Pharmacy Care Technician - Redlands, CA CVS Health CorpPharmacy Care Technician - Redlands, CARedlands, CAPharmacy Care Technicians assist with inbound phone calls; interact with customers and cross functional team to answer questions, solve problems, provide education, and maintain our company's reputation for high-quality service. In this role, you will assist in accurately reading, interpreting and entering prescriptions into the computer system including calculation of doses and assignment of directions and accepting proper insurance payment in a timely fashion.
NewPatient Account Rep Senior MemorialCare Health SystemPatient Account Rep SeniorFountain Valley, CA$25.22–$36.57 / hourThis position must be able to utilize and understand many complex and varying State and Federal statutes and regulations, guidelines, and systems, and perform the account follow-up function with all Medicare government agencies to obtain maximum and correct reimbursement of accounts receivables. Medicare Patient Account Representative, Senior is responsible for all Medicare insurance collections of accounts to ensure that PFS is capturing all revenues as timely and efficiently as possible.
Collections Representative Government Billing SGA Inc.Collections 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.
Supervisor, Benefit Distribution And Installation (50544) Western Growers AssociationSupervisor, Benefit Distribution And Installation (50544)Irvine, CAInterface with personnel in all field offices, TPA employers and brokers, and management staff as necessary to communicate any problems or issues with paperwork submission or installation issues for new business, plan changes, rate renewals and rate changes. Oversee the implementation of each new client with the third party administratorion (TPA) client, with necessary communication between the broker, PCMI operational areas, the client and any external vendor as necessary, including the review, completion & sign-off on Client Set-up Sheetsforms/screens.
NewMedi-Cal Billing Specialist Pyramid, IncMedi-Cal Billing SpecialistPomona, CA$21–$24 / hourFull timeBy applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Must have skills: 1-3 years of experience in hospital accounts receivable, medical billing, or healthcare collections .
Physical Therapist - Outpatient - Full or Part-time All-Star Physical TherapyPhysical Therapist - Outpatient - Full or Part-timePerris, California$48–$56 / hourPart timeIf so, then All Star Physical Therapy in Perris, CA is looking for a driven and compassionate Physical Therapist (PT) to join our close-knit, outpatient orthopedic team. About: Compensation: $48 - $56/hour + inclusive of productivity incentives, up to a $10K sign on bonus, with additional compensation opportunities for certifications and location differentials.
OP Coder Auditor Trainee Prime Healthcare Management IncOP Coder Auditor TraineeOntario, California$26.04–$32.37 / hourFull timeThe Outpatient Coder Auditor Trainee finalizes the coding and abstracting of the medical record upon ensuring the assignment of International Classifications of Diseases, Ninth Revision (ICD-9-CM) or Tenth revision (ICD-10/PCS), Current Procedural Terminology (CPT), and Health Care Procedure Coding System (HCPCS), are accurate and supported by the clinical documentation of the respective medial record. Responsibilities: The Outpatient Coder Auditor Trainee reviews and analyzes documentation present in the medical record for outpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software.
Salesforce Developer Brilliant CornersSalesforce DeveloperLos Angeles, CA$105,000–$115,000Reporting to the Salesforce Administrator Supervisor and working primarily with the Product Development team, the Salesforce Developer designs, builds, tests, and maintains custom solutions on the Salesforce platform with a strong emphasis on Apex programming, Lightning Web Components, and API-based integrations across the organization’s technology ecosystem. Design, develop, test, document, and deploy custom Salesforce solutions using Apex (classes, triggers, asynchronous Apex, batch Apex, queueable, and scheduled jobs), Lightning Web Components (LWC), Aura Components, Visualforce, SOQL, and SOSL, Omni-Channel flow, and flow orchestration.
Coder 2-Him Loma Linda University Medical CenterCoder 2-HimSan 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.
Nurse Practitioner Family Medicine, Administrative Provider Solutions & DevelopmentNurse Practitioner Family Medicine, AdministrativeAnaheim, CA$183,822–$217,790 / yearIn addition, conducting telehealth visits once a week, a key success factor of this position is educating providers to improve the completeness, accuracy, and reliability of clinical documentation and HCC coding to accurately reflect the patient's true clinical picture. Famous for being the home of Disneyland Resort and the Los Angeles Angels baseball team, the city offers an escape from the bustle of city life, with multiple nature reserves, including Oak Canyon, Weir Canyon and the Anaheim Wetlands.
