Senior Accountant - Pharmacy (REMOTE) SCAN Health PlanSenior Accountant - Pharmacy (REMOTE)Long Beach, CaliforniaRemote$92,400–$133,671 / yearSupport month-end close activities for the Medicare Part D (pharmacy) business unit, including journal entries for pharmacy claims, manufacturer rebates, Direct and Indirect Remuneration (DIR) fees, manufacturer discount program, plan-to-plan payments and Part D settlement estimates with CMS. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information.
AI Automation Engineer - Remote City of HopeAI Automation Engineer - 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 treatment facilities in Atlanta, Chicago and Phoenix. develop AI agents on within City of Hope's core platforms; Integrate automation solutions with EHRs, clinical systems, data platforms, and enterprise applications while ensuring secure handling of PHI/PII in compliance with HIPAA and organizational policies.
Remote Clinical Review Pharmacist Pharmacy CareersRemote Clinical Review PharmacistFontana, CaliforniaRemoteAbout Us We are a confidential healthcare organization providing managed-care and pharmacy review services across the U.S. Our pharmacists ensure the right medication reaches the right patient at the right time. Remote Clinical Review Pharmacist – Work From Home | Evidence-Based Decisions | Flexible Schedule Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role.
Drug Utilization Review (DUR) Pharmacist – Remote Pharmacy CareersDrug Utilization Review (DUR) Pharmacist – RemoteFontana, CaliforniaRemoteRemote DUR Pharmacist – Safe & Cost-Effective Medication Use | Work From Home Analyze medication use patterns, apply clinical guidelines, and collaborate with providers — all from home. This remote Drug Utilization Review Pharmacist role is ideal for pharmacists who enjoy clinical analysis and want to improve outcomes at scale.
NewAppeals M.D. - Gastroenterologist Required - Remote UnitedHealth Group Inc.Appeals M.D. - Gastroenterologist Required - RemoteCypress, CARemote$238,000–$357,500 / yearTotal cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. Communicate with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues.
NewAppeals Medical Director - Emergency Medicine Required - Remote UnitedHealth Group Inc.Appeals Medical Director - Emergency Medicine Required - RemoteCypress, CARemote$248,500–$373,000 / yearCommunicate with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
NewAppeals Medical Director - Remote UnitedHealth Group Inc.Appeals Medical Director - RemoteCypress, CARemote$248,500–$373,000 / yearCommunicate with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Appeals M.D. - Family Or Internal Medicine Required - Remote UnitedHealth Group Inc.Appeals M.D. - Family Or Internal Medicine Required - RemoteCypress, CARemote$248,500–$373,000 / yearCommunicate with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
National Medical Director, Clinical AI Innovation And Performance - Remote UnitedHealth Group Inc.National Medical Director, Clinical AI Innovation And Performance - RemoteLos Angeles, CARemote$386,500–$579,500 / yearThe MD will establish efficient and consistent annotation, training and testing models to ensure medical policies are accurately interpreted, evidence based, consistently applied, and operationally effective, This role serves as the clinical authority for guideline interpretation, clarification, and enhancement, ensuring that approved medical policy and supporting evidence are translated into UM clinical criteria that enable appropriate coverage decisions, support safe and effective care, and scale across enterprise operations. MD will also be a key member of the UCS clinical and AI leadership team, collaborating on clinical program design, data models, AI use and modernization.
NewAppeals And Grievances Medical Director Reconsiderations - Remote UnitedHealth Group Inc.Appeals And Grievances Medical Director Reconsiderations - RemoteCypress, CARemote$248,500–$373,000 / yearTotal cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. Communicate with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues.
NewManager Of Provider Transition And Growth - Remote Within The Los Angeles Metro Area UnitedHealth Group Inc.Manager Of Provider Transition And Growth - Remote Within The Los Angeles Metro AreaTorrance, CARemote$72,800–$130,000 / yearThe Manager of Provider Transition and Growth, is responsible for leading and overseeing all membership movement activities associated with Primary Care Provider departures, retirements, panel updates, site closures, and strategic provider realignment initiatives across the Optum CA market. Partner extensively with Operations, Provider Network, Market Leadership, Compliance, and external stakeholders to ensure accurate and timely membership movement.
NewAppeals M.D. - Oncologist Required - Remote UnitedHealth Group Inc.Appeals M.D. - Oncologist Required - RemoteCypress, CARemote$248,500–$373,000 / yearTotal cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. Communicate with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues.
