Provider Network Management Director Elevance Health IncProvider Network Management DirectorWoodland Hills, CA$108,276–$185,616 / yearThe Provider Network Management Director is responsible for developing the provider network through contract negotiations, relationship development, and servicing for large health systems and affiliated physician groups including employed and hospital based and hospital owned ancillary providers. Minimum Requirements: Requires a BA/BS degree and a minimum of 8 years' experience in contracting (value based, shared savings and ACO development), provider relations, provider servicing; experience must include prior contracting experience; or any combination of education and experience, which would provide an equivalent background.
Provider Data Management Services Coordinator Sr CalOptimaProvider Data Management Services Coordinator SrOrange, CA$55,966–$83,949 / yearWe are hoping you will join us as a Provider Data Management Services Coordinator Sr and help shape the future of healthcare where you'll be an integral part of our Provider Data Operations team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. The Provider Data Management Services Coordinator Sr will be responsible for building, updating and maintaining provider records and data in the CalOptima Health provider system and function as a liaison between the health networks and providers to ensure the accuracy and completeness of provider data as reflected in CalOptima Health's databases, systems and provider directory.
Technology Analyst | IT Service Management | End Point (Desktops, Laptop, Printers, Mobile Devices) Administration IMCS Group IncTechnology Analyst | IT Service Management | End Point (Desktops, Laptop, Printers, Mobile Devices) AdministrationIrvine, CARemoteThe engineer will act as the primary onsite contact for IT operational support and ensure timely resolution of tickets, Provide onsite support for laptops, desktops, docking stations, monitors, printers, mobile devices, and peripheral equipment. Company Description: IMCS Group is one of the fastest growing MWBE (Minority Woman Owned Enterprise) staffing firms in the U.S. We focus on bringing a Diversity Recruitment approach to Fortune 500 companies within North America and EMEA region contingent labor programs.
Director, Health Information Management AHMC HealthcareDirector, Health Information ManagementAnaheim, CaliforniaDirect oversite of the collection, organization, storage, and protection of patient health data (like diagnoses, histories, test results) to ensure its accuracy, security, and accessibility for healthcare providers, patients, and payers, bridging clinical, technical, and administrative functions while ensuring compliance with regulations. Overview: The Director for Medical Records is responsible for the planning, organizing, leading, and controlling the activities and functions of Medical Records to effectively provide services for the financial and medical needs of the hospital.
NewAssociate Director, Fund Management (CHOC Foundation) Children's Hospital of Orange CountyAssociate Director, Fund Management (CHOC Foundation)Orange, CaliforniaBending, Carry Objects, Climbing, Keyboard use/repetitive motion, Pinching/fine motor activities, Push/Pull, Reaching forward, Reaching overhead, Sitting, Squat/kneel/crawl (Squad & Knee), Standing, Talk or hear, Taste or smell, Twisting, Walking, Wrist position deviation Physical Activity Lifting . Able to communicate effectively in person, in writing, and on the telephone; think critically; work independently; perform basic math and statistical functions; manage multiple assignments; compose written material; work well under pressure; problem solve; organize and prioritize workload; recall information with accuracy; pay close attention to detail.
Case Manager - RN - Case Management - Full Time 8 hour Days (Non-Exempt) (Union) University of Southern CaliforniaCase Manager - RN - Case Management - Full Time 8 hour Days (Non-Exempt) (Union)Los Angeles, CaliforniaWhen extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. • Performs and documents InterQual assessments upon admission • Performs and documents InterQual assessments upon a change in level of care • Performs and documents InterQual assessments at least every three days • Performs and documents InterQual assessments upon discharge.
RN Case Manager - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union) University of Southern CaliforniaRN Case Manager - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)Los Angeles, CA$47.31–$100 / hourWhen extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. • Performs and documents InterQual assessments upon admission • Performs and documents InterQual assessments upon a change in level of care • Performs and documents InterQual assessments at least every three days • Performs and documents InterQual assessments upon discharge.
Case Manager - RN - Case Management - Full Time 8 Hour Days (Non-Exempt) (Union) University of Southern CaliforniaCase Manager - RN - Case Management - Full Time 8 Hour Days (Non-Exempt) (Union)Los Angeles, CA$47.31–$100 / hourWhen extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. • Performs and documents InterQual assessments upon admission • Performs and documents InterQual assessments upon a change in level of care • Performs and documents InterQual assessments at least every three days • Performs and documents InterQual assessments upon discharge.
Case Management Specialist Remote Flexible, Non-Bilingual Arc Care IncCase Management Specialist Remote Flexible, Non-BilingualCalifornia, CARemoteOur work is powered by a deeply collaborative team of nurses, social workers, community health workers, and medical professionals working alongside product, technology, and operations to close care gaps and improve outcomes for high-need patients. We seek a full-time Lead Care Manager to play a critical role in our whole-person, interdisciplinary care model, responsible for directly outreaching and engaging with individuals living with Serious Mental Illness/ Substance Use Disorder, experiencing homelessness, and/or those who have high medical needs.
Director, Product Management, Oncology, Molecular Residual Disease (MRD) Labcorp Holdings IncDirector, Product Management, Oncology, Molecular Residual Disease (MRD)Los Angeles, CADiagnostic Marketing plays a central role as a commercial partner, driving access to innovative testing solutions, strengthening leadership in specialized diagnostics, advancing digital capabilities, and enhancing customer experience to support sustainable growth. Working cross-functionally with Science, Medical Affairs, Product Marketing, Commercial Strategy, Market Access, IT, and Operations, the Director ensures seamless, best-in-class customer experience from test ordering through reporting.
