Patient Billing Advocate MemorialCare Health SystemPatient Billing AdvocateFountain Valley, CADemonstrates a personal commitment to understanding, meeting and exceeding the needs of fellow employees They are accountable for closing the loop for patient inquiries to our department and reaching out to patients with self-pay balances. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability.
Director of Revenue Cycle Continuous Improvement UCLA Health SystemDirector of Revenue Cycle Continuous ImprovementLos Angeles, CA$116,300–$264,600 / yearAs the Director of Revenue Cycle Continuous Improvement, you will oversee a portfolio of cross-functional initiatives focused on reducing preventable denials, addressing revenue leakage, improving clean claim performance, and accelerating the adoption of automation and leading practices. Demonstrated leadership, critical-thinking, problem-solving, and communication skills with the ability to build collaborative teams, establish operational and financial targets, and convey complex revenue cycle information clearly.
Strategic Medical Director, Diagnostic Imaging Cohere Health Technologies LLCStrategic Medical Director, Diagnostic ImagingCARemote$285,000–$305,000 / yearProvide leadership in the creation of comprehensive research packages, investigating specific clinical areas/offerings and strategic partners of interest to strengthen the offering, then execute on cultivating any external partnerships and/or vendor relationships as necessary. Build and expand client relationships by partnering with the Growth and Client Experience teams to uncover client pain points, deliver solutions, assign clients to managers as appropriate, and support upsell opportunities (e.g., Sleep programs).
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)CA$46,988–$112,200 / yearThis position will routinely handle high profile or highly sensitive matters involving cases that are national in scope, as well as, complex cases involving multi-lines of business, multiple subjects, or intricate healthcare fraud schemes. Strong communication skills, both written and oral, are necessary for the development and implementation of professional presentations for internal and external stakeholders regarding healthcare fraud matters and Enterprise approach to FWA.
Utilization Management Nurse, Senior Blue Cross and Blue Shield AssociationUtilization Management Nurse, SeniorLong Beach, CAThe Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical necessity, coding accuracy, treatment plans, discharge planning, and compliance requirements while supporting clinical consistency, process improvement, quality, timeliness, and appropriate escalation of high-risk cases. 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.
HEDIS Abstractor Astrana Health, Inc.HEDIS AbstractorMonterey Park, California$27–$33 / hourThe HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive medical record reviews and abstraction activities to identify and close HEDIS measure care gaps. The HEDIS Abstractor collaborates with internal quality teams, providers, and external audit vendors to improve measure performance, maintain compliance, and support successful HEDIS audits.
HEDIS Abstractor (LA Region) Astrana Health, Inc.HEDIS Abstractor (LA Region)Monterey Park, CA$27–$33 / hourThe HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive medical record reviews and abstraction activities to identify and close HEDIS measure care gaps. The HEDIS Abstractor collaborates with internal quality teams, providers, and external audit vendors to improve measure performance, maintain compliance, and support successful HEDIS audits.
HEDIS Abstractor (NorCal Region) Astrana Health, Inc.HEDIS Abstractor (NorCal Region)San Francisco, CA$27–$33 / hourThe HEDIS Abstractor collaborates with internal quality teams, providers, and external audit vendors to improve measure performance, maintain compliance, and support successful HEDIS audits. The HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive medical record reviews and abstraction activities to identify and close HEDIS measure care gaps.
Cancer Registry abstractor IV - 100% Remote University of CaliforniaCancer Registry abstractor IV - 100% RemoteLos Angeles, CARemote$41.70–$55.03 / 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. Strong oral and written communication skills for the purposes of conveying information to individuals at various organizational levels and the general public and in completing concise documentation.
Utilization Management Nurse, Senior- Medicare Concurrent Review Blue Cross and Blue Shield AssociationUtilization Management Nurse, Senior- Medicare Concurrent ReviewWoodland Hills, CARequires a current California RN License Requires at least 5 years of prior relevant experience Requires strong communication and computer navigation skills Desires strong teamwork and collaboration skills Requires independent motivation and strong work ethic Requires strong critical thinking skills Hybrid Virtual Work This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need. Your Work In this role, you will: Perform prospective, concurrent and retrospective utilization reviews and first level determination approvals for members using BSC and CMS evidenced based guidelines, policies and nationally recognized clinal criteria for BSC Medicare line of business.