NewAssociate Director Business Process - Claim And Appeal Operations - Remote In US UnitedHealth Group Inc.Associate Director Business Process - Claim And Appeal Operations - Remote In USLos Angeles, CARemote$112,700–$193,200 / yearThe Associate Director Business Process operates in a highly matrixed environment, managing complex initiatives, advancing cost-efficiency strategies, and delivering data-driven insights that inform decision-making and improve operational outcomes across Claim & Appeal Operations. The Associate Director Business Process, Claim & Appeal Operations serves as a key strategic partner to the Claim & Appeal Operations VP, driving execution of operational, financial, and strategic priorities across the organization.
NewAppeals M.D. Double Boarded Med-Peds Or FM M.D. - Remote UnitedHealth Group Inc.Appeals M.D. Double Boarded Med-Peds Or FM M.D. - RemoteCypress, CARemote$248,500–$373,000 / yearTotal cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. Communicate with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues.
NewAssociate Director, Network Pricing - Remote In PST Or MST UnitedHealth Group Inc.Associate Director, Network Pricing - Remote In PST Or MSTCypress, CARemote$112,700–$193,200 / yearThe Associate Director of Healthcare Economics - Network Pricing supports Provider Network contracting and unit cost management activities through financial modeling, analysis of utilization, and reporting (VBC agreements, physicians, hospitals, pharmacies, ancillary facilities, shared/full risk delegation, etc.). Required Qualifications: 5+ years of experience in creating and using financial modeling tools, spreadsheets, and information acquisition tools including experience in interpreting and reviewing financial modeling results to evaluate the financial impact of contract changes and develop forecasts.
Associate Director, Network Pricing - Remote in PST/MST UnitedHealth GroupAssociate Director, Network Pricing - Remote in PST/MSTCypress, CARemote$112,700–$193,200 / yearThe Associate Director of Healthcare Economics - Network Pricing supports Provider Network contracting and unit cost management activities through financial modeling, analysis of utilization, and reporting (VBC agreements, physicians, hospitals, pharmacies, ancillary facilities, shared/full risk delegation, etc.). + 5+ years of experience in creating and using financial modeling tools, spreadsheets, and information acquisition tools including experience in interpreting and reviewing financial modeling results to evaluate the financial impact of contract changes and develop forecasts.
BAS - Tridium Integrator (50% Remote/50% Field) ControlsJobsBAS - Tridium Integrator (50% Remote/50% Field)Chino, CaliforniaRemoteThey work with a number or Hospitals, Healthcare Facilities, Universities, Schools, Government State Agencies, large Commercial Building and Business Plazas, and many more. They deal multiple highly-desirable controls product lines that are Tridium Niagara based, which allows them to integrate into other control systems.
Bilingual/Spanish Board Certified Behavior Analyst Remote BCBA BrightSpring Health ServicesBilingual/Spanish Board Certified Behavior Analyst Remote BCBAAnaheim, CARemoteState Specific Requirements: Illinois: Board Certified Behavior Analysts (BCBA), Licensed Clinical Psychologist, Board Certified Associate Behavior Analyst (BCaBA), or a minimum of a bachelor's degree with 1500 hours of supervised experience performed by a Licensed Psychologist or BCBA. The behavior analysts, therapists, social workers, counselors, and psychologists at SpringHealth combine their expertise to deliver high-quality behavioral services for clients to live more positive, active, and social lives.
Remote Dietitian Compass Group USA IncRemote DietitianCulver City, CARemote$32–$35 / hourCompass Group employs over 3,000 RDNs across the United States, making us one of the nation's largest employers of Dietitians in a variety of settings: Hospitals and healthcare systems. The company has earned significant recognition, including being named one of Modern Healthcare's "Top 100 Best Places to Work in Healthcare" for five consecutive years, and appearing on Training Magazine's Top 125 Organizations list for six straight years.
Staff Software Engineer (PACS) - Full Time - Remote Experity IncStaff Software Engineer (PACS) - Full Time - RemoteCARemote$121,400–$161,000 / yearOnePACS is a cloud-based PACS platform supporting radiology groups, teleradiology providers, imaging centers, and healthcare organizations that depend on reliable, high-volume diagnostic imaging workflows. Flexibility - Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance.