RN- Care Review Clinician- Utilization Review (Remote- CA License Req) Molina Healthcare IncRN- Care Review Clinician- Utilization Review (Remote- CA License Req)Los Angeles, CARemoteResponsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
Business Solution & Application (BS&A) Architect (Remote) Community Health Systems IncBusiness Solution & Application (BS&A) Architect (Remote)CARemoteWith healthcare delivery systems in 36 distinct markets across 14 states, CHS operates 69 affiliated hospitals with more than 10,000 beds and approximately 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, imaging centers, cancer centers, and ambulatory surgery centers. As a Business Solution & Application (BS&A) Architect at Community Health Systems (CHS) you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve.
Remote Medical Director, Appeals Centene Corporation GroupRemote Medical Director, AppealsCARemote$236,500–$449,300 / yearLicense/Certifications: Active Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association's Department of Certifying Board Services. Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.
NewRemote Medical Director, Inpatient Medicare Centene Corporation GroupRemote Medical Director, Inpatient MedicareCARemote$236,500–$449,300 / yearCollaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. License/Certifications: Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association's Department of Certifying Board Services.
Senior Security Engineer IS- Identity and Access Management - Remote Providence St. Joseph HealthSenior Security Engineer IS- Identity and Access Management - RemoteLos Angeles, CARemoteExperience collaborating on security solution designs for the TCP/IP protocol suite, LAN/WAN technologies, switching, routing, VoIP and Telephony technologies, firewalls and VPN, intrusion prevention systems (IPS), vulnerability assessment and patch management tools. The Senior Security Engineer, Identity & Access Management is responsible for designing, implementing, and maintaining secure, scalable IAM solutions across hybrid environments, while driving modernization toward Zero Trust and cloud-based identity models.
Sr. Software Engineer - Provider Access (Remote) RulaSr. Software Engineer - Provider Access (Remote)Los Angeles, CaliforniaRemoteAs a Senior Software Engineer, you’ll play a central role in shaping this direction by bringing order to ambiguity, designing durable systems, and delivering software that directly impacts the provider experience. Our work sits at the intersection of provider experience and marketplace dynamics, increasing supply where it matters and reducing friction in how providers deliver care – so patients can find help quickly.
Data Analyst -Remote MedZed LLCData Analyst -RemoteLos Angeles, CARemoteThis is a highly visible, hands-on role: you will build the data sources, construct the dashboards, write the SQL and Python, document your work, train the people who use it, and own the backlog of enhancement requests. MedZed is a leader in delivering value-based, technology-enabled social support to high-cost Medicaid members who are unreachable and disconnected from their primary care provider.
Remote Care Partner Certified Medical Assistant Medsien IncRemote Care Partner Certified Medical AssistantCARemotePlease note that having national certification in Medical Assisting from AAMA, NHA, NCCT, NAHP or similar is a hard job requirement and any single-state certifications, diplomas or completion certificates do not qualify. Hundreds of organizations trust Medsien's unparalleled technology solutions to implement exceptional remote care management programs, personalize every interaction, and improve the lives of those who need it most.
Remote Evening General Radiologist - Radiology Partners Southern California Radiology Partners IncRemote Evening General Radiologist - Radiology Partners Southern CaliforniaCARemoteUsing 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. Desert Care Network has received the Joint Commission's Gold Seal of Approval, its highest level of certification, for its Advanced Primary Stroke Center and Advanced Congestive Heart Failure Program.
Director, Financial Controller - Remote Author Health LLCDirector, Financial Controller - RemoteCARemote$140,000–$160,000 / yearOwn revenue recognition across Author's multiple revenue streams - including fee-for-service, PMPM, and value-based arrangements - with an emphasis on clear documentation and a defined, repeatable process for how each stream is recognized and reviewed. Own the general ledger, the month-end close, and the accuracy of Author's financial statements - accounts payable, accounts receivable, and the monthly close - as the accountable leader for financial reporting integrity.
Senior Compensation Consultant - Remote Providence St. Joseph HealthSenior Compensation Consultant - RemoteIrvine, CARemoteThe Senior Compensation Consultant is instrumental in the development and ongoing administration, design, analysis and implementation of various Providence St. Joseph Health compensation programs, including pay for performance, salary structure design and modeling, complex costing scenarios and incentive plans. 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.
Senior Compensation Consultant - Remote Providence Health & ServicesSenior Compensation Consultant - RemoteCalifornia, CARemoteRequsition ID: 449763 Company: Providence Jobs Job Category: Compensation Job Function: Human Resources Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Business Professional Department: 4002 SS HR COMP ADMIN Address: WA Renton 1801 Lind Ave SW Work Location: Providence Valley Office Park-Renton Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. The Senior Compensation Consultant is instrumental in the development and ongoing administration, design, analysis and implementation of various Providence St. Joseph Health compensation programs, including pay for performance, salary structure design and modeling, complex costing scenarios and incentive plans.
