Remote Pharmacy Technician Prior Auth Molina Healthcare IncRemote Pharmacy Technician Prior AuthCARemotePerforms initial receipt and review of non-formulary or prior authorization requests against pharmacy plan approved criteria; requests additional information from providers as needed to properly evaluate requests. Assists Molina member services, pharmacies, and health plan providers in resolving member prescription claims, prior authorizations, and pharmacy service access issues.
Project Controls Scheduler (Remote) SOLV Energy LLCProject Controls Scheduler (Remote)CARemote$91,520–$114,400 / yearIn addition, candidate introductions or resumes can only be submitted to our internal talent acquisition recruiting team if a signed vendor agreement is already on file and the third-party recruiter or agency has received formal instructions from our internal talent acquisition team to submit candidates for a particular job posting. SOLV Energy is a leading provider of infrastructure services to the power industry, designing, building and maintaining utility scale solar, battery storage and high voltage substation projects nationwide.
Associate Director, Healthcare Economics (Remote) UnitedHealth Group IncAssociate Director, Healthcare Economics (Remote)Irvine, CARemote$112,700–$193,200 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. As Optum West continues its integration into the National Healthcare Economics (HCE) Data Ecosystem, this leader plays an increasingly important role in leveraging market-specific legacy, proprietary, and public healthcare data to generate actionable insights, enhance analytical capabilities, and inform strategic decision-making.
Sr iOS Developer- REMOTE TechoundsllcSr iOS Developer- REMOTEAliso Viejo, CaliforniaRemoteCollaboration: Work closely with cross-functional teams, including, backend developers, and project managers, to deliver high-quality solutions. Hands-on experience with Realm Database for local data management and MongoDB Atlas for cloud data synchronization.
Equipment Finance Account Manager - Commercial Finance - Remote Ameris BancorpEquipment Finance Account Manager - Commercial Finance - RemoteCosta Mesa, CARemoteBanking Advantages for Employees: In addition to a wide array of benefits, Ameris Bank employees are also eligible for special bank services. Teammates have access to Employee Resource Groups that serve as advocates and purpose and how you can bring it to life as an Ameris Bank teammate.
SEO Content Writer (Remote) Community InfluencerSEO Content Writer (Remote)Laguna Beach, CARemoteTeam Player: In addition to working directly with the Content Manager, the SEO Content Writer will also work with the CEO, Project Manager, and the Content Team (i.e., Graphic Designer, SEO Specialist, and other Content Creators) to create blog content. Quality Communication : The SEO Content Writer will need to maintain strong partner relationships to maximize media effectiveness and assist in pitching product placements, sponsorships, collaborations, and PR on behalf of the company.
Senior Software Engineer, AI Platform US - Remote or Calgary Syndio Solutions, Inc.Senior Software Engineer, AI Platform US - Remote or CalgaryCARemote$205,000–$225,000 / yearAbout the Role: Syndi is Syndio''s AI platform - one shared agent experience (in-product chat, Slack, Teams) serving our product lines, built on syndi-api: an agent runtime owning orchestration, tool calling, memory, RAG, evals, and observability, live in production today. The platform is young (v1 shipped this quarter), moving fast, and designed around a clear operating model: product teams contribute domain content through APIs, evals, and knowledge - the platform owns the experience.
Investigator, Special Investigative Unit Coding (Remote) Molina Healthcare IncInvestigator, Special Investigative Unit Coding (Remote)CARemoteWorking knowledge of local, state and federal laws and regulations pertaining to health insurance, investigations and legal processes (commercial insurance, Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy, etc.). In some states, 5 years of experience working in a fraud, waste and abuse (FWA)/special investigations unit (SIU)/fraud investigations role may be required (dependent on state/contractual requirements).
HV Training and Technical Support Specialist (Remote) SOLV Energy LLCHV Training and Technical Support Specialist (Remote)CARemote$113,100–$141,375 / yearIn addition, candidate introductions or resumes can only be submitted to our internal talent acquisition recruiting team if a signed vendor agreement is already on file and the third-party recruiter or agency has received formal instructions from our internal talent acquisition team to submit candidates for a particular job posting. Any unsolicited candidate introductions, referrals or resumes sent by third-party recruiters to SOLV Energy or directly to any of our employees, or received through our website or career portal, will be considered property of SOLV Energy and will not be eligible for a placement fee.
Senior Cybersecurity Risk Analyst - USA Remote DanaherSenior Cybersecurity Risk Analyst - USA RemoteLos Angeles, CARemote$130,000–$160,000 / yearIn this role, you will have the opportunity to: Execute the third-party risk management (TPRM) lifecycle end-to-end, including vendor intake, inherent-risk tiering, security and privacy questionnaire administration, evidence collection and review, scoring, and final risk decisioning under the direction of the TPRM Lead. The essential requirements of the job include: Strong working knowledge of third-party risk management frameworks and methodologies (e.g., Shared Assessments SIG, NIST SP 800-161, ISO/IEC 27036) and the underlying security and privacy regulatory landscape (GDPR, HIPAA, PCI DSS, SOX).
