Area Manager Prime Healthcare Services IncArea ManagerChino, CA$71,760–$100,672 / yearDirects the Biomedical Department during regulatory inspections like The Joint Commission (TJC), DNV-GL, Hospital Facilities Accreditation Program (HFAP), and Center for Medicare & Medicaid Services (CMS), College of American Pathologists (CAP) and any other applicable State regulatory agencies. Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding, project management and more.
Revenue Cycle Analyst - Full Time University Health Services IncRevenue Cycle Analyst - Full TimeRIVERSIDE, CAThis opportunity offers the following: Challenging and rewarding work environment Growth and Development Opportunities within UHS and its Subsidiaries Competitive Compensation About Universal Health Services One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
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. Job Summary 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.
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.
AVP, Medicare Risk Adjustment Performance Alignment Healthcare IncAVP, Medicare Risk Adjustment PerformanceCA$198,219–$297,329 / yearThe role partners closely with Market Operations, Network Management, Clinical Operations, Finance, Compliance, and Data & Technology teams to ensure enterprise Risk Adjustment goals are achieved while supporting audit readiness, provider performance improvement, and long-term organizational growth. The AVP leads the development and execution of enterprise prospective, concurrent, and retrospective Risk Adjustment strategies and serves as the executive responsible for operational performance across provider engagement, coding operations, chart retrieval, submission, analytics, vendor management, and revenue realization.
Financial Counselor - OC Hospital City of HopeFinancial Counselor - OC HospitalIrvine, 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. Works with Patient Business Services on Pending Medi-Cal cases to verify status of application and once the case is approved and/or denied makes sure the registration system is updated accurately.
NewMedical 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.
Manager Materials Management Prime Healthcare Services IncManager Materials ManagementOntario, CA$70,304–$98,800 / yearJoin our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding, project management and more. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
Financial Services Specialist Loma Linda University Medical CenterFinancial Services SpecialistSan Bernardino, CAAble to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.
Physician Urgent Care Medical Director ConcentraPhysician Urgent Care Medical DirectorCity Of Industry, California$280,000–$330,000 / yearMonitors key clinical center metrics that are provided by Clinical Analytics and relate to quality outcomes: Practice Indicators, COP, GRV, LOS, TAT, Specialist Referral Rate, Primary Care Case Duration, Days to First Recheck, % of cases with Lost Time, Limited Duty, and Full Duty. The Center Medical Director supports the Director of Medical Operations by providing exceptional clinical care delivery within the center, consistent with Concentra’s clinical model, and ensuring optimal clinical outcomes for our workforce patient population.
Physician Medical Director ConcentraPhysician Medical DirectorGardena, California$285,000–$320,000 / yearMonitors key clinical center metrics that are provided by Clinical Analytics and relate to quality outcomes: Practice Indicators, COP, GRV, LOS, TAT, Specialist Referral Rate, Primary Care Case Duration, Days to First Recheck, % of cases with Lost Time, Limited Duty, and Full Duty. This position is eligible to earn a base compensation rate in the range of $285,000- $320,000 depending on job-related factors as permitted by applicable law, such as level of experience, geographic location where the work is performed, and/or seniority.
Urgent Care Physician Medical Director Rancho Dominguez, CA Concentra Inc.Urgent Care Physician Medical Director Rancho Dominguez, CACompton, CA$280,000–$315,000 / yearMonitors key clinical center metrics that are provided by Clinical Analytics and relate to quality outcomes: Practice Indicators, COP, GRV, LOS, TAT, Specialist Referral Rate, Primary Care Case Duration, Days to First Recheck, % of cases with Lost Time, Limited Duty, and Full Duty.• Manages clinicians and support staff and complies with APC supervisory requirements.• JOB-RELATED SKILLS/COMPETENCIES• Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility• Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions• Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism.
Utilization Review Nurse LVN Prime Healthcare Services IncUtilization Review Nurse LVNOntario, CA$71,760–$99,590 / yearThe exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf .
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!
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.
Clinical Documentation Specialist Cedars-Sinai Medical CenterClinical Documentation SpecialistLos Angeles, CAAHIMA or AAPC coding credential and/or registration (One or more of the following: CDIP, CDEO, CCS, CPC, CRC) required. Leads or provides education/training to clinical care and administrative support team members regarding.
Experienced Home Health Medical Biller - Santa Ana Office Green Meadows Home Health Care IncExperienced Home Health Medical Biller - Santa Ana OfficeSanta Ana, CAFull timePrior experience in medical billing (home health experience strongly preferred). Green Meadows Home Health is seeking an experienced Home Health Medical Biller.
CNC Controls Engineer Hadrian AutomationCNC Controls EngineerLos Angeles, CaliforniaBacked by leading investors including JPMorgan Chase, Valor Equity Partners, Andreessen Horowitz, Founders Fund, 137 Ventures, Lux Capital, T. Rowe Price, and Morgan Stanley, we’re building the future of American manufacturing—and looking for exceptional people to help make it happen. Series D at a $7.87B valuation, Hadrian is rapidly expanding our manufacturing footprint, launching new capabilities across welding, casting, forging, electronics, additive manufacturing, and more, while scaling our Factory-as-a-Service platform to transform how critical products are built.
Senior Architect, Data Engineering West Monroe Partners, LLCSenior Architect, Data EngineeringLos Angeles, CA$199,100–$223,400 / yearThis is an excellent opportunity to work with clients developing Big Data strategy and roadmaps, while gaining exposure to a variety of industries including Healthcare, Financial Services, Insurance, Consumer & Industrial Products, and Energy & Utilities. Proven experience in supporting business development efforts, including identifying client needs, crafting technical solutions, contributing to proposals, and participating in pre-sales activities to drive revenue growth.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DOCA$174,070–$374,920 / yearThe Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of oncology specific data, and assist with growing our oncology footprint. In the Medical Director role, you will provide oversight for medical policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases.