Claims Auditor Cohere Health Technologies LLCClaims AuditorCARemote$72,000–$82,000 / yearBacked by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes. By unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.
Claims Manager, Medicare Advantage Plan University of CaliforniaClaims Manager, Medicare Advantage PlanLos Angeles, CA$95,400–$208,300 / yearThe Claims Manager of the Medicare Advantage Plan will: Implement and maintain efficient and streamlined claims adjudication processes that effectively utilize technology to automate business processes and maximize the accuracy of claims payments. As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
NewFull Stack Web Developer See’s CandiesFull Stack Web DeveloperCarson, CaliforniaThe pay range for this position at commencement of employment is expected to be between $122,000k- $132,000per year; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience. See's is an EOESee’s will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable local, state or federal law (including San Francisco Ordinance #131192 and Los Angeles Municipal Code 189.00).
Full Time Profee & Facility Ophthalmology Medical Coder Remote Inventurus Knowledge Solutions LtdFull Time Profee & Facility Ophthalmology Medical Coder RemoteCARemote$28–$32 / hourOur Care Enablement Platform delivers data-driven value and expertise across the care journey, and IKS is a partner for clinician enterprises looking to effectively scale, improve quality, and achieve cost savings through forward-thinking solutions. Our Care Enablement Platform blends advanced AI-powered automation with deep human expertise to relieve administrative burdens, improve clinical workflows, and drive financial sustainability; so clinicians can get back to what they do best.
Senior Forward Deployed Engineer, Servicenow DeloitteSenior Forward Deployed Engineer, ServicenowLos Angeles, CA$155,600–$306,800 / yearDemonstrated use of Claude Code to accelerate delivery, including agentic multi-file workstreams, CLAUDE.md project memory, MCP server integrations, and parallel subagents for concurrent work such as feature development, test generation, and security review. At Deloitte, Forward Deployed Engineers (FDE) don't just build AI solutions, they help clients turn AI ambition into enterprise-scale impact, pairing leading class engineering with pod-based delivery and vertical expertise.
Medical Billing Negotiator 26-00226 Alura Workforce SolutionsMedical Billing Negotiator 26-00226Simi Valley, CA$24–$26 / hourOur client reviews medical bills tied to insurance claims, mainly workers' compensation and liability cases, making sure the charges are accurate and fair. Candidates must have minimum 1 year of experience in bill negotiations or California workers' compensation claims IEA certificate or California Certificate of Self Insurance a plus.
Clinical Documentation Integrity Specialist (Hybrid, White Memorial) Adventist HealthClinical Documentation Integrity Specialist (Hybrid, White Memorial)Los Angeles, CAJob Summary: Reviews, evaluates and assesses medical records of patients, looks for specificity of an illness, the accuracy of the clinician's documentation, coding requirements and documentation of important medical details to ensure the overall quality and completeness of clinical documentation of the patient medical record and ensure it is in compliance with government and other regulations. Essential Functions: Evaluates and assesses medical records of patients, looks for specificity of an illness, the accuracy of the clinician's documentation, coding requirements and documentation of important medical details to ensure the overall quality and completeness of clinical documentation of the patient medical record.
Certified Coder, Acute Hospital ED, Cancer & Edits (Remote) Adventist Health SystemCertified Coder, Acute Hospital ED, Cancer & Edits (Remote)CARemoteJob Summary: Reviews acute hospital outpatient emergency department (ED), medical oncology, adult outpatient rehab including cardiac rehab patient records including charge capture/entry to identify the diagnosis and procedure codes performed during the patient's stay are valid and in accordance with coding conventions and guidelines. Attends meetings for coder education, audit reviews, staff meetings, coder roundtable and other specialty meetings as needed including emergency department charging, cancer, infusions and injections, cardiac rehab and returned for coding.
Senior Director, Strategic Analytics Tendo Systems IncSenior Director, Strategic AnalyticsCARemote$2,024–$2,025This person will combine deep clinical informatics expertise with hands-on Databricks engineering and AI/ML skill to build algorithms that do two things simultaneously: (1) close documentation and coding gaps that affect risk adjustment, mortality index, and quality attribution, and (2) identify gaps and variation in the actual clinical processes of care that drive the metrics used by national hospital ranking and rating programs (e.g., CMS Star Ratings, U.S. News & World Report, Leapfrog, Vizient, Healthgrades, IBM Watson Health/Chartis 100 Top Hospitals). Maintain expert-level, current knowledge of major hospital ranking, rating, and benchmarking methodologies, including but not limited to: CMS Hospital Compare/Star Ratings, CMS Value-Based Purchasing and Hospital-Acquired Condition programs, U.S. News & World Report Best Hospitals methodology, Leapfrog Hospital Safety Grade, Vizient quality and safety benchmarking, Healthgrades, and payer-specific quality programs.
