NewSenior Director, Strategic & Named Accounts - Healthcare - Remote InfobloxSenior Director, Strategic & Named Accounts - Healthcare - RemoteLos Angeles, CARemoteHere, how we empower our people is extraordinary: Glassdoor Best Places to Work 2025, Great Place to Work-Certified in five countries, and Cigna Healthy Workforce honors three years running — and what we build is world-class: recognized as CybersecAsia’s Best in Critical Infrastructure 2024 — evidence that when first-class technology meets empowered talent, remarkable careers take shape. This role requires a proven enterprise sales executive with a track record of scaling high-performing organizations, developing leaders, building executive customer relationships, and consistently exceeding aggressive growth targets within cybersecurity, networking, cloud, SaaS, or adjacent enterprise technology markets.
NewREMOTE - Senior Tax Manager - Private Client Services JobotREMOTE - Senior Tax Manager - Private Client ServicesIrvine, CARemote$140,000–$170,000 / yearWe serve over 5,000 clients across the U.S. — high-net-worth individuals and families, founders and tech executives, fund managers, real estate investors, and owner-operated businesses — each with complex, multi-layered tax needs that demand genuine expertise, not cookie-cutter compliance. We're one of the fastest-growing private client tax advisory firms in the country, built from the ground up to do what legacy firms simply can't: deliver proactive, year-round, white-glove tax strategy powered by modern technology.
NewUS Mental Health Therapist (Contractor) - Remote Spring HealthUS Mental Health Therapist (Contractor) - RemoteLos Angeles, CARemote$70–$150 / hourProvide psychotherapy to clients with benefits ranging from short-term goal-focused EAP, to employer health plans allowing many sessions as medically necessary. Our clinically validated technology, Precision Mental Healthcare, empowers us to deliver the right care at the right time—whether it’s therapy, coaching, medication, or beyond—tailored to each individual’s needs.
NewMarketing Manager - Remote ButterflyMXMarketing Manager - RemoteLos Angeles, CARemoteAccess to optional benefits including pre-tax flexible healthcare spending accounts (FSA and HSA), Dependent Care FSA, and Commuter Benefits, as well as optional Supplemental Life, AD&D, Hospital Indemnity, Disability, Legal, Accident, Critical Illness, Pet, and Personal Liability Insurance. Our products are installed in more than 15,000+ multifamily, commercial, gated communities, and student-housing properties worldwide, including properties developed, owned, and managed by the most trusted names in real estate.
NewSenior Manager, Clinical Educator, Sickle Cell Disease - Remote Agios PharmaceuticalsSenior Manager, Clinical Educator, Sickle Cell Disease - RemoteLos Angeles, CARemote$131,035–$196,553 / yearThe current base salary range for this position is expected to be between $131,035 and $196,553 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. The ACE will also gain insights from clinical teams and office staff supporting patients with sickle cell disease to further their understanding of the disease burden associated with sickle cell disease and the types of support they need for their patients.
NewAssociate Director, Clinical Educator, Sickle Cell Disease (East Zone) - Remote Agios PharmaceuticalsAssociate Director, Clinical Educator, Sickle Cell Disease (East Zone) - RemoteLos Angeles, CARemote$153,541–$230,312 / yearThe current base salary range for this position is expected to be between $153,541 and $230,312 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. The Regional Agios Clinical Educator Manager is a unique leadership opportunity, providing day to day oversight of 5-7 Agios Clinical Educators (ACEs) who interact directly with patients and healthcare professionals.
NewAssociate Director, Clinical Educator, Sickle Cell Disease (West Zone) - Remote Agios PharmaceuticalsAssociate Director, Clinical Educator, Sickle Cell Disease (West Zone) - RemoteLos Angeles, CARemote$153,541–$230,312 / yearThe current base salary range for this position is expected to be between $153,541 and $230,312 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. The Regional Agios Clinical Educator Manager is a unique leadership opportunity, providing day to day oversight of 5-7 Agios Clinical Educators (ACEs) who interact directly with patients and healthcare professionals.
NewSenior Manager, Clinical Nurse Educator – Sickle Cell Disease - Remote Agios PharmaceuticalsSenior Manager, Clinical Nurse Educator – Sickle Cell Disease - RemoteLos Angeles, CARemote$127,219–$190,828 / yearBuilding on the company’s leadership in the field of cellular metabolism, Agios is advancing a robust clinical pipeline of investigational medicines with active and planned programs in alpha- and beta-thalassemia, sickle cell disease, pediatric PK deficiency and MDS-associated anemia. Our teams cultivate strong bonds with patient communities, healthcare professionals, partners and colleagues, which helps us discover, develop and deliver therapies for genetically defined diseases – and make a bigger difference in their lives.
