Billing & Denial Management Coordinator Alliance Health ServicesBilling & Denial Management CoordinatorMontrose, CaliforniaThe Billing & Denial Management 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.
VP, Vendor Management Alignment Healthcare IncVP, Vendor ManagementCA$227,952–$341,928 / yearThis role ensures that all delegated entities, technology partners, operational service providers, and business process outsourcing partners deliver high-quality, compliant, cost-effective services that support the organization''s Medicare Advantage growth, operational excellence, member experience, and regulatory obligations. This leader partners across Operations, Clinical Services, Compliance, Finance, Information Technology, Risk Adjustment, Quality, Legal, and Procurement to maximize vendor value while mitigating operational, financial, regulatory, and reputational risk.
NewCase Manager, RN - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union) University of Southern CaliforniaCase Manager, RN - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)Los Angeles, California$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. The RN case manager role integrates the functions of utilization management, quality management, discharge planning assessment, and coordination of post-hospital care services, including transfers to an alternative level of care.
Provider Demographic Management Coordinator ICONMA, LLCProvider Demographic Management CoordinatorFountain Valley, CA$40–$42 / hourSupports the Manager, Provider Network Ops to ensure all Boeing plan partner changes are accurately updated in ECHO and various databases. Supports the Manager of Provider Relations with the maintenance of ACO rosters and ensures daily changes are accurately updated within internal systems e.g.
VP, Vendor Management Alignment Healthcare USA, LLCVP, Vendor ManagementOrange, CAFull timeThis role ensures that all delegated entities, technology partners, operational service providers, and business process outsourcing partners deliver high-quality, compliant, cost-effective services that support the organization's Medicare Advantage growth, operational excellence, member experience, and regulatory obligations. This leader partners across Operations, Clinical Services, Compliance, Finance, Information Technology, Risk Adjustment, Quality, Legal, and Procurement to maximize vendor value while mitigating operational, financial, regulatory, and reputational risk.
Oracle Health Senior Manager, Federal Change Management and Learning Team Oracle CorpOracle Health Senior Manager, Federal Change Management and Learning TeamCA$112,000–$251,600 / yearThis role requires a strong leader with expertise in change management and learning, financial accountability for a portion of revenue and/or margin, excellent communication skills, and a passion for fostering collaboration and innovation. Oracle 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.
NewDirector, Risk Management & Patient Safety The Employee ConnectDirector, Risk Management & Patient SafetyLos Angeles, California$175,600–$258,100 / yearThe ideal candidate has led risk and safety programs inside a busy acute care hospital and is comfortable presenting to medical staff committees and executive leadership. A leading regional healthcare provider known for patient-centric care is seeking a Director of Risk Management and Patient Safety for its acute care medical center.
DEPUTY, MANAGEMENT PROGRAMS, HS (UC) - CHIEF, PAYER STRATEGY AND CONTRACTING, HSA Los Angeles CountyDEPUTY, MANAGEMENT PROGRAMS, HS (UC) - CHIEF, PAYER STRATEGY AND CONTRACTING, HSALos Angeles County, CA$176,297.52–$274,178.64 / yearVeteran's Credit: Pursuant to the County Charter and County policy, in all open competitive examinations (i.e., examinations open to everyone), the County of Los Angeles will add a credit of 10 percent of the total credits specified for such examination to the final passing score of an honorably discharged veteran, as well as the spouse of a deceased or disabled veteran, who served in the Armed Forces of the United States under specific conditions. The incumbent directs continuous assessment of State and Federal policy and regulatory changes - including Medi-Cal, DHCS, and DMHC requirements - evaluates their fiscal and operational implications for DHS, advises Executive Leadership on necessary strategic actions, and oversees enterprise-wide performance, reporting, and audit coordination of all payer contracts.
NewDirector, Risk Management & Patient Safety I8IS INC.Director, Risk Management & Patient SafetyDowney, CAClinical Risk Management | Patient Safety | Acute Care | Root Cause Analysis | FMEA | Clinical Chart Review | Infection Prevention | Infection Control | Architectural Infection Control | Healthcare Cybersecurity | Regulatory Compliance | Accreditation | Quality Improvement | Risk Assessment | Healthcare Data Analytics | Population Health | Patient Safety Programs | Healthcare Leadership . The Director, Risk Management & Patient Safety will provide strategic and operational leadership for clinical risk management, patient safety, infection prevention, and quality improvement initiatives within an acute-care hospital environment.
NewDirector of Quality & Risk Management Prime Healthcare Services IncDirector of Quality & Risk ManagementSherman Oaks, CA$87,048–$115,273 / hourThis position partners with executive leadership, department leaders, medical staff, and multidisciplinary teams to promote safe, high-quality patient care, mitigate organizational risk, improve clinical outcomes, and maintain continuous regulatory and accreditation readiness. Staffed with over 500 employees and an extraordinary team of physicians, the hospital is recognized for advanced technology and compassionate care and provides 24/7 emergency care in addition to a full range of specialized medical, surgical, and diagnostic services to improve and save lives.
