Attorney | Healthcare Litigation | Remote | 148986 Mission RecruitingAttorney | Healthcare Litigation | Remote | 148986Los Angeles, CARemoteYou’ll need to be comfortable working independently, getting granular with research and case analysis, and learning healthcare-specific subject matter. Earn $125,000–$180,000+ DOE, plus substantial billable-hour bonuses.
NewRN Case Manager – Managed Care REMOTE TEEMA GroupRN Case Manager – Managed Care REMOTELos Angeles, CARemote$39–$41Care Coordination : Work closely with interdisciplinary teams, including physicians, case managers, social workers, and other healthcare professionals, to develop and implement individualized care plans for patients. This role involves assessing, monitoring, educating, and supporting patients in managing their diseases to improve overall health and quality of life while reducing unnecessary hospitalizations and emergency care.
Consulting Manager, Program Manager- Healthcare Cognizant Technology Solutions CorpConsulting Manager, Program Manager- HealthcareLong Beach, CARemote$100,000–$129,500 / yearYou will be a valued member of the Cognizant Consulting Healthcare Practice and work collaboratively with client executives, business leaders, technology teams, vendors, and cross-functional stakeholders to deliver complex transformation outcomes. As a Consulting Manager, Claims Modernization (QNXT Migration) Program Manager, you will make an impact by leading large-scale healthcare payer transformation initiatives focused on claims platform modernization and QNXT migration programs.
NewConsulting Manager, Claims modernization Program Manager (healthcare) Cognizant Technology Solutions CorpConsulting Manager, Claims modernization Program Manager (healthcare)Long Beach, CARemote$105,000–$129,500 / yearYou will be a valued member of the Healthcare Consulting team and work collaboratively with business leaders, product owners, architects, UX/UI teams, API developers, vendors, and client stakeholders to successfully execute complex claims modernization initiatives. In this role, you will combine program leadership, stakeholder management, and healthcare domain expertise to drive the successful delivery of enterprise-scale transformation programs while enhancing member and provider experiences.
Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselCARemote$135,000–$185,000 / yearPhysical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. Issue-spot and provide practical guidance on applicable laws and regulations, such as the Anti-Kickback Statute (AKS), Stark Law, False Claims Act, FDA/DEA requirements relevant to pharmacy and telehealth operations, state pharmacy/professional licensing, PBM contracting/network participation, and HIPAA/HITECH.
NewClinical Care Transition Educator / RN - Part-time Remote Option Care Health IncClinical Care Transition Educator / RN - Part-time RemoteLos Angeles, CARemote$46.60–$77.67 / hourEvaluate, educate, and train patients, caregivers, and facility staff about how OCH services & products will be facilitated in an alternative site, in-home, or virtually in order to ensure successful transition of patients to an Option Care Health delivery model. 100% local travel to and from partnerships facilities, community hospitals, and medical practice offices to sell Option Care Services, process referrals and provide live education and training support to patient/caregiver and referral sources.
Inside Sales Agent-Healthcare Call Center Alura Workforce SolutionsInside Sales Agent-Healthcare Call CenterRemote, CARemote$20–$25 / hourAn innovative leader in ophthalmology, they deliver an exceptional patient experience through advanced technology and a team of highly skilled, experienced surgeons — trusted by more than 3,000 referring eye doctors nationwide. We're looking for a high energy, people focused Inside Sales Call Center Agent who excels at building trust, influencing decisions, and guiding patients toward life-changing vision correction procedures.
Inside Sales Agent-Healthcare Call Center 26-00240 Alura Workforce SolutionsInside Sales Agent-Healthcare Call Center 26-00240Aliso Viejo, CARemote$20–$25 / hourAn innovative leader in ophthalmology, they deliver an exceptional patient experience through advanced technology and a team of highly skilled, experienced surgeons — trusted by more than 3,000 referring eye doctors nationwide. We're looking for a high energy, people focused Inside Sales Call Center Agent who excels at building trust, influencing decisions, and guiding patients toward life-changing vision correction procedures.