Certified Medical Coder Feed My People Food BankCertified Medical CoderLos Angeles, CaliforniaRemoteAfter work, you will find things to do in every season, including beaches, outdoor recreation, unique restaurants, world-class wineries, arts and entertainment. Under general supervision, according to established policies, procedures and protocols, codes all disease and operations according to accepted classifications.
Director, Enterprise Integration Hyundai Capital AmericaDirector, Enterprise IntegrationIrvine, CaliforniaDrive adoption and effective use of integration tools and platforms (e.g., Mulesoft, TIBCO, Informatica, AWS, SaaS integrations, or equivalents) as well as API, data streaming, and microservices frameworks. This role owns the design, delivery, and lifecycle management of integrations and APIs supporting multiple application teams.
10806 - Sr. Software Engineer (Java/J2EE/Cloud) Hyundai Autoever America10806 - Sr. Software Engineer (Java/J2EE/Cloud)Costa Mesa, CA$103,170–$158,873 / yearWork closely with multiple stakeholders to translate Connected Car feature specifications/requirements into high quality, timely deliverables as a strong hands-on technical member in Connected Car project development activities. Provide technical direction and guidance to the engineering team/vendor to create designs, develop systems, resolve issues, and manage Connected Car development schedule.
NewAssociate Director, Medical Review Lead, MSRM - Remote Agios PharmaceuticalsAssociate Director, Medical Review Lead, MSRM - RemoteLos Angeles, CARemote$185,369–$308,948 / yearThe current base salary range for this position is expected to be between $185,369 and $308,948 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. This role provides oversight of medical review for Individual Case Safety Reports (ICSRs) across investigational and marketed products, ensuring medical accuracy, regulatory compliance, and high-quality safety data to support pharmacovigilance and risk management activities.
Compliance Specialist - Medical Billing Advantage Healthcare ServicesCompliance Specialist - Medical BillingHuntington Beach, CAThis role serves as a key operational partner to Compliance, Pharmacy Operations, Revenue Cycle, and Credentialing teams to support licensing activities, billing compliance, audit readiness, reimbursement requirements, and ongoing regulatory compliance. The ideal candidate combines strong administrative discipline with knowledge of pharmacy operations, licensing regulations, healthcare reimbursement, medical billing, pharmacy claims processing, and regulatory documentation.
Provider Services Business Office Pennant ServicesProvider Services Business OfficeLos Angeles, CaliforniaRemoteWe are a collection of independent, locally led healthcare companies united by a shared purpose and the CAPLICO values-Celebration, Accountability, Passion, Love, Intelligence, Customer Second, and Ownership. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US.
NewClient Service Representative VCA IncClient Service RepresentativeOntario, CA$18–$20 / hourAs a CSR, you must be a self-starter with a strong attention to detail, ability to work in fast-paced environment, be able to handle difficult cases and clients, and have outstanding communication skills. Management reserves the right to revise the job description or require that other tasks be performed when the circumstances of the job change (for example, emergencies, change in personnel, workload, or technical development).
Grievance & Appeals Nurse LancesoftGrievance & Appeals NurseRancho Cucamonga, CAEnsure clinical oversight of assigned Grievance and Appeals team cases, to include final nurse review of all Non-Quality of Care grievance and appeals cases and thorough investigation of all Quality-of-Care cases to be reviewed by CLIENT Medical Director and designated Nurse Reviewer. Work closely with the Grievance and Appeals Team under the direction of the Grievance Nurse Leadership with Member Services, Provider Services, Compliance, Medical Services Departments, and DMHC/Client/Client in reviewing grievance issues.
Trauma Registrar Children's Hospital Los AngelesTrauma RegistrarLos Angeles, CaliforniaRemote$55,702.40–$74,256 / yearFull timePurpose Statement/Position Summary: The trauma team provides a complete continuum of pediatric trauma care, combined with an active program of education, research and prevention, in addition to maintaining CHLA’s verification as a Level 1 Peds Trauma Center. 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.
Senior Embedded Software Engineer (Omada Networking) TP-Link Systems Inc.Senior Embedded Software Engineer (Omada Networking)Irvine, CA$150,000–$200,000Headquartered in the United States, TP-Link Systems Inc. is a global provider of reliable networking devices and smart home products, consistently ranked as the world’s top provider of Wi-Fi devices. Implement, maintain, troubleshoot, and improve manufacturing processes, including maintain flow charts, develop manufacture software, identify and fix issues, and make improvements and so on.