Revenue Cycle Specialist Behavioral Health Services IncRevenue Cycle SpecialistGardena, CACollaborate closely with other departments to contribute to cash reconciliation activities and to assist in the assessment of accounts receivable collectability and validation, including the writing off of bad debts. Includes all activities within the scope of the Billing & Accounting Departments including charge/ data entry, insurance follow up, and billing and collection of client balances.
Senior Backend Engineer Oxbridge HealthSenior Backend EngineerNorwalk, CaliforniaRole Description The Senior Backend Engineer will lead the design and implementation of high-scale, serverless backend services using AWS, Python, Relational and NoSQL database, and modern architectural designs. This role owns services end-to-end—from architecture and implementation through deployment, monitoring, and continuous improvement—ensuring reliability, performance, and security for mission-critical healthcare workflows.
Sr. Director of Strategic Partnership Development Goodrx Holdings IncSr. Director of Strategic Partnership DevelopmentRemote CA, CARemote$218,000–$350,000 / 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. All GoodRx employees are responsible for reviewing and complying with all Company safety and security policies and procedures, being vigilant and observant of potential security threats (including phishing attempts) and proactively communicating with the Security Team to raise any concerns.
QNXT Implementation Lead Enrollment, Capitation, Finance and Correspondence Impresiv HealthQNXT Implementation Lead Enrollment, Capitation, Finance and CorrespondenceLong Beach, CARemoteThe Program Lead ensures deliverables are completed accurately and on schedule, risks and dependencies are actively managed, teams remain aligned and accountable, and the organization is prepared for testing, cutover, go-live, and post-implementation stabilization. This role leads end-to-end planning, execution, governance, and delivery while coordinating closely with business leaders, product managers and owners, internal subject matter experts, technology teams, system integrators, and external consultants.
Grievance Resolution Specialist Kinetic Personnel Group, Inc.Grievance Resolution SpecialistOrange, CA$25–$37 / hourGathers pertinent information regarding the grievances and appeals received, including, but not limited to, member or provider concerns, supporting information related to initial decision-making, new information supporting the grievance or appeal, or supplemental information required to evaluate grievances and appeals within regulatory requirements. The Grievance Resolution Specialist coordinates the Grievance and Appeal resolution process, responds to verbal and written Grievances and Appeals from members and/or providers relating to member eligibility and benefits, contract administration, claims processing, utilization management decisions, and pharmacy and vision decisions.
Member Services Representative- Bilingual Spanish Johnson Service GroupMember Services Representative- Bilingual SpanishIrvine, CAThis exciting role offers the opportunity to deliver exceptional customer service and support to key clients, ensuring their benefit, eligibility, and reimbursement needs are managed efficiently and accurately. Join a collaborative team where your language skills and healthcare knowledge can make a real difference in people's lives, all while working remotely within a supportive company culture.
Warranty Administrator Motive Workforce SolutionsWarranty AdministratorFountain Valley, CAThe Warranty Administrator is responsible for managing warranty claims, processing service documentation, coordinating with dealers and service partners, and ensuring accurate warranty recovery for charger products and related components. This position plays a critical role in customer satisfaction, cost control, and continuous product improvement by ensuring warranty cases are handled efficiently and in compliance with company policies.
Lien Collection Specialist ALIGN Executive SearchLien Collection SpecialistCosta Mesa, CAProficient in Microsoft Office and case management software (e.g., Clio, SmartAdvocate); able to manage high-volume caseloads. We're seeking a detail-oriented Lien Specialist with strong analytical skills and knowledge of healthcare, insurance, and legal lien reduction strategies.
Insurance Account Position - State Farm Agent Team Member Nate Nguon - State Farm AgentInsurance Account Position - State Farm Agent Team MemberTustin, CAFull timeIn this role, you will leverage your expertise in insurance products and industry trends to connect with clients, identify their needs, and convert leads into long-term customer relationships. ROLE DESCRIPTION: Nate Nguon Ins and Fin Svc Inc - State Farm Agency (Tustin, CA) is seeking a driven and competitive Insurance Producer to join our team.
Senior Provider Relations Advocate - Riverside County, CA UnitedHealth Group IncSenior Provider Relations Advocate - Riverside County, CARiverside, CA$72,800–$130,000 / yearResponds timely (within one business day) to provider issues, works with other groups/central departments to resolve issues and updates providers and office staff regularly through to resolution. As a Senior Provider Relations Advocate at Optum, you will act as a direct interface between Optum and the affiliated physicians in Optum's Independent Physician Association (IPA) network and support their operations and performance success.