Clinical Documentation Specialist II - 8 Hour Days **HYBRID** Cedars-Sinai Medical CenterClinical Documentation Specialist II - 8 Hour Days **HYBRID**Beverly Hills, CALicense/Certifications: Registered Nurse, LVN, Occupational Therapist, Physical Therapist, Physician Assistant, foreign MD license or certification in Health Information Management or Medical Coding, such as RHIT, RHIA, CCDS, CDIP OR CPC, required. For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through March each year) as a condition of employment, and annually thereafter as a condition of continued employment.
NewStaff Software Engineer Circadia Technologies LtdStaff Software EngineerLos Angeles, CA$150,000–$225,000 / yearYour work will directly impact patient care and enhance the efficiency of clinical staff by contributing to a platform that serves 30k+ patients daily through our Circadia Contactless Monitor (IoT devices)-a number expected to scale beyond 100k+ in the next 2 to 3 years. As a Staff Software Engineer, you will play a critical role in designing, developing, and maintaining both backend APIs and frontend applications that support sensitive healthcare platforms.
Field Reimbursement Manager - Neurology (Los Angeles, CA) Regeneron Pharmaceuticals IncField Reimbursement Manager - Neurology (Los Angeles, CA)Los Angeles, CA$165,600–$209,600 / yearIn this role, you will support providers throughout all facets of the reimbursement cycle including coverage, coding, product acquisition, available patient support services and site-of-care decision making to enable sustained patient access in a competitive rare disease environment. This role requires: A bachelor's degree and at least 5 years of experience in the biopharma reimbursement, market access or field-based access roles working in a matrix environment - with at least 2 years direct Reimbursement experience supporting medical benefit therapies (buy & bill preferred).
Advanced Practive Provider (App), Nurse Practitioner (Np) Or Physician Assistant (Pa) COPE Health SolutionsAdvanced Practive Provider (App), Nurse Practitioner (Np) Or Physician Assistant (Pa)Los Angeles, CA$150,000–$200,000 / yearComprehensive AWV & Gap Closure: Perform Medicare Annual Wellness Visits in the home, completing detailed cognitive screenings, fall risk assessments, and personalized prevention plans while closing active quality care gaps and appropriately capturing HCC codes as part of documentation. This role executes in-home Annual Wellness Visits (AWVs), manages complex clinical transitions of care (TOC) immediately following hospital discharge, and provides long-term stabilization for high-acuity patients enrolled in Complex Care Management (CCM) and is proficient at HCC coding and medical disease documentation.
Clinical Appeals Senior Consultant Craneware, Inc.Clinical Appeals Senior ConsultantCAAs a Clinical Appeals Senior Consultant, you serve as a strategic liaison between clinical and financial stakeholders, ensuring healthcare services are accurately documented, coded, billed, and reimbursed by leading clinical appeals, denial management, and chart audit initiatives. Vacancy NameClinical Appeals Senior Consultant CompanyCraneware Inc SpecialityCustomer Management CategoryPermanent Location Country Office LocationHome based - US Additional Locations Introduction to Craneware.
Senior Manager, Claims Adjustments L.A. Care Health PlanSenior Manager, Claims AdjustmentsLos Angeles, CAThe Senior Manager, Claims Adjustments manages all adjustment-related operational workflows, including provider disputes, escalated claim reviews, complex adjustments, and litigation-related claim support. Ensures all provider adjustments meet Department of Managed Health Care (DMHC), Department of Health Care Services (DHCS), Centers for Medicare and Medicaid Services (CMS), and contractual (TAT) requirements.
Special Bills AR Rep RadNet IncSpecial Bills AR RepLos Angeles, CA$21–$24 / hourWhen you join RadNet as a Revenue Cycle Operations, Special Bills Accounts Receivable, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators achieve the best clinical outcomes. The Special Bills Accounts Receivable Follow-Up Representative is responsible for creating client invoice billing and following up on open accounts receivable aging in order to secure reimbursement form payer for services rendered.
Cancer Registry abstractor IV - 100 Remote UCLA Health SystemCancer Registry abstractor IV - 100 RemoteCARemote$41.70–$55.03 / 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. Strong oral and written communication skills for the purposes of conveying information to individuals at various organizational levels and the general public and in completing concise documentation.
