Senior Manager, Revenue Cycle Program Management Office (PMO) University of CaliforniaSenior Manager, Revenue Cycle Program Management Office (PMO)Los Angeles, CA$98,200–$214,600 / yearThis role partners with revenue cycle leaders, Information Technology, and other stakeholders to strengthen project execution, improve financial and operational performance, support sustainable process improvements, and advance initiatives across patient access, coding, revenue integrity, billing, and collections. In this role, you will: Manage a portfolio of revenue cycle projects, including feasibility and impact analysis, project planning, milestone tracking, risk management, prioritization, and delivery within established PMO frameworks.
Medical Patient Language Writing Specialist Cohere Health Technologies LLCMedical Patient Language Writing SpecialistCARemote$85,000–$92,000 / yearBy 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. With an enterprise approach that streamlines payer-provider decision-making across the care continuum-including policy, prior authorization, payment accuracy, and more-the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction.
Eyecare Billing Specialist Ultimate Staffing ServicesEyecare Billing SpecialistLong Beach, California$24–$27 / hourAccounts Receivable & Collections: Monitor and follow up on outstanding balances, work aging reports, and coordinate with patients, payers, and third-party agencies to resolve accounts. Responsible for supporting the full lifecycle of the revenue cycle, ensuring accurate, timely, and compliant financial processes from patient access through final payment resolution.
Strategic Medical Director, Diagnostic Imaging Cohere Health Technologies LLCStrategic Medical Director, Diagnostic ImagingCARemote$285,000–$305,000 / yearProvide leadership in the creation of comprehensive research packages, investigating specific clinical areas/offerings and strategic partners of interest to strengthen the offering, then execute on cultivating any external partnerships and/or vendor relationships as necessary. Build and expand client relationships by partnering with the Growth and Client Experience teams to uncover client pain points, deliver solutions, assign clients to managers as appropriate, and support upsell opportunities (e.g., Sleep programs).
Senior Physician Assistant - Radiology UCSF Medical CenterSenior Physician Assistant - RadiologyCAKey responsibilities for this role include (but not limited to) the following: Billable inpatient evaluation and management (E&M) services including evaluation of new adult and pediatric inpatient consults, daily rounding on established IR patients, assistance with admission and discharge for primary IR patients and with care coordination for all IR patients across all UCSF campuses. UCSF APPs are expected to demonstrate accountability for their own clinical practice, participate in patient and staff education, serve as resources for APPs, APP students/fellows, physician residents/fellows, nurses and other staff, exhibit leadership skills, and engage in the mentoring of newly hired APPs.
Vermont Rural Healthcare IT and HIM Leadership Opportunities Rural Staffing ServicesVermont Rural Healthcare IT and HIM Leadership OpportunitiesVermont, VermontRural Staffing Services® partners with rural hospitals, clinics, community health centers, long-term care organizations, and healthcare systems throughout Vermont to identify experienced information technology and health information leaders who understand the unique needs of rural healthcare. These opportunities may include leadership within Critical Access Hospitals, Rural Health Clinics, Federally Qualified Health Centers, community hospitals, long-term care organizations, and integrated rural healthcare systems.
Associate Director, Pharmacovigilance Operations CG Oncology IncAssociate Director, Pharmacovigilance OperationsCARemoteAt CG Oncology, we are building a community of intelligent and passionate team members that share our Vision, Mission and Values, and while the biotechnology space can feel limited in BIPOC, non-binary and even female representation, we endeavor to make hiring decisions that will continue to grow and support our team in the direction of maintaining cultural diversity and sustainability. CG Oncology offers very competitive and comprehensive Total Rewards, helping to support and reward our global team of high-performing employees focused on developing bladder-saving therapeutics for patients afflicted with bladder cancer.
Medical Billing Customer Representative UCLA Health SystemMedical Billing Customer RepresentativeLos Angeles, CA$30.79–$40.60 / hourAs 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. We're seeking detail-oriented, self-directed professional with: REQUIRED - Two years recent professional billing collection experience as well as two years of customer service experience.
Utilization Management Nurse, Senior- Medicare Concurrent Review Blue Cross and Blue Shield AssociationUtilization Management Nurse, Senior- Medicare Concurrent ReviewLong Beach, CARequires a current California RN License Requires at least 5 years of prior relevant experience Requires strong communication and computer navigation skills Desires strong teamwork and collaboration skills Requires independent motivation and strong work ethic Requires strong critical thinking skills Hybrid Virtual Work This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need. Your Work In this role, you will: Perform prospective, concurrent and retrospective utilization reviews and first level determination approvals for members using BSC and CMS evidenced based guidelines, policies and nationally recognized clinal criteria for BSC Medicare line of business.