Senior Business Application Solutions Engineer Remote US Covington & Burling LLPSenior Business Application Solutions Engineer Remote USCARemote$155,000–$193,500 / yearTo be granted access pursuant to US Export Control laws candidate must be either a a United States citizen or national b a person lawfully admitte d for permanent residence of the United States i.e. Green Card" holder or c an INS -approved refugee or asylum holder who has applied for naturalization within six months of the date the individual first became eligible and if not yet naturalized i s still actively pursuing naturalization if 2 years have passed since the date of application to be granted access pursuant to US Export Control laws. Senior Business Applications Engineer IT Application Solutions Summary The Senior Business Applications Engineer is responsible for delivering IT business applications and solutions to enhance critical business operations provide the Firm with differentiating capabilities and enable lawyer and staff effectiveness.
Billing Support Operations Manager (Remote) RulaBilling Support Operations Manager (Remote)Los Angeles, CaliforniaRemoteExpertise in independently mapping processes, defining performance metrics (i.e. CSAT, Average Handle Time, First Touch Resolution, Quality Assurance, Call Abandon Rates, etc.), and building scalable workflows that improve operational efficiency and quality. Proficiency building or using dashboards, independently analyzing metric movement (i.e. Google Sheets/Excel, Looker, PowerBI, Tableau), to identify root causes, and communicating the performance story and recommended actions to senior stakeholders.
Charge Description Master Specialist - Full time, Day, Remote Providence Health & ServicesCharge Description Master Specialist - Full time, Day, RemoteCalifornia, CARemoteRequsition ID: 431486 Company: Providence Jobs Job Category: Patient Financial Services Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4001 SS RC CHARGE DECR MSTR Address: CA Apple Valley 18300 Hwy 18 Work Location: St Mary Medical Center-Apple Valley Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. As a member of the PSJH System Revenue Integrity Chargemaster (RICDM) team, the CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided.
Sr. Mobile Engineer (Remote) RulaSr. Mobile Engineer (Remote)Los Angeles, CaliforniaRemoteYou'll own the end-to-end delivery of impactful features across iOS and Android using React Native, partnering closely with Product, Design, and backend engineers to create intuitive, reliable experiences that make mental health care more accessible. You'll help evolve our mobile architecture, improve engineering quality through testing and performance optimizations, and mentor teammates while contributing to the long-term success of our mobile platform.
Accounts Receivable Representative - Remote Providence Health & ServicesAccounts Receivable Representative - RemoteCalifornia, CARemoteRequsition ID: 433968 Company: Providence Jobs Job Category: Billing/Collections Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Admin Support Department: 4001 SS IS HCC ADMIN Address: WA Tukwila 2811 S 102nd St Work Location: Riverfront Technical Park-Tukwila Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. This position is responsible for the timely and accurate billing and collections of payments from insurance carriers, agencies and others for services provided by Providence Home and Community Care Services which could include the following service lines with a focus on skilled nursing and assisted living billing and follow up with the potential to float between self-pay, subacute, and ancillary services.
Account Executive - Fully Remote Banyan SoftwareAccount Executive - Fully RemoteLos Angeles, CARemoteReporting to the Vice President of Sales & Marketing, you will proactively seek new leads, creatively position our offerings, and maintain a laser focus on achieving your ambitious sales goals. Identify and Pursue New Business Opportunities: Conduct independent research and leverage industry insights to target high-potential prospects, focusing on expanding non-radio revenue.
Nurse Practitioner / Physician Assistant - Virtual - Remote CA license Tia IncNurse Practitioner / Physician Assistant - Virtual - Remote CA licenseCARemote$125,000–$135,000 / yearBecause this is a telehealth position, providers must be comfortable determining which concerns are appropriate for virtual care and coordinating timely in-person follow-up when a physical examination, diagnostic testing, imaging, specimen collection, or procedure is clinically indicated. Recognize and address related medical, behavioral health, and preventive care needs within your scope, while coordinating with Tia's primary care, mental health, and in-person clinical teams when additional evaluation or treatment is needed.
NewStaff AI Architect, Remote Experian Information Solutions IncStaff AI Architect, RemoteCARemoteExperience designing agentic AI architectures: orchestration layers, agent frameworks (LangGraph, AutoGen, Semantic Kernel, or equivalent), tool/API integration, evaluation pipelines, and operational monitoring of AI systems. This includes ECS, Kubernetes clusters (EKS), service mesh, API gateway strategy, secrets management, IAM/RBAC governance, and data stores like DynamoDB, Aurora RDS, Postgres, Elastic/OpenSearch.