Facility Outpatient Surgical and Claims Edit Auditor (Remote) Cedars-Sinai Medical CenterFacility Outpatient Surgical and Claims Edit Auditor (Remote)Los Angeles, CARemoteMaintains appropriate open communication with internal and external partners and peer departments such as Coding Operations, Clinical Documentation Integrity (CDI), Payor Revenue Management (PRM), and Compliance Revenue Integrity (CRI). Auditors evaluate compliance with all coding guidelines including but not limited to: Internal Coding policies/procedures/handbook, American Hospital Association (AHA) and American Medical Association (AMA) coding references, local, State, and Federal Coding Guidelines.
Facility Inpatient Surgical and Claims Edit Auditor Cedars-Sinai Medical CenterFacility Inpatient Surgical and Claims Edit AuditorLos Angeles, CARemoteMaintains appropriate open communication with internal and external partners and peer departments such as Coding Operations, Clinical Documentation Integrity (CDI), Payor Revenue Management (PRM), and Compliance Revenue Integrity (CRI). Auditors evaluate compliance with all coding guidelines including but not limited to: Internal Coding policies/procedures/handbook, American Hospital Association (AHA) and American Medical Association (AMA) coding references, local, State, and Federal Coding Guidelines.
Quality Analyst Home Health, Lead Assistant Manager ExlService Holdings IncQuality Analyst Home Health, Lead Assistant ManagerCA$60,100–$98,700 / yearContinuous Improvement/Education actively participates with team to ensure alignment and sustained results; attends training (assigned or self-initiated) to improve performance or capitalize on new overpayment trends; keeps up with CMS, OIG, and other publications related to our business. 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.
Quality Improvement Manager Eisner Health OpenQuality Improvement ManagerLos Angeles, CaliforniaThis position requires advanced analytical and health informatics expertise to integrate, validate, interpret, and translate complex data from multiple healthcare technology platforms—including the electronic health record (EHR), population health tools, business intelligence systems, and payer portals—into meaningful insights that drive operational, clinical, and strategic decision-making. The QI Manager collaborates with the Chief Operating Officer, Chief Medical Officer, clinical leadership, Information Systems, and operational teams to lead organization-wide quality improvement initiatives that improve patient outcomes, optimize workflows, ensure regulatory compliance, and advance value-based performance.
NewMedical Billing Assistant Alliance Health ServicesMedical Billing AssistantMontrose, CaliforniaThe Medical Billing Assistant is responsible for supporting daily billing, insurance verification, accounts receivable, and related administrative functions while ensuring compliance with company policies and regulatory requirements. This role requires strong organizational skills, attention to detail, confidentiality, and the ability to work collaboratively across departments.
NewMedical Billing Coordinator Alliance Health ServicesMedical Billing CoordinatorMontrose, CaliforniaThe Medical Billing Coordinator is responsible for supporting daily billing, insurance verification, accounts receivable, and related administrative functions while ensuring compliance with company policies and regulatory requirements. This role requires strong organizational skills, attention to detail, confidentiality, and the ability to work collaboratively across departments.
Billing Coordinator ModivCare Inc.Billing CoordinatorCAThis position is responsible for ensuring timely and accurate payment for services rendered, managing accounts receivable and engaging in effective communication with payers, clients, and other stakeholders. Responds to billing inquiries from clients, insurance companies, and other relevant parties, addressing concerns, providing explanations, and resolving disputes in a timely manner.
Eyecare Billing Specialist Ultimate Staffing ServicesEyecare Billing SpecialistLong Beach, California$24–$27 / hourAccounts Receivable & Collections: Monitor and follow up on outstanding balances, work aging reports, and coordinate with patients, payers, and third-party agencies to resolve accounts. Responsible for supporting the full lifecycle of the revenue cycle, ensuring accurate, timely, and compliant financial processes from patient access through final payment resolution.
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.
Drug Safety Specialist II - West Coast Precision Medicine Group LLCDrug Safety Specialist II - West CoastCARemote$75,600–$113,400 / yearPosition Summary: Responsibilities will include, but may not be limited to; safety management plan development, serious adverse event (SAE, SUSARS) case management from intake to regulatory reporting, and providing safety expertise in a timely manner upon request from team members, clients, and study site personnel. This compensation range takes into account the wide range of factors that are considered in making compensation decisions including but not limited to: skill sets, experience and training, licensure and certifications, and other business and organizational needs.