Child/Adolescent Psychiatrist - Rape Treatment Center/Stuart House - Santa Monica University of CaliforniaChild/Adolescent Psychiatrist - Rape Treatment Center/Stuart 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.
Outpatient UM Coordinator MedPOINT ManagementOutpatient UM CoordinatorSherman Oaks, CAFull timeMedPOINT Management is a leading Independent Practice Association (IPA) management company based in Sherman Oaks, CA, providing comprehensive administrative and managed care services to physician networks across Southern California. MedPOINT Management is looking for a dedicated Outpatient Utilization Management Coordinator to join our team in Sherman Oaks, CA.
Quality Analyst Home Health, Lead Assistant Manager ExlService Holdings IncQuality Analyst Home Health, Lead Assistant ManagerCA$60,100–$98,700 / yearContinuous Improvement/Education actively participates with team to ensure alignment and sustained results; attends training (assigned or self-initiated) to improve performance or capitalize on new overpayment trends; keeps up with CMS, OIG, and other publications related to our business. EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates.
Surgery Scheduler The Los Angeles Cancer NetworkSurgery SchedulerGlendale, California$21–$28 / hourScheduler provides accurate information so that all departments may view daily and maintains open communication with hospital departments and physician offices regarding schedule changes. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.
Financial Clearance Specialist III - Prearrival - Full Time 8 Hour Rotating (Non-Exempt) (Non-Union) University of Southern CaliforniaFinancial Clearance Specialist III - Prearrival - Full Time 8 Hour Rotating (Non-Exempt) (Non-Union)Los Angeles, CA$26–$41.28 / 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. As a leading academic medical center, hundreds of clinical trials are currently taking place at Keck Hospital and its affiliated research institutions, giving patients access to novel and promising therapies that are generally not available elsewhere.
Utilization Management Assistant - Utilization Management Providence Health & ServicesUtilization Management Assistant - Utilization ManagementMission Hills, CA$24–$31.52 / hourTogether, 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. Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care.
Advanced Practice Provider (App), Nurse Practitioner (Np) Or Physician Assistant (Pa) COPE Health SolutionsAdvanced Practice Provider (App), Nurse Practitioner (Np) Or Physician Assistant (Pa)Los Angeles, CA$150,000–$200,000 / yearComprehensive AWV & Gap Closure: Perform Medicare Annual Wellness Visits in the home, completing detailed cognitive screenings, fall risk assessments, and personalized prevention plans while closing active quality care gaps and appropriately capturing HCC codes as part of documentation. This role executes in-home Annual Wellness Visits (AWVs), manages complex clinical transitions of care (TOC) immediately following hospital discharge, and provides long-term stabilization for high-acuity patients enrolled in Complex Care Management (CCM) and is proficient at HCC coding and medical disease documentation.
Physical Therapist Center Therapy Director ConcentraPhysical Therapist Center Therapy DirectorGardena, California$95,000–$125,000 / yearThis position is eligible to earn a base compensation rate in the state range of $95,000 to $125,000 annual salary depending on job-related factors as permitted by applicable law, such as level of experience, geographic location where the work is performed, and/or seniority. Masters use of clinical systems to ensure efficient and excellent supportive documentation, appropriate and optimal coding levels, charge capture, and follow-through on all patient care orders.
Lead SIU Investigator Centene Corporation GroupLead SIU InvestigatorCARemote$70,100–$126,200 / yearEducation/Experience: Bachelor's Degree in related field; or Associate's degree with 6 years related experience; or High School Diploma/GED with 7 years related experience. Provides direction and guidance to staff who investigate and remediate compliance and fraud, waste, and abuse related matters; while maintaining an investigative workload of moderate to high complexity.
Financial Clearance Specialist III - Prearrival - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaFinancial Clearance Specialist III - Prearrival - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Los Angeles, CA$22–$34.18 / 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. Preferred Qualifications: Required Licenses/Certifications: Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date.
Financial Clearance Specialist IV - Admitting - Full Time 8 Hour Variable Shift (Non Union) University of Southern CaliforniaFinancial Clearance Specialist IV - Admitting - Full Time 8 Hour Variable Shift (Non Union)Glendale, CA$26–$34 / hourMinimum Experience/Knowledge: Minimum (3) years of experience in a hospital, health plan or Physician office environment with extensive knowledge of contracted and non-contracted payers, division of financial responsibility, including the ability to articulate benefit negotiations as required when adjudicating a letter of agreement with a non-contracted payer. When 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.