Administrative Director, Risk Management (Glendale) Adventist Health SystemAdministrative Director, Risk Management (Glendale)Glendale, CAPartners with senior executives, clinical and non-clinical leaders, and market teams to design and sustain structures that ensure proactive identification, mitigation, and management of risk related issues, regulatory, statutory, policy alignment, and delivery of safe, high-quality, and cost-effective care across all facilities. complaints, grievances, claims, lawsuits) to identify priority topics and audiences for targeted training and education Utilizes external data (local, state, national) to identify high-risk topic areas and focus groups for targeted education.
Financial Institutions Management Consultant (West Coast) Cetera Financial Group IncFinancial Institutions Management Consultant (West Coast)CARemote$100,000–$130,000 / yearCetera Financial Institutions is seeking a Financial Institutions Management Consultant (FIMC) focused on developing and supporting Financial Institutions (FIs) poised for growth working closely with other members of the Regional Growth Team (RGT), Channel, and key Cetera resources to ensure delivery of strategic value, growth, business consulting and wealth management expertise and guidance. Work with Financial Institution Executives, Program Managers and Regional Growth colleagues on overall FI client segmentation, design advice and service models for client segments, prescribe support staffing models, collaborate on marketing strategies, enhance program efficiency on best practices and tech adoption, and initiate other relevant Growth360 program and advisor specific roadmaps.
CORP. DIRECTOR OF MATERIALS MANAGEMENT/SUPPLY CHAIN (on site) AHMC Healthcare IncCORP. DIRECTOR OF MATERIALS MANAGEMENT/SUPPLY CHAIN (on site)Alhambra, CAAHMC provides management services to AHMC Anaheim Regional Medical Center with 223 beds, Garfield Medical Center with 211 beds, Greater El Monte Community Hospital with 115 beds, Monterey Park Hospital with 102 beds, San Gabriel Valley Medical Center with 273 beds, Seton Medical Center with 357 beds, Seton Medical Center Coastside, a 116-bed skilled nursing facility, and Whittier Hospital Medical Center with 172 beds. The Corporate Director of Materials Management/Supply Chain is responsible for the overall activities of the Corporate Materials Management Department, which includes the coordination of Group Purchasing Organization (GPO) contracts and the Materials Management computer system.
Case Manager (RN) - Utilization Management San Dimas Community HospitalCase Manager (RN) - Utilization ManagementSan Dimas, CaliforniaPer diemSan Dimas Community Hospital has received multiple awards including the "100 Top Hospitals," Women's Choice Award for America's Best Hospitals for Patient Safety, and Healthgrades awards, including the "Patient Safety Excellence Award." The methodology is designed to facilitate and ensure the achievement of quality, clinical and cost-effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.
Associate Director- Construction Management- Progressive Design Build projects (Anticipated Opening) Turner & Townsend LtdAssociate Director- Construction Management- Progressive Design Build projects (Anticipated Opening)Los Angeles, CA$170,000–$220,000 / yearTurner & Townsend Heery is seeking a highly experienced Senior Construction Project Manager to serve as the primary client-facing representative for a large, complex healthcare capital program in Southern California. Recognized for service excellence by a broad spectrum of professional organizations and industry publications, the talented multidisciplinary team at Turner & Townsend Heery exceeds client expectations - adding value, best practice and expertise at every turn.
Product Manager, Revenue Cycle Management Goodrx Holdings IncProduct Manager, Revenue Cycle ManagementCA$128,000–$205,000 / yearGoodRx is the leading prescription savings platform in the U.S. Trusted by more than 25 million consumers and 750,000 healthcare professionals annually, GoodRx provides access to savings and affordability options for generic and brand-name medications at more than 70,000 pharmacies nationwide, as well as comprehensive healthcare research and information. About the Role: We are seeking a technical Product Manager, Revenue Cycle Management to join our team, focused on building and scaling systems that power claims reconciliation, adjudication, and end-to-end payment processing across our pharmacy network.
Vermont Rural Case Management, Social Work and Care Coordination Opportunities Rural Staffing ServicesVermont Rural Case Management, Social Work and Care Coordination OpportunitiesVermont, VermontRural Staffing Services® partners with rural hospitals, clinics, community health centers, and healthcare organizations throughout Vermont to identify experienced leaders and professionals in case management, social work, utilization review, discharge planning, and care coordination. Working in case management, social work, or care coordination in a rural Vermont community offers the opportunity to help patients overcome real barriers, strengthen community connections, and make care feel more coordinated, personal, and humane.
Risk Management Program Administrator (Hybrid) Cedars-Sinai Medical CenterRisk Management Program Administrator (Hybrid)California, CAThe Risk Management Program Administrator is responsible for planning, implementing and administering the day-to-day operations of a recognized organizational and/or significant departmental program. Responsible for developing or recommending process, improvement measures, coordinating program activities and timelines, and resolving if resources meet program objectives and needs.
Field Care Coordinator / Field Case Management Arc Care IncField Care Coordinator / Field Case ManagementIrvine, CAOur work is powered by a deeply collaborative team of nurses, social workers, community health workers, and medical professionals working alongside product, technology, and operations to close care gaps and improve outcomes for high-need patients. We're one of the largest Enhanced Care Management providers in California and are on track to build the nation's largest clinically integrated network supporting high-need patients.
Vice President, Enterprise Change Management Easter Seals Southern CaliforniaVice President, Enterprise Change ManagementIrvine, California$200,000–$240,000 / yearServes as the executive leader for enterprise change management, partnering with senior leaders to shape large-scale transformation, operating model evolution, and complex cross-functional initiatives affecting care delivery, support services, systems, and administrative operations. This role is accountable for strengthening organizational agility, building leadership capability, and ensuring change efforts translate into sustained outcomes for associates, leaders, and the people and communities the organization serves.