NewVP of Client Sales - Remote BlendVP of Client Sales - RemoteLos Angeles, CARemoteThis role is accountable for all sales targets across our Named and Enterprise Client Sales teams who manage the relationships with our existing customers (Banks, Credit Unions and Independent Mortgage Banks). This leader will manage and develop a team of Client Sales Executives responsible for deepening relationships, driving cross-sell and upsell of additional Blend products, and ensuring successful renewals.
NewAssociate Director, State Government Affairs - Remote Agios PharmaceuticalsAssociate Director, State Government Affairs - RemoteLos Angeles, CARemote$153,541–$230,312 / yearThe current base salary range for this position is expected to be between $153,541 and $230,312 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. Our team’s proven track record of executional excellence, combined with our depth of expertise and dedication, enables us to develop innovative medicines that reflect the priorities of rare disease communities.
NewManager/Senior Manager, GMP Quality Assurance - Clinical, QA - Remote Agios PharmaceuticalsManager/Senior Manager, GMP Quality Assurance - Clinical, QA - RemoteLos Angeles, CARemote$110,029–$165,044 / yearManager level is expected to be between $131,035 and $196,553 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. Manager, GMP QA Clinical will be responsible for supporting and maintaining high quality levels on Agios Drug Substance, Drug Product, packaged Drug Products and finished goods by Contract Manufacturing Organizations (CMOs).
NewManager, GMP Quality Assurance - Clinical, QA - Remote Agios PharmaceuticalsManager, GMP Quality Assurance - Clinical, QA - RemoteLos Angeles, CARemote$110,029–$165,044 / yearThe current base salary range for this position is expected to be between $110,029 and $165,044 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. The Manager, GMP Quality Assurance, Clinical will be responsible for responsible for supporting and maintaining high quality levels on Agios Drug Substance and Drug Product by Contract Manufacturing Organizations (CMOs).
NewRN Case Manager, Home Health AccentCare, Inc.RN Case Manager, Home HealthCulver City, CARemote$108,058.78–$132,071.84The position combines direct and indirect patient care activities and directs staff nurses, LPNs, and CHHAs in delivering the individual patient’s plan of care, as well as identifying interdisciplinary needs and coordinating allied health clinicians. What You Need to Know: This RN Case Manager is responsible for managing patients' care plans from admission through discharge and for ensuring the delivery of quality patient care.
Medical Scribe & Transcriptionist (Remote) Imagine LearningMedical Scribe & Transcriptionist (Remote)Los Angeles, CARemoteThe Medical Scribe will be responsible for accurately documenting and transcribing medical information during patient interactions. we are seeking a detail-oriented and organized Medical Scribe to join our team in United States.
Senior Project Manager, Healthcare Integrations - Remote Community Health Systems IncSenior Project Manager, Healthcare Integrations - RemoteCARemoteOur Benefits: As a Senior Project Manager, Healthcare Integrations at Community Health Systems (CHS) - Shared Business Operations, 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. With 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.
Registered Nurse Healthcare Advocate (Remote 1099) - RN Find Solace IncRegistered Nurse Healthcare Advocate (Remote 1099) - RNCARemoteSolace cuts through the red tape of healthcare by pairing patients with expert advocates and giving them the tools to make better decisions-and get better outcomes. If youre looking to stretch yourself, sharpen your edge, and do the best work of your life alongside a team that cares deeply, youre in the right place.
Remote Healthcare Customer Service Representative Conduent IncRemote Healthcare Customer Service RepresentativeCARemoteThrough our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. (Workspace must be clutter free, free of distraction, no one is allowed in workspace during working hours, no writing utensils, or unauthorized electronics in the work area).
Remote Healthcare Call Center Representative Conduent IncRemote Healthcare Call Center RepresentativeCARemoteThrough our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. (Workspace must be clutter free, free of distraction, no one is allowed in workspace during working hours, no writing utensils, or unauthorized electronics in the work area).
Sales Solutions Engineer - Healthcare (Remote) Experian Information Solutions IncSales Solutions Engineer - Healthcare (Remote)CARemoteWe help to redefine lending practices, uncover and prevent fraud, simplify healthcare, create digital marketing solutions, and gain deeper insights into the automotive market, all using our unique combination of data, analytics and software. Reporting to the Director, Solutions Engineers, you will partner with Sales and fellow Solutions Engineers to understand client challenges, design solution strategies, and demonstrate how Experian Health solutions address healthcare workflows.
Senior Hospital Contract Definition Analyst, Healthcare (Remote) Experian Information Solutions IncSenior Hospital Contract Definition Analyst, Healthcare (Remote)CARemoteWe help to redefine lending practices, uncover and prevent fraud, simplify healthcare, create digital marketing solutions, and gain deeper insights into the automotive market, all using our unique combination of data, analytics and software. You will: Use knowledge of reimbursement methodologies to analyze, define and maintain hospital payer contracts including Medicare, Medicaid, Workers Compensation, and Commercial Payers using Experian Health''s Contract Manager software.
IT Sales/Managed Services Sr Sales Executive - Healthcare Payer (Remote CA ) NTT DATA Services, LLCIT Sales/Managed Services Sr Sales Executive - Healthcare Payer (Remote CA )Los Angeles, CARemote$179,000–$354,000 / yearSells complex managed services, full IT Outsourcing solutions, application services, and industry vertical solutions to include things like regulatory compliance solutions, digital solutions, mobile solutions, transformational services and application management/support, digital workplace services, Business Process Outsourcing (BPO), etc. We deliver tangible business results by combining deep industry expertise with applied innovations in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services.
NewIT Sales/Managed Services Sr Sales Executive - Healthcare Payer (Remote CA ) NTT DATA AmericasIT Sales/Managed Services Sr Sales Executive - Healthcare Payer (Remote CA )Los Angeles, CARemote$179,000–$354,000 / yearSells complex managed services, full IT Outsourcing solutions, application services, and industry vertical solutions to include things like regulatory compliance solutions, digital solutions, mobile solutions, transformational services and application management/support, digital workplace services, Business Process Outsourcing (BPO), etc. The ideal candidate NTT DATA is seeking has 10+ years ofIT Salesexperience in theManaged Services/Professional Servicesspace and strong relationships in theHealthcare Payer market.
IT Sales/Managed Services Sr Sales Executive - Healthcare Payer (Remote CA ) NTT DATA Group CorpIT Sales/Managed Services Sr Sales Executive - Healthcare Payer (Remote CA )Los Angeles, CARemote$179,000–$354,000 / yearSells complex managed services, full IT Outsourcing solutions, application services, and industry vertical solutions to include things like regulatory compliance solutions, digital solutions, mobile solutions, transformational services and application management/support, digital workplace services, Business Process Outsourcing (BPO), etc. We deliver tangible business results by combining deep industry expertise with applied innovations in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services.
Healthcare Customer Service Representative - Remote Teleperformance SEHealthcare Customer Service Representative - RemoteCARemote{''response'': , ''status'': True, ''status_code'': 200, ''content'': ''nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnntntn n n nnnn n n n n n n n n n n n n n n n n n n n n n n n n n n nn n nnn nnnn n n n n n n n n n n n CAREERS Unitedn Statesn n n n n n n n n n nn nnnnn nnn n n n n n n n n n n n ...
Contract Management Analyst - Healthcare Revenue Cycle (REMOTE) Community Health Systems IncContract Management Analyst - Healthcare Revenue Cycle (REMOTE)CARemoteThe Payment Compliance & Contract Management (PCCM) Analyst is responsible for maximizing reimbursement by identifying variances between posted and expected revenue for managed care, government contracts, and other payers. Analyzes contract reimbursement, identifying variances, trends in underpayments/overpayments, denials, and revenue leakage to support maximization of reimbursement.
Diagnosis-Related Group (DRG) Auditor III, Healthcare -Remote US ExlService Holdings IncDiagnosis-Related Group (DRG) Auditor III, Healthcare -Remote USCARemote$75,000–$95,000 / yearEXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates.
Claims and Remit Support Developer - X12 Healthcare transactions (Remote) Experian Information Solutions IncClaims and Remit Support Developer - X12 Healthcare transactions (Remote)CARemoteWe help to redefine lending practices, uncover and prevent fraud, simplify healthcare, create digital marketing solutions, and gain deeper insights into the automotive market, all using our unique combination of data, analytics and software. Our people-first approach has earned us global recognition: World''s Best Workplaces 2024 (Fortune Top 25), Great Place To Work 2025 in 26 countries, and Glassdoor Best Places to Work 2024, among others.
Client Implementation Analyst - Healthcare Billing and Claims (Remote) Experian Information Solutions IncClient Implementation Analyst - Healthcare Billing and Claims (Remote)CARemoteExperian''s people first, inclusive and purpose driven culture is multi award-winning; World''s Best Workplaces 2025 (Fortune Global Top 25), Great Place To Work in 26 countries to name a few. Monitor accuracy and completeness of all assigned jobs· Provide technical support including testing, debugging, troubleshooting and implementing necessary program updates.
[Remote] Principal Software Developer- Agent Toolkits & Cloud Infrastructure, Healthcare AI Oracle Corp[Remote] Principal Software Developer- Agent Toolkits & Cloud Infrastructure, Healthcare AICARemote$99,600–$234,600 / 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. Responsibilities: Develop and maintain robust software toolkits in Python and Java to support applied scientists in building, testing, and deploying machine learning models and agents.
LPN / LVN Healthcare Advocate (Remote 1099) Find Solace IncLPN / LVN Healthcare Advocate (Remote 1099)CARemoteSolace cuts through the red tape of healthcare by pairing patients with expert advocates and giving them the tools to make better decisions-and get better outcomes. In the LPN/LVN Advocate role, you will guide patients through difficult and complex health concerns and help them achieve their health and wellness goals while also addressing their Social Determinants of Health (SDOH).
Account Executive, Healthcare, SmartSense (Remote - US) Digi International IncAccount Executive, Healthcare, SmartSense (Remote - US)CARemote$160,000–$250,000 / yearWe are seeking a highly motivated outside sales executive with an ability to break down barriers, develop winning strategies and drive exponential sales growth with new and existing accounts and represent the organization in a highly professional manner. Founded out of MIT in 2005, Smart Sense is trusted by more than 2,000 organizations, including Walmart, SpaceX, Apple, CVS Health, Coca-Cola, and the US State Department to help them make sensor-driven decisions.
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.
Lead Analyst, Healthcare Analytics - REMOTE Molina Healthcare IncLead Analyst, Healthcare Analytics - REMOTECARemoteThe Lead Analyst serves as a data steward with deep subject matter expertise, responsible for designing and prototyping Medical Economics data assets that are clearly defined and fit for use. Apply deep subject matter expertise to ensure data reflects real-world business processes.
Manager, Healthcare Analytics - Databricks/SQL/Python - Remote Molina Healthcare IncManager, Healthcare Analytics - Databricks/SQL/Python - RemoteCARemoteCollects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing, and deploying reports to provider networks and other end users for operational and strategic analysis. Directs staff assigned to their projects, maintains internal work plans as well as project work plans to meet reporting needs of the Health Plan.
RN Utilization Review - Per Diem - REMOTE Providence Health & ServicesRN Utilization Review - Per Diem - REMOTEMission Hills, CARemote$57.28–$88.92 / hourRequsition ID: 433667 Company: Providence Jobs Job Category: Health Information Management Job Function: Revenue Cycle Job Schedule: Per-Diem Job Shift: Day Career Track: Nursing Department: 7000 UTILIZATION MGMT REMOTE Address: CA Mission Hills 15031 Rinaldi St Work Location: Providence Holy Cross Medical Ctr-Mission Hills Workplace Type: Remote Pay Range: $57.28 - $88.92 Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.
Case Manager, Registered Nurse - Fully Remote CVS Health CorpCase Manager, Registered Nurse - Fully RemoteCARemote$54,095–$155,538 / yearBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
Clinical Program Manager RN - Full time - REMOTE Providence Health & ServicesClinical Program Manager RN - Full time - REMOTETorrance, CARemoteRequsition ID: 439222 Company: Providence Jobs Job Category: Clinical Administration Job Function: Clinical Support Job Schedule: Full time Job Shift: Evening Career Track: Nursing Department: 7014 LCMT CASE MGMT Address: CA Torrance 4101 Torrance Blvd Work Location: Providence Little Co of Mary Medical Ctr-Torrance Workplace Type: Remote Pay Range: $68.94 - $108.84 Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.
Appeals RN - Care Management - Full-time - REMOTE Providence Health & ServicesAppeals RN - Care Management - Full-time - REMOTEMission Hills, CARemote$57.28–$88.92 / hourp>Requsition ID: 439689 Company: Providence Jobs Job Category: Care Management Job Function: Clinical Care Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 7000 UTILIZATION MGMT CA SOCAL Address: CA Mission Hills 15031 Rinaldi St Work Location: Providence Holy Cross Medical Ctr-Mission Hills Workplace Type: Remote Pay Range: $57.28 - $88.92 Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.
Revenue Cycle Auditor RN - Full time, Day, Remote Providence Health & ServicesRevenue Cycle Auditor RN - Full time, Day, RemoteCARemoteRequsition ID: 437237 Company: Providence Jobs Job Category: Revenue Cycle Operations Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 4001 SS RC REV INTEGRITY Address: OR Portland 4400 NE Halsey St Work Location: Providence Health Plaza (HR) Bldg 1-Portland Workplace Type: On-site 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. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
RN Utilization Review - Part-time - REMOTE Providence Health & ServicesRN Utilization Review - Part-