Need - Machine Learning Engineer - Remote Pride Technologies LLCNeed - Machine Learning Engineer - RemoteCARemote$55–$60 / hourOnly applicable for San Francisco Candidates: Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation. Responsibilities: Proficiency in supervised and unsupervised learning algorithms is essential, along with experience in neural networks and natural language processing (NLP).
Single Use Technology Expert - Remote, California Sartorius AGSingle Use Technology Expert - Remote, CaliforniaCARemoteAs a Single Use Technology Expert, the role is dedicated to a key account and focuses on defining and implementing the Single Use Technology (SUT) strategy, driving adoption of innovative technologies, and supporting future molecule development. As a growing global life science company, with our stock listed on the German DAX and TecDAX, Sartorius offers a wide range of benefits: Personal and Professional Development: Mentoring, leadership programs, internal seminar offerings.
Associate Analyst, Provider Configuration (Remote) Molina Healthcare IncAssociate Analyst, Provider Configuration (Remote)CARemoteSynchronizes data within multiple claims systems and validates data stored within provider databases - ensuring adherence to business and system requirements as it pertains to contracting, network management and credentialing. Provides entry level analyst support for provider configuration activities including accurate and timely maintenance of critical provider information on all claims and provider databases.
Specialist, Appeals & Grievances Remote Molina Healthcare IncSpecialist, Appeals & Grievances RemoteCARemoteRequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
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.
Remote Clinical Review Pharmacist Pharmacy CareersRemote Clinical Review PharmacistLos Angeles, 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 – RemoteLos Angeles, 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.
Account Executive (Remote: California) Santa Monica, Beverly Hills, Los Angeles, Woodland Hills and Van Nuys Vitu IncAccount Executive (Remote: California) Santa Monica, Beverly Hills, Los Angeles, Woodland Hills and Van Nuyssanta monica, CARemoteFull timeThe Account Executive position is held by a dynamic, highly motivated, service-oriented individual providing training and “white glove” service focused on making clients’ lives easier with the ultimate result of increased software utilization/revenue generation, client retention, and stellar Vitu reputation. Vitu has opportunities in California, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Kentucky, Massachusetts, Maryland, Minnesota, Montana, North Carolina, New Jersey, New York, Ohio, Oregon, Pennsylvania, Texas, Virginia, and Wisconsin.
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.
NewSenior Staff Medical Writer (Remote) Stryker CorpSenior Staff Medical Writer (Remote)Los Angeles, CARemote$110,100–$183,400 / yearHowever, 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. This position partners closely with Regulatory Affairs, Clinical Affairs, Quality, Research & Development, and Marketing teams to translate complex clinical evidence into high-quality regulatory and scientific documents throughout the product lifecycle.
NewAI 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.
Actuarial Consultant (Finance & Actuarial) - REMOTE Molina Healthcare IncActuarial Consultant (Finance & Actuarial) - REMOTECARemoteProvides subject matter expert level consultant expertise for actuarial function activities including extracting, analyzing, and synthesizing data from various sources to identify risks. Proficient in Microsoft Office suite products, including key skills in Excel (VLOOKUPs and pivot tables), and applicable software program(s) proficiency.
Engineer, EIS - Endpoint Security - Remote Molina Healthcare IncEngineer, EIS - Endpoint Security - RemoteCARemoteBuilds company specific systems and technology expertise across multiple infrastructure and development disciplines. Contributes to solution architecture delivery within project management methodologies and timelines.
[Remote] Senior Site Reliability Developer- USC Required Oracle Corp[Remote] Senior Site Reliability Developer- USC RequiredCARemote$91,400–$187,000 / yearOracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle''s differing products, industries and lines of business. We're looking for engineers who enjoy solving production problems at scale, improving system reliability through automation, and building infrastructure that directly supports patient care.
Manager, Actuarial Services - REMOTE Molina Healthcare IncManager, Actuarial Services - REMOTECARemoteActivities include extracting, analyzing, and synthesizing data from various sources to identify risks and opportunities; also supports analysis and reporting to operational and finance partners. Proficient in Microsoft Office suite products, including key skills in Excel (VLOOKUPs and pivot tables), and applicable software program(s) proficiency.
Specialist, Claims Recovery (Remote) Molina Healthcare IncSpecialist, Claims Recovery (Remote)CARemoteResearches simple to complex claims payments using tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other resources to validate overpayments made to providers. Enters and updates recovery applications and claim systems for multiple states and prepares/creates overpayment notification letters with accuracy; processes claims as a refund or auto debit in claim systems and in recovery application.
Senior Architect, Information Systems - Databricks - Remote Molina Healthcare IncSenior Architect, Information Systems - Databricks - RemoteCARemoteDrive architecture strategy, platform modernization, and solution delivery while partnering with business and technology leaders to build scalable, secure, AI-ready data platforms. Hands-on technology leader who can define the vision, lead delivery, and drive adoption of modern data solutions.
Senior Specialist, Coding (Remote) Molina Healthcare IncSenior Specialist, Coding (Remote)CARemoteJob Description: The Senior Specialist, Coding Research supports Payment Integrity Prepay operations by researching correct coding edit inquiries, analyzing edit outcomes, validating coding rationale, and monitoring savings and accuracy trends within assigned scope. This role partners with Health Plans, vendors, and internal stakeholders to support consistent application of coding guidelines, timely issue resolution, savings integrity, and accurate claim edit outcomes.
Senior Architect, Artificial Intelligence Security - AI Implemenation - Remote Molina Healthcare IncSenior Architect, Artificial Intelligence Security - AI Implemenation - RemoteLos Angeles, CARemoteExperience designing Generative AI (GenAI) solutions, with experience in Machine Learning Operations (MLOps), Large Language Models (LLM), OpenAI, CoPilot Studio, Agentic AI frameworks such as Langchain, LangGraph and Agent Development Kit (Google ADK), Data Foundry, and Data Fabric. Agentic AI Security: Leads the threat modeling, risk assessment, and security control design for autonomous AI agents, focusing on mitigating risks such as prompt injection, tool abuse, and uncontrolled agentic behavior.
Program Manager (Quality Strategy & Performance) - Remote Molina Healthcare IncProgram Manager (Quality Strategy & Performance) - RemoteCARemoteProvides support to Molina functional areas through program management, including policy, workflow and process documentation, management of program controls, vendor practices, budgets, governance frameworks, playbooks and best practices, and champion networks, as applicable. At the direction of program (CoE, Shared Service or other functional area) leadership, supports portfolio management and/or initiative-specific change and project management.