Collections Representative – Government Billing Software Guidance & AssistanceCollections Representative – Government BillingLos Angeles, CA$20–$27 / hourResponsibilities : The Collections Representative – Government Billing is responsible for the accurate and timely billing of inpatient, outpatient, and laboratory claims to government and third-party payers. Software Guidance & Assistance, Inc., (SGA), is searching for a Collections Representative – Government Billing for a Contract assignment with one of our premier Healthcare clients in Los Angeles, CA.
NewStaff Software Engineer Circadia HealthStaff Software EngineerLos Angeles, CaliforniaYour work will directly impact patient care and enhance the efficiency of clinical staff by contributing to a platform that serves 30k+ patients daily through our Circadia Contactless Monitor (IoT devices)—a number expected to scale beyond 100k+ in the next 2 to 3 years. As a Staff Software Engineer, you will play a critical role in designing, developing, and maintaining both backend APIs and frontend applications that support sensitive healthcare platforms.
Senior Platform Software Engineer - Oracle Health Data & Analytics Oracle CorpSenior Platform Software Engineer - Oracle Health Data & AnalyticsCA$92,500–$209,500 / yearOracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle''s differing products, industries and lines of business. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_mb@oracle.com or by calling 1-888-404-2494 in the United States.
Hospital Claims Examiner MedPOINT ManagementHospital Claims ExaminerSherman Oaks, CARemoteFull timeJoin MedPOINT Management as a Hospital Claims Examiner in Sherman Oaks, CA, where you'll play a crucial role in ensuring accurate and timely processing of hospital claims. Our commitment to quality and innovation has earned us a reputation for excellence, making us a preferred partner in the healthcare industry.
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.
Team Lead - Healthcare - Hospital PFS GuidehouseTeam Lead - Healthcare - Hospital PFSEl Segundo, CA$59,000–$98,000 / yearCompensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. The Team Lead will and may work closely with their team, project supervisors, operations managers, and the client to work on opportunities with new and emerging approaches to our clients' business processes.
Software Engineer, Level 3 - Space Resources Program Blue Origin Enterprises LPSoftware Engineer, Level 3 - Space Resources ProgramLos Angeles, CA$164,652–$230,512.80 / yearand/or transports placardable amounts of hazardous materials by ground in any vehicle on a public road while in commerce, may be subject to additional Federal Motor Carrier Safety Regulations including: Driver Qualification Files, Medical Certification (obtained before onboarding), Road Test, Hours of Service, Drug and Alcohol Testing (CDL drivers only), vehicle inspection requirements, CDL requirements (if applicable) and hazardous materials transportation/shipping training. Required for Certain Job Profiles: Drivers who operate Commercial Motor Vehicles with a Gross Vehicle Weight (GVW), Gross Vehicle Weight Rating (GVWR) or combination of power unit and trailer that meets or exceeds 10,001 lbs.
Software Engineer, Level 3 — Space Resources Program Blue OriginSoftware Engineer, Level 3 — Space Resources ProgramLos Angeles, Californiaand/or transports placardable amounts of hazardous materials by ground in any vehicle on a public road while in commerce, may be subject to additional Federal Motor Carrier Safety Regulations including: Driver Qualification Files, Medical Certification (obtained before onboarding), Road Test, Hours of Service, Drug and Alcohol Testing (CDL drivers only), vehicle inspection requirements, CDL requirements (if applicable) and hazardous materials transportation/shipping training. Required for Certain Job Profiles: Drivers who operate Commercial Motor Vehicles with a Gross Vehicle Weight (GVW), Gross Vehicle Weight Rating (GVWR) or combination of power unit and trailer that meets or exceeds 10,001 lbs.
Senior Client Enablement Specialist NeoGenomics IncSenior Client Enablement SpecialistCAPosition Summary: As a Field-Based Client Enablement Billing Specialist you will play a critical frontline role in reducing bad debt and improving cash collections by partnering directly with the Sales team and high-revenue clients. This is a client-facing, field-based role that involves regular virtual meetings and travel to client sites to drive education, process improvements, and revenue integrity.
DevSecOps Engineer CHAOS IndustriesDevSecOps EngineerEl Segundo, CaliforniaDesign, implement, and maintain secure CI/CD pipelines integrating automated security scanning tools (SAST, DAST, SCA, secrets detection) across development workflows using GitHub Actions, GitLab CI, Jenkins, or equivalent. Support RMF/ATO activities by automating evidence collection, generating compliance reports, and maintaining continuous monitoring artifacts for cloud and on-premise systems operating within classified or CUI environments.