Remote Psychiatric Mental Health Nurse Practitioner (PMHNP) Seasoned RecruitmentRemote Psychiatric Mental Health Nurse Practitioner (PMHNP)Baldwin Hills, CARemote$75,000–$220,000 / yearBenefit from total schedule control, guaranteed patient volume, and dedicated back-office support so you can focus on quality patient outcomes. Role Overview Seeking Board-Certified PMHNPs to deliver virtual psychiatric evaluations and medication management.
Korean-Bilingual Tax Manager Avon Products, Inc.Korean-Bilingual Tax ManagerLos Angeles, CACoordinate and review quarterly and annual U.S. GAAP/IFRS tax provision deliverables prepared by external tax advisors, including current and deferred tax, effective tax rate, uncertain tax positions, and provision-to-return true-up analysis; review key assumptions, supporting schedules, and significant tax positions and coordinate follow-up questions and adjustments with external advisors and internal finance stakeholders. Coordinate with external tax advisors and review corporate income tax compliance deliverables, including federal and state income tax returns and workpapers, estimated tax payments, apportionment, book-to-tax adjustments, tax depreciation, and related account reconciliations; ensure completeness, consistency with company financial records, and timely resolution of review comments and tax issues.
Special Investigations Investigator, Consultant Blue Cross and Blue Shield AssociationSpecial Investigations Investigator, ConsultantLong Beach, CABe responsible for coordinating and overseeing efforts to recover erroneous payments made because of a claims processing error, misrepresentative billing, fraud, abuse, or any other criminal act with no assistance. The Special Investigations Unit (SIU) team s responsible for preventing, detecting, investigating, and resolving health care fraud, waste, and abuse.
NewAI Automation Engineer Alignment Healthcare USA, LLCAI Automation EngineerOrange, CAFull timeThe Artificial Intelligence & Automation Engineer is a hands-on technical contributor on the Data & Technology Solutions team, responsible for designing, building, and deploying intelligent AI systems and automated workflows that drive operational efficiency and elevate the quality of care for our Medicare Advantage members. You will partner closely with AI Scientists, Data Engineers, Product Managers, Clinical Operations, and Application Engineering teams to translate complex business problems - from claims processing and prior authorization to member communication and revenue integrity - into scalable, production-grade solutions.
Principal Information Systems Analyst - Lead EDI Developer (N387) Heluna HealthPrincipal Information Systems Analyst - Lead EDI Developer (N387)Los Angeles, CaliforniaThe position combines hands-on technical oversight with technical operational leadership, working closely with program partners, clearinghouses, finance, and internal data engineering staff to maintain a reliable, auditable, and evolving claims process for non-traditional Medicaid services including but not limited to the provision of housing navigation services, recuperative care services. The Principal Information Systems Analyst (Lead Analytics Engineer, EDI Claims Integration) serves as the HSH technical lead for transforming data on homelessness services into Medicaid claims and managing the end-to-end Electronic Data Interchange (EDI) workflow for claims billing.
Claims Examiner - Lead CalOptimaClaims Examiner - LeadOrange, CA$55,966–$83,949 / yearWe are hoping you will join us as a Claims Examiner - Lead and help shape the future of healthcare where you'll be an integral part of our CLA - Claims Production 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. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet.
Claims Team Leader Allstate Insurance CompanyClaims Team LeaderCA$80,000–$136,625 / yearThe Claims Team Leader is responsible for providing our Agents exceptional claims and inquiry service through chat while managing and motivating ten to fifteen adjuster staff or vendors to achieve inspired levels of performance and expert execution of required claim processes. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
Installer Apprentice/Woodworking Shop Assistant Closets By Design - PittsburghInstaller Apprentice/Woodworking Shop AssistantWashington, PAFull timeWe currently have the Installer Apprentice/Woodworking Shop Assistant position available: This position will assist Installers with installation of products in a safe, high quality, productive, and profitable fashion. We design, manufacture, and install a complete line of custom closets, home office furniture, media systems, wall-beds, garage cabinetry and more.
PT Cashier Fresh Thyme Farmers MarketPT CashierBridgeville, PA$15–$16.50 / hourWe offer competitive compensation, incentive programs, and recognition programs that allows our most successful team members to be rewarded for the results they consistently drive and for being passionate about working safely to ensure 200% accountability - 100% accountability for self and 100% accountability for your fellow team members. Operates cash register by passing price coded items across electronic scanner to record price, enter in PLU or UPC manually, compile printed list, and display cost of customer purchase, tax, and rebates on monitor screen.
Server First WatchServerMurrysville, PAYou delight in delivering an exceptional experience for your customers and learning our Five Steps of Service – our proven method built on the belief that teamwork really does make the dream work (and brings in the tips!) They are empowered with independence to make decisions that will help provide an exceptional breakfast, brunch, or lunch experience for their customers.