Healthcare Recruiter The Business TreeHealthcare RecruiterLos Angeles, CaliforniaRemoteJob Description: As a Healthcare Recruiter at The Business Tree, you will play a vital role in sourcing, screening, and selecting top-tier candidates for healthcare positions across various specialties. How to Apply: If you are passionate about healthcare recruitment and want to join a dynamic team at The Business Tree, please submit your resume and cover letter detailing your relevant experience and why you are a great fit for this role.
Service Excellence Manager - RN (Remote) Access TeleCare LLCService Excellence Manager - RN (Remote)CARemoteDuties include building effective relationships with client stakeholders, developing clinician workflows, supporting new program implementation, creating action plans to support service performance, and interfacing with clinicians to facilitate clinical excellence. Build and maintain positive working relationships with partner facility clinical staff; train partner staff on tasks that promote clinical workflow efficiency such as cart coordination, and address concerns in a timely manner.
Healthcare Analyst II Cohere Health Technologies LLCHealthcare Analyst IICARemote$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.
NewRN, Patient Navigator REMOTE City of HopeRN, Patient Navigator REMOTECARemoteCity of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and cancer treatment centers and outpatient facilities in the Atlanta, Chicago and Phoenix areas. With an independent, National Cancer Institute-designated comprehensive cancer center that is ranked top 5 in the nation for cancer care by U.S. News & World Report at its core, City of Hope's uniquely integrated model spans cancer care, research and development, academics and training, and a broad philanthropy program that powers its work.
Inpatient Review Nurse (Remote | California RN/LVN License Required | Pacific Time Schedule) Alignment Healthcare IncInpatient Review Nurse (Remote | California RN/LVN License Required | Pacific Time Schedule)CARemote$77,905–$116,858 / yearAs an inpatient review nurse, you will assist patients through the continuum of care in collaboration with the patient's primary care physician, facility case manager, discharge planner and employing contracted ancillary service providers and community resources as needed. Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors; Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly.
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.
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.
Senior Security Engineer IS- Identity and Access Management - Remote Providence Health & ServicesSenior Security Engineer IS- Identity and Access Management - RemoteCalifornia, CARemoteRequsition ID: 447631 Company: Providence Jobs Job Category: Information Security Job Function: Information Technology Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Business Professional Department: 4011 SS IS ESI IDENTITY ENG 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. Experience 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.
NewRN Call Center Nurse - CA Remote UnitedHealth Group IncRN Call Center Nurse - CA RemoteTorrance, CARemote$28.94–$51.63 / hourThe 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. We have received recent reports of fraudulent LinkedIn messages and emails alleging or claiming to be sent from UnitedHealth Group, UnitedHealthcare, or Optum Executives.
NewRN Call Center Nurse Per Diem - Remote UnitedHealth Group IncRN Call Center Nurse Per Diem - RemoteTorrance, CARemote$29–$52 / hourThe 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. We have received recent reports of fraudulent LinkedIn messages and emails alleging or claiming to be sent from UnitedHealth Group, UnitedHealthcare, or Optum Executives.
Part -Time Registered Dietitian (90% remote) RD Nutrition ConsultantsPart -Time Registered Dietitian (90% remote)Artesia, CaliforniaRemoteThis role allows flexibility and a balanced blend of in-person and remote work, ensuring our patients receive the best care while our team enjoys a work-life harmony. Conduct comprehensive nutritional assessments on new admissions and quarterly thereafter, with more frequent reviews as needed for high-risk residents.
Director, Staffing Transformation & Operations - Remote Included HealthDirector, Staffing Transformation & Operations - RemoteLos Angeles, CARemote$186,360–$229,779 / yearReporting to the Head of Member Care Strategy & Operations, you will partner closely with Member Care Advocacy (our member-facing teams), Staffing Forecasting, Quality, Training, Project Management, Finance, Product, Engineering, IT and vendor partners to turn strategic priorities into an operating model that works in production. You will directly oversee workforce management and scheduling functions (skilling, staffing, scheduling, and real‑time management) and vendor/BPO operations, ensuring we consistently meet or exceed service level, quality, and margin goals while delivering a top-notch member and employee experience.