Head of Data Seen Health IncHead of DataLos Angeles, CABuild 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.
Full Stack Software Engineer Motive CompaniesFull Stack Software EngineerLos Angeles, CA$165,000–$190,000 / yearIf you enjoy working across embedded systems, cloud platforms, and modern software architectures while collaborating closely with hardware and battery engineers, we'd like to hear from you. This is an opportunity to work alongside a highly collaborative team where engineers have broad technical ownership and the ability to influence product direction as the company continues to grow.
Medical Billing Associate L&A Care Corp IncMedical Billing AssociateReseda, CAThe Medical Billing Associate is responsible for accurately preparing, submitting, and following up on hospice billing claims for Medicare, Medi-Cal, private insurance, and private pay accounts. Global Management Solutions, Inc., is based and operates in California and provides administrative support services to healthcare providers.
Pharmacy Biller Oncare PharmacyPharmacy BillerDowney, CaliforniaCompletion of classes in medical terminology, anatomy and physiology, ICD-9 and Current Procedural Terminology (CPT) coding conventions, and disease process from an accredited program. At least two (2) year billing experience in private or health care organization (preferred but required); Experience with physician or ambulatory setting coding preferred.
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. Interest in and practical exposure to AI, machine learning, Generative AI, or data-driven software capabilities; experience with Azure OpenAI, Databricks, LLM APIs, RAG, embeddings, or model evaluation is preferred but not required.
Revenue Cycle Specialist I - Commercial Collections Cedars-Sinai Medical CenterRevenue Cycle Specialist I - Commercial CollectionsLos Angeles, CAUnder general supervision and following established practices, policies, and guidelines, provides billing support to Patient Financial Services, performing duties which include reviewing and submitting claims to third party payors, performing account follow-up activities, updating information on account, etc. Duties Include: • Develops and maintains excellent working relationships with Cedars-Sinai Medical Network, Primary Care Clinical Departments, external clients, and patients.
DevSecOps Engineer Chaos IncDevSecOps EngineerEl Segundo, CA$110,000–$160,000 / yearResponsibilities: Design, implement, and maintain secure CI/CD pipelines integrating automated security scanning tools (SAST, DAST, SCA, secrets detection) across development workflows using GitHub Actions, GitLab CI, Jenkins, or equivalent. Support RMF/ATO activities by automating evidence collection, generating compliance reports, and maintaining continuous monitoring artifacts for cloud and on-premise systems operating within classified or CUI environments.
AI-Native Software Engineer Elevance Health IncAI-Native Software EngineerWoodland Hills, CA$112,640–$176,640 / yearMinimum Requirements: Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 3 years experience on one platform, multi database, multi language or multi business application; or any combination of education and experience, which would provide an equivalent background. Experience building or integrating AI agents, tool/function calling, RAG, memory, model routing, evaluations, guardrails, observability, and secure API/tool access strongly preferred.
App Software & AI Engineer, Advisor Edison InternationalApp Software & AI Engineer, AdvisorRosemead, CAUsing software engineering principles, builds and deploys scalable fl stack enterprise applications (using React, Angular, Node.js, Python, and Express deployed on Azure or GCP cloud platforms), mobile applications (using iOS Swift, React Native, etc.), and low code/no code tools such as Power Platform. You'll drive the adoption of AI across the software development lifecycle, mentor engineers at different stages of their careers, and partner closely with product, architecture, and business leaders to deliver secure, reliable, and future‑ready solutions that reduce carbon emissions and support a cleaner energy future.
Clinical Reviewer, Physician Assistant Cohere Health Technologies LLCClinical Reviewer, Physician AssistantCARemote$120,000–$135,000 / yearBy unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. With an enterprise approach that streamlines payer-provider decision-making across the care continuum-including policy, prior authorization, payment accuracy, and more-the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction.
RN Reviewer Cohere Health Technologies LLCRN ReviewerCARemote$2,022–$2,025Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes. You will work closely with Medical Directors and other Cohere Health staff to ensure appropriate cost-effective care by applying your clinical knowledge and critical thinking skills to assess the medical necessity of inpatient admissions, outpatient services and procedures, and provider out of network requests.
Urgent Care Physician Medical Director Concentra Inc.Urgent Care Physician Medical DirectorGardena, CA$285,000–$315,000 / yearJob-Related SKills and Compentencis: Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and FlexibilityAbility to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutionsOutstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism. Monitors 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.