Director, Revenue Operations - Health Insurance Contracts Easterseals Southern CaliforniaDirector, Revenue Operations - Health Insurance ContractsIrvine, CaliforniaAbility to effectively develop, lead, and manage staff and operational initiatives or programs that strategically support ESSC organizational priorities, business needs, financial sustainability, and quality service delivery to consumers. Partners with organizational leaders to support new service development, pilot programs, and funding initiatives, providing revenue and operational insight to assess feasibility, sustainability, and reimbursement readiness.
Program Manager - Street Team Medicine JWCH Institute IncProgram Manager - Street Team MedicineLos Angeles, CAEnsure Medical Assistants complete annual competency assessments, including clinical skills, EHR proficiency, and program-specific workflows; monitor performance and address gaps through training and corrective action as needed. The Program Manager works closely with providers and leadership to ensure services are delivered efficiently, safely, and in alignment with the Street Medicine model of care.
Compliance Specialist Special Service for Groups, Inc- HOPICSCompliance SpecialistLos Angeles, CAFull timecompliance systems that ensure HOPICS remains compliant with all applicable federal, state, county, city, funder, accreditation, and organizational requirements. - Recommend strategies to improve agency performance based on compliance findings, performance indicators, quality assurance reviews, and contractual requirements.
Manager or Director of Operations California Job ShopManager or Director of OperationsLos Angeles, CaliforniaThis role focuses on scaling our mission by establishing robust operational frameworks, managing multi-site expansions, and ensuring that our facilities in the Los Angeles area operate with maximum efficiency to serve patients facing complex co-occurring disorders. Our model leverages a hybrid approach, combining high-touch virtual services with a B2B strategy that provides specialized care solutions to established outpatient facilities.
Grants and Contracts Administrator Providence Health & ServicesGrants and Contracts AdministratorAnaheim, CA$37.17–$57.71 / hourRequsition ID: 446041 Company: Providence Jobs Job Category: Research Job Function: Clinical Support Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 7520 RESEARCH PROJECTS CA HERITAGE SERVICES Address: CA Anaheim 200 W Center St Promenade Work Location: St Joseph Home Health-Anaheim Workplace Type: Hybrid Pay Range: $37.17 - $57.71 They work with pharmaceutical companies, medical device companies, clinical research organizations (CROs), and external vendors to negotiate study specific budgets, contract payment terms, master agreements, master fee schedules, and vendor service agreements.
Grants and Contracts Administrator Providence St. Joseph HealthGrants and Contracts AdministratorAnaheim, CAThey work with pharmaceutical companies, medical device companies, clinical research organizations (CROs), and external vendors to negotiate study specific budgets, contract payment terms, master agreements, master fee schedules, and vendor service agreements. Together, 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.
Credentialing Data Entry Clerk MedPOINT ManagementCredentialing Data Entry ClerkSherman Oaks, CARemoteFull timeMedPOINT Management is a leading Independent Physician Association (IPA) management company based in Sherman Oaks, CA, dedicated to supporting healthcare providers and delivering high-quality managed care services. This is a great opportunity to build a career in healthcare administration while playing a vital role in ensuring provider data accuracy and compliance.
Director of Revenue Cycle Continuous Improvement University of CaliforniaDirector 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.
AVP, Home Care WelbeHealthAVP, Home CareLos Angeles, CA$204,363.75–$281,000.15 / yearEnsure effective implementation and oversight of participant care plans in collaboration with providers, care coordinators, and interdisciplinary teams, as well as oversee care delivery and participant outcomes to ensure services meet participant needs, support aging in place, and align with the plan of care. The ideal candidate brings extensive healthcare operations leadership experience with a proven ability to lead multi-site teams, improve quality and participant outcomes, drive operational excellence, and navigate complex regulatory environments.
Provider Network Specialist Independent Living Systems LLCProvider Network SpecialistGlendale, CABuilds and maintains positive, professional relationships with contracted and subcontracted providers by supporting provider engagement initiatives, serving as a trusted liaison, addressing provider concerns, and promoting provider satisfaction through responsive and collaborative service. Collaborates effectively with Operations, Clinical, Quality, Compliance, Credentialing, Care Management, Claims, Provider Network, and other cross-functional teams to support organizational objectives, provider success, and high-quality member care.