Administrative Assistant - Case Management Providence Health & ServicesAdministrative Assistant - Case ManagementCalifornia, CARequsition ID: 450846 Company: Providence Jobs Job Category: Administrative Support Job Function: Administration Job Schedule: Per-Diem Job Shift: Day Career Track: Admin Support Department: 7017 LCMSP CASE MGMT Address: CA San Pedro 1300 W 7th St Work Location: Providence Little Co of Mary Medical Ctr-San Pedro Workplace Type: On-site Pay Range: $25.00 - $37.98 Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.
Provider Demographic Management Coordinator Iconma LLCProvider Demographic Management CoordinatorFountain Valley, CASupports the Manager, Provider Network Ops to ensure all Boeing plan partner changes are accurately updated in ECHO and various databases. Supports the Manager of Provider Relations with the maintenance of ACO rosters and ensures daily changes are accurately updated within internal systems e.g.
Utilization Management Nurse Auditor UCLA Health SystemUtilization Management Nurse AuditorLos Angeles, CA$98,200–$214,600 / yearAs the Utilization Management Nurse Auditor, you will conduct concurrent and retrospective case reviews, support denial appeals, analyze utilization and denial trends, and collaborate with Care Coordination, Clinical Documentation Integrity, Revenue Cycle, and Physician Advisor teams. Prepare clinical summaries and supporting documentation for first- and second-level appeals, support payer, RAC, and Medi-Cal audit responses, and collaborate with Revenue Cycle and Physician Advisor teams to strengthen appeal strategies.
Director of Risk Management Pipeline HealthDirector of Risk ManagementGardena, CaliforniaSurveys the Pipeline Health facilities with enough frequency to be 1) recognized as a supportive team member for staff, 2) a credible resource for regulatory, accreditation, and patient safety issues, 3) able to accurately represent Pipeline Health’s needs related to patient safety, accreditation and regulatory issues to the Execute Team, and 4) able to timely recognize unfavorable trends and provide effective intervention. Wears nametag properly; follows dress code policy; answers phone correctly and promptly; is prepared for meetings; meets deadlines; does not participate in gossip; acts ethically and treats others with respect; respects customer’s and co-worker’s time; establishes and maintains effective relationships with customers and co-workers.
Risk Management Specialist II Comprehensive Community Health CentersRisk Management Specialist IIGlendale, CA$29–$33 / hourMonitor assigned Risk Management shared email accounts and communication channels, including Patient Experience, Risk Management information, reporting, and fax communications; independently assess and respond to incoming correspondence within delegated authority, coordinate and track required follow-up through resolution, and escalate high-risk, sensitive, unusual, or legally significant matters requiring higher-level review or management action. Coordinate assigned complex grievances, potential claims, subpoenas, deposition requests, and related matters; conduct necessary fact-finding; retrieve, review, and compile medical and dental records and supporting documentation as appropriate; maintain accurate documentation; coordinate required follow-up; and appropriately escalate high-risk, sensitive, or legally significant matters to Risk Management leadership.
RISK MANAGEMENT SPECIALIST II Comprehensive Community Health Centers IncRISK MANAGEMENT SPECIALIST IIGLENDALE, CA$29–$33 / hourMonitor assigned Risk Management shared email accounts and communication channels, including Patient Experience, Risk Management information, reporting, and fax communications; independently assess and respond to incoming correspondence within delegated authority, coordinate and track required follow-up through resolution, and escalate high-risk, sensitive, unusual, or legally significant matters requiring higher-level review or management action. Coordinate assigned complex grievances, potential claims, subpoenas, deposition requests, and related matters; conduct necessary fact-finding; retrieve, review, and compile medical and dental records and supporting documentation as appropriate; maintain accurate documentation; coordinate required follow-up; and appropriately escalate high-risk, sensitive, or legally significant matters to Risk Management leadership.
Workforce Management Supervisor- Patient Access Organization University of CaliforniaWorkforce Management Supervisor- Patient Access OrganizationLos Angeles, CA$42.58–$91.14 / hourThis position supervises Workforce Management Analysts and ensures the delivery of accurate forecasting, scheduling, reporting and operational insights that enable leaders to effectively manage patient access demand and maintain high levels of service for patients and clinics. The Workforce Management (WFM) Supervisor provides operational leadership for workforce planning, real-time staffing management, and performance monitoring within the Patient Access Organization's centralized call center operations.
NewDirector, Risk Management & Patient Safety Fox Point RecruitmentDirector, Risk Management & Patient SafetyDowney, California$175,600–$258,100 / yearThe Director of Risk Management & Patient Safety oversees critical risk management projects and drives continuous clinical quality, patient safety, and regulatory compliance across acute care hospital operations. Direct patient safety programs, hazard responses, and event management protocols; collaborate with executive leadership to improve patient flow, clinical support, and seamless care transitions.
Administrative Assistant - Case Management - Per Diem Providence St. Joseph HealthAdministrative Assistant - Case Management - Per DiemSan Pedro, CATogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. Responds to patients and families with knowledge of age specific, young adult, middle adult and older adult needs based on scope of service of units/department where assigned.
Billing & Denial Management Coordinator TARLANI HealthcareBilling & Denial Management CoordinatorMontrose, CaliforniaThe Billing & Denial Management 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.