NewSenior Analyst, Medical Economics - Senior Analyst, Medical Economics (Trend Analytics, SQL, Power BI, Medicaid) - REMOTE Molina Healthcare IncSenior Analyst, Medical Economics - Senior Analyst, Medical Economics (Trend Analytics, SQL, Power BI, Medicaid) - REMOTECARemoteDemonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. Provides senior-level analytical support for Medical Economics initiatives through the extraction, analysis, and synthesis of complex healthcare data to identify risks, opportunities, and drivers of medical cost and utilization trends.
NewAVP, Medical Economics - REMOTE Molina Healthcare IncAVP, Medical Economics - REMOTECARemoteAdvanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. Leads and directs Strategic and Clinical Analytics team members in Medical Economics who are responsible for healthcare analytics and program evaluation, translating complex data into actionable insights that inform clinical, operational, and strategic decision-making.
NewClinical Consultant - Physician Associate - Remote UnitedHealth Group Inc.Clinical Consultant - Physician Associate - RemoteCypress, CARemote$91,700–$163,700 / yearPerform individual case review for appeals and grievances for various health plan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP (The appeals are in response to adverse determinations for medical services related to benefit design and coverage, medical necessity, and the application of clinical criteria of medical policies). Primary Responsibilities: In collaboration with and supervision by an Appeals and Grievances Medical Director, the Physician Associate is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies.
Vice President of Data Management - Remote OR Hybrid Genesis10Vice President of Data Management - Remote OR HybridAnaheim, CARemote$180,000–$220,000 / hourFull timeThe Vice President of Data Management will lead a team of technology professionals, drive digital transformation initiatives, modernize enterprise data architecture, and partner closely with business stakeholders to enhance operational efficiency, customer experience, and regulatory compliance. Ranked a Top Staffing Firm in the U.S. by Staffing Industry Analysts for six consecutive years, Genesis10 puts thousands of consultants and employees to work across the United States every year in contract, contract-for-hire, and permanent placement roles.
Wealth Transition Services Tax Manager - Tax & Estate Planning - Remote Eligible Eide Bailly LLPWealth Transition Services Tax Manager - Tax & Estate Planning - Remote EligibleIrvine, CARemote$105,000–$180,000 / yearA typical day as a Wealth Transition Services Tax Manager might include the following: Advising and consulting on the estate planning process to create plans based from the tax perspective on cash flow projections, distribution of income, business succession, estate preservation and estate plan flow. The Wealth Transition Services Manager will interact with clients with high net worth and ultra-high net worth and will speak to groups on wealth transition topics.
AI Expert Senior Software Engineer - Healthcare Analytics - Remote Oracle CorpAI Expert Senior Software Engineer - Healthcare Analytics - RemoteCARemote$79,200–$178,100 / yearWe're looking for highly skilled AI engineers to design and build high-scale, cloud-based data processing pipelines that ingest, transform, and analyze massive volumes of healthcare data with low latency, powering business insights and analytics across EHR and RCM systems. You will leverage LLMs, AI agents, and modern data platforms to solve problems like clinical decision support, revenue optimization, and workflow automation while using AI-assisted development tools to accelerate delivery.
Contact Center Associate - Authorizations Agent - 100% Remote Frontdoor IncContact Center Associate - Authorizations Agent - 100% RemoteCARemote$16–$17 / hourAmerican Home Shield, the category leader in home service plans with approximately two million members, gives homeowners budget protection and convenience, covering up to 23 essential home systems and appliances. As the parent company of two leading brands, we bring over 50 years of experience in providing our members with comprehensive options to protect their homes from costly and unexpected breakdowns through our extensive network of pre-qualified professional contractors.
Workers' Compensation Defense Attorney - Remote Karlin Hiura & LaSotaWorkers' Compensation Defense Attorney - RemoteArcadia, CARemoteFull timeexperience and the ability to manage a full caseload of workers' compensation cases of varying degrees of complexity. KHL has openings for defense attorneys in our Northern, Southern and Central California regions.
Estimator, Services (Remote) SOLV Energy LLCEstimator, Services (Remote)CARemote$104,215–$130,270 / yearIn addition, candidate introductions or resumes can only be submitted to our internal talent acquisition recruiting team if a signed vendor agreement is already on file and the third-party recruiter or agency has received formal instructions from our internal talent acquisition team to submit candidates for a particular job posting. SOLV Energy is a leading provider of infrastructure services to the power industry, designing, building and maintaining utility scale solar, battery storage and high voltage substation projects nationwide.
Care Review Clinician (RN) Remote Molina Healthcare IncCare Review Clinician (RN) RemoteCARemoteResponsible 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.