Avp, Home Care Welbe HealthAvp, Home CareLos Angeles, CA$204,363.75–$281,000.15 / yearEnsure effective implementation and oversight of participant care plans in collaboration with providers, care coordinators, and interdisciplinary teams, as well as oversee care delivery and participant outcomes to ensure services meet participant needs, support aging in place, and align with the plan of care. This role is different because the AVP, Home Care at WelbeHealth: Leads the strategic direction and operational excellence of Home Care services across multiple markets, ensuring high-quality, participant-centered care while building scalable programs that support WelbeHealth's continued growth.
Vendor Manager Alto IncVendor ManagerCARemote$108,000–$135,000 / yearPhysical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. You'll be managing a broad portfolio of technology and services vendors across our five entities, driving governance into an estimated $10-15M of currently unmanaged spend, and working directly with Legal, Finance, Compliance, Security, and business leadership to make sure our vendor relationships are structured, compliant, and delivering value.
NewDirector, Continuous Improvement Alignment Healthcare IncDirector, Continuous ImprovementCA$130,332–$195,498 / yearThe Director will oversee a team 2 direct-report Managers and operate within a highly matrixed environment, leveraging subject matter experts (SMEs) across the organization (Operations, Transformation, Appeals/Grievance, Utilization Management, Clinical, Technology, Compliance, and Analytics). The Director of Continuous Improvement is a strategic and execution-focused leader responsible for driving operational excellence, scalable growth, and member-centered continuous improvement across the Customer Experience (CX) Operations organization within Alignment Health Plan.
Anesthesia Director of Operations Sound Inpatient Physicians Holdings, LLCAnesthesia Director of OperationsCARemote$125,000–$160,000 / yearCategorySelectAccountable Care OrgAccounting & PayrollAdvisory ServicesAnesthesiologyBusiness DevelopmentClinical LeadershipClinical SupportCritical CareData & AnalyticsEmergency MedicineFinanceHospital MedicineInformation TechnologyMedical DirectorNursingOperationsPeople TeamPost Acute / Transitional CareRevenue CycleSite AdministrationTelemedicine. Key responsibilities will include managing the drivers of P+L performance, providing financial, operational and performance insight to clinical leadership, client service and communication, advancing performance management initiatives with the goal of building client acknowledged value, contract negotiations, and managing support from central service departments.
Director, Staffing Transformation & Operations - Remote Included HealthDirector, Staffing Transformation & Operations - RemoteLos Angeles, CARemote$186,360–$229,779 / yearReporting to the Head of Member Care Strategy & Operations, you will partner closely with Member Care Advocacy (our member-facing teams), Staffing Forecasting, Quality, Training, Project Management, Finance, Product, Engineering, IT and vendor partners to turn strategic priorities into an operating model that works in production. You will directly oversee workforce management and scheduling functions (skilling, staffing, scheduling, and real‑time management) and vendor/BPO operations, ensuring we consistently meet or exceed service level, quality, and margin goals while delivering a top-notch member and employee experience.
NewCompliance & Regulatory Audit Manager Nutex Health IncCompliance & Regulatory Audit ManagerCAThis position is responsible for managing health plan audits, DMHC audits, pre-delegation (Pre-Del) audits, quality management (QM) audits, policy and procedure compliance, corrective action plans, and ongoing regulatory readiness activities. The role ensures organizational compliance with state, federal, health plan, CMS, NCQA, and delegated managed care requirements while supporting operational excellence and risk mitigation initiatives.
Enterprise Readiness Specialist RPIEnterprise Readiness SpecialistEl Segundo, CaliforniaUsing a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve. Partner with radiologists, operations teams, and cross-functional stakeholders to assess impacts, drive engagement, and ensure successful implementation of enterprise initiatives.
NewCompliance Manager (Remote) RulaCompliance Manager (Remote)Los Angeles, CaliforniaRemote3+ years of related professional experience in managing or coordinating external audits, regulatory reviews, or similar oversight activities AND 5+ years of related professional experience in healthcare privacy, medical records, release-of-information processes, or health information management. Reporting to the Director of Compliance, the Compliance Manager will lead day-to-day medical records activities, oversee vendor and team performance, and manage external audits from intake through findings and remediation closure.
Center Administrator Assistant Bilingual CenterWellCenter Administrator Assistant BilingualOrange, FloridaAs the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more.
Hospital/Clinic Program Implementation Expert I Heluna HealthHospital/Clinic Program Implementation Expert ITorrance, CaliforniaThe Hospital/Clinic Program Implementation Expert I supports the Chief Operating Officer in planning, developing, and implementing hospital and clinic support programs and operational initiatives. This role leads the coordination and executions of administrative and operational activities across assigned service areas, ensuring effective integrations of programs system-wide.