Senior Manager, Claims Administration L.A. Care Health PlanSenior Manager, Claims AdministrationLos Angeles, CARequired: Strong knowledge of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), International Classification of Diseases (ICD)-10, DRG/ Ambulatory Payment Classification (APC), and pricing methodologies. Responsible for translating enterprise expectations into consistent frontline execution, maintaining a strong control environment, identifying emerging risks quickly, and building upstream partnerships that drive long-term operational maturity.
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.
NewData Scientist Alignment HealthcareData ScientistOrange, CaliforniaExperience in building end-to-end data science solutions and applying machine learning methods to real-world problems with measurable outcomes. You’ll play a key role in modeling the behaviors of our member base from multiple angles and communicating the insights of those models to strategic stakeholders.
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.
NewDirector, 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.
NewDirector, 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.
Principal Software Engineer - Gen4 Airborne Radar (APG-82) RTXPrincipal Software Engineer - Gen4 Airborne Radar (APG-82)El Segundo, CaliforniaRTX considers several factors when extending an offer, including but not limited to, the role, function and associated responsibilities, a candidate’s work experience, location, education/training, and key skills. As part of our commitment to maintaining a secure hiring process, candidates may be asked to attend select steps of the interview process in-person at one of our office locations, regardless of whether the role is designated as on-site, hybrid or remote.
Principal Software Engineer - Gen4 Radar / Ground Station RTXPrincipal Software Engineer - Gen4 Radar / Ground StationEl Segundo, CaliforniaExperience with implementing software changes to resolve Fortify findings, providing inputs and updates to the Plan Of Action & Milestones (POA&M), and assembled all required artifacts onto media and working a Certificate to Field (CtF) with the Delegated Authorizing Official from 16th AF cyber team. RTX considers several factors when extending an offer, including but not limited to, the role, function and associated responsibilities, a candidate’s work experience, location, education/training, and key skills.
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, CA) Envista Holdings CorpEnvista Sr. Manager, Salesforce Architect (Brea, CA)Brea, CA$164,300–$190,000 / yearEnvista 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.
Principal Platform Software Engineer Oracle CorpPrincipal Platform Software EngineerSanta Monica, CA$104,500–$234,600 / yearContinuous Improvement: Develops ideas, recommends updates, and/or collaborates on the implementation of process improvements to increase the efficiency and effectiveness of processes, protocols, and workflows across teams, and evaluates the impact on key stakeholders. Implements comprehensive software testing (e.g., functional and non-functional testing), quality assurance processes, software error logging, monitoring, and observability for effective debugging, sharing work with manager and/or lead upon completion.
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.
NewFlight Software Engineer II Rocket Lab USAFlight Software Engineer IILong Beach, CA$112,000–$145,000 / yearImportant information: FOR CANDIDATES SEEKING TO WORK IN US OFFICES ONLY: To conform to U.S. Government space technology export regulations, including the International Traffic in Arms Regulations (ITAR), Rocket Lab Employees must be a U.S. citizen, lawful U.S. permanent resident (i.e., current Green Card holder), or lawfully admitted into the U.S. as a refugee or granted asylum, or be eligible to obtain the required authorizations from the U.S. Department of State and/or the U.S. Department of Commerce, as applicable. Our Space Systems team builds everything from complete spacecraft, precision payloads to the components and subsystems that allow them to thrive in space, like solar panels, flight software, star trackers, optical systems, separation systems, radios, and more.
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.
NewDirector of Patient Safety & Clinical Risk Management Macpower Digital Assets Edge Private LimitedDirector of Patient Safety & Clinical Risk ManagementDowney, CA$168,400–$198,100 / yearOversees infection prevention and control programs to improve employee and patient safety by: directing and prioritizing epidemiological investigations and simulations of significant clusters of infection or serious communicable disease concerns as a part of prevention, surveillance, and outbreak management; coordinating, developing, and maintaining significant outbreak containment protocols and efforts; and consulting with Administration on infection control implications of architectural design, renovation, and construction. Oversees patient safety programs and initiatives by: directing significant event management and response to safety hazards, accidents, incidents, threats, and significant events; and collaborating with executive management and external personnel to develop patient care and satisfaction programs which aim to improve patient flow, clinical support, patient services, and seamless transition of care.
Health Plan Data Scientist SCAN Health PlanHealth Plan Data ScientistLong Beach, CaliforniaRemoteThis 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.
Hand Therapist - Per Diem Float California Rehabilitation & Sports TherapyHand Therapist - Per Diem FloatDowney, CA$40–$55 / hourPart timePRN brings together some of the most trusted PT brands across the West and Central U.S. Whether in the clinic or behind the scenes, we’re all about personalized care, smart clinical insight, and making every patient feel supported from start to finish. Exciting New Tech: Ambient Listening Technology, built into the EMR, cuts documentation time by 80–90% by capturing patient and provider voices, auto-coding, and generating notes and goals.
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.
NewClinical 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.
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.