Clinical Documentation Integrity Specialist II - Hybrid FT Days Torrance Memorial Medical CenterClinical Documentation Integrity Specialist II - Hybrid FT DaysTorrance, CaliforniaUses clinical/nursing/coding knowledge to concurrently review and assess the medical record within 24-48 hours of admission including but not limited to physician documentation, lab and radiology results, nursing, nutrition, physical therapy and other provider’s documentation to determine that the most accurate severity of illness and expected risk of morality is reflected in the patient’s health record. Obtains additional documentation from physician or other qualified healthcare provider for clarification when there is conflicting, incomplete or ambiguous information in the healthcare record regarding any reportable data elements dependent on health record documentation.
Clinical Documentation Integrity Specialist UCLA Health SystemClinical Documentation Integrity SpecialistLos Angeles, CARemote$100,161.36–$218,718 / yearThis role involves daily review of high-acuity patient records to identify potential and active payer denials, assess clinical validity, and to support denial prevention, analysis, and appeals across inpatient and outpatient settings; continuously communicating with department staff; educating physicians, residents, and mid-levels; and assisting with appropriate documentation strategies. You will prepare and submit high quality appeal letters supported by clinical evidence, regulatory guidelines, and payor-specific medical necessity criteria, while identifying denial trends and root causes and provide feedback to the CDI and Clinical teams.
Director of Nursing Services Provider Management-Professional SearchDirector of Nursing ServicesNorth Hollywood, CACoordinate with interdisciplinary teams to optimize resident outcomes, including managing MDS (Minimum Data Set) assessments and ensuring accurate coding for Medicare reimbursement. The ideal candidate will demonstrate strong leadership, a comprehensive understanding of nursing practices across various care settings, and a passion for enhancing resident well-being through innovative care strategies.
Assistant Director of Patient Business Services UCLA Health SystemAssistant Director of Patient Business ServicesLos Angeles, CA$116,300–$264,600 / yearIn this role, you will: Manage end-to-end billing operations for inpatient, outpatient, and emergency services, ensuring accurate and timely submission of claims to Medicare, Medi-Cal, commercial, and managed care payers. Monitor key performance indicators, including days in accounts receivable, discharged not final billed volume, denial trends, clean claim rates, and claim resolution times, to drive measurable improvements.
BioMed Tech I PHS Bio-Medical ServicesBioMed Tech IInglewood, California$25–$34.91 / hourFull timeOverview: Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding, project management and more. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
ChildAdolescent Psychiatrist - Rape Treatment CenterStuart House - Santa Monica UCLA Health SystemChildAdolescent Psychiatrist - Rape Treatment CenterStuart House - Santa MonicaSanta Monica, CA$123,500–$302,600 / yearUCLA Health is seeking a board-certified/board-eligible Child/Adolescent Psychiatrist to join the Rape Treatment Center (RTC) and Stuart House at UCLA Santa Monica Medical Center in a part-time capacity. The UCLA Rape Treatment Center and Stuart House are nationally recognized leaders in providing comprehensive, trauma-informed services for survivors, offering medical care, advocacy, forensic services, and mental health support.
Business Analyst - REMOTE Molina Healthcare IncBusiness Analyst - REMOTECARemoteCommunicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices. Self-organized reporting to ensure health plans/product team and other leadership are aware of work efforts and impact for any prospective or retrospective requirement changes that can impact financials.
Clinical Documentation Integrity Specialist University of CaliforniaClinical Documentation Integrity SpecialistLos Angeles, CARemote$100,161.36–$218,718 / yearThis role involves daily review of high-acuity patient records to identify potential and active payer denials, assess clinical validity, and to support denial prevention, analysis, and appeals across inpatient and outpatient settings; continuously communicating with department staff; educating physicians, residents, and mid-levels; and assisting with appropriate documentation strategies. You will prepare and submit high quality appeal letters supported by clinical evidence, regulatory guidelines, and payor-specific medical necessity criteria, while identifying denial trends and root causes and provide feedback to the CDI and Clinical teams.
NewDecision Scientist - Clinical Informatics (Clinical Data Standards) CVS Health CorpDecision Scientist - Clinical Informatics (Clinical Data Standards)CA$64,890–$158,620 / yearA&BC leverages advanced analytics, clinical informatics, and hypothesis-driven approaches to transform data into actionable, customer-centric insights that drive growth, improve health outcomes, and expand access to healthcare across all CVS Health businesses. Collaborate with data engineering teams to inform data pipeline development, ensuring clinical data is ingested, transformed, and stored in ways that support downstream analytics needs.
Claims Auditor MedPOINT ManagementClaims AuditorSherman Oaks, CARemoteFull timeMedPOINT Management is a leading Independent Practice Association (IPA) management company serving the greater Los Angeles area, dedicated to delivering high-quality, coordinated healthcare to patients across Southern California. Our team enjoys a collaborative work culture, opportunities for professional growth, and the satisfaction of making a meaningful impact in the healthcare industry.
Assistant Director of Patient Business Services University of CaliforniaAssistant Director of Patient Business ServicesLos Angeles, CA$116,300–$264,600 / yearThe Assistant Director partners with clinical, operational, finance, contracting, IT, and revenue cycle leaders to remove barriers, improve workflows, and ensure high-quality billing performance aligned with organizational goals. Reporting to the PBS Director, this role is responsible for ensuring accurate and timely claims submission, regulatory compliance, and optimization of revenue cycle performance across the health system.