)Coordinate with insurer, pharmacy vendors and/or USC pharmacy to ensure mobilization medications are available within desired timeframeCommunicate with patients and caregivers across care journey, including appointments, testing and procedures, consents, and documentationCollaborate with the inpatient and outpatient medical care teams and other services (apheresis, radiology, radiation therapy, cell therapy laboratory, OR, etc.) to coordinate and schedule mobilization, collection, admission and infusionCoordinate with relevant stakeholders if/when there is overlap with research (expanded access protocol, off-label use, etc.)Assess patient/family physiologic, psychosocial and financial needs. Role Overview The Advanced Therapies Nurse Navigator provides comprehensive coordination of all services and systems to provide an organized and efficient multi-disciplinary team approach for the care of patients receiving advanced therapies at USC.The role will help to shape the development and evolution of advanced therapies at USC, serving to enhance its overall effectiveness, productivity, and quality.
Associate Director, Medical Science Liaison - Los Angeles/Southern California InsmedorporatedAssociate Director, Medical Science Liaison - Los Angeles/Southern CaliforniaLos Angeles, New JerseyRemoteWork closely with Insmed personnel to ensure adequate training, access to educational resources and alignment between Insmed’s medical affairs plans and the unmet needs of the patients and healthcare professionals and be responsible for maintaining annual expenses within assigned budget parameters. Key responsibilities include conducting scientific exchanges, presenting product data, supporting advisory boards, gathering HCP insights, assisting with clinical trial activities, and delivering internal training to colleagues — all in alignment with Insmed's Medical Affairs plans and a patient-first mission.
NewUtilization Management Policy Initiatives Registered Nurse Macpower Digital Assets Edge Private LimitedUtilization Management Policy Initiatives Registered NurseLos Angeles, CARemote$102,183–$132,838 / yearThis role ensures that the day to day functions of Utilization Management initiatives comply with regulatory and accreditation requirements such as those stated in contracts, CalAIM Population Health Management (PHM) Policy Guide, National Committee on Quality Assurance (NCQA) Department of Health Care Services (DHCS) All Plan Letters (APLs), and Centers for Medicare and Medicaid Services (CMS) Model of Care (MOC) through sound clinical policy maintenance. Non-negotiable requirements of this position: Direct past experience with Health Care / Medical Policy work specifically within a Managed Care Plans environment; experience with the ongoing development of the Medical Policy review process including clinical and utilization data analysis; Assisted in developing training documents and presentations for new and/or revised Medical Policies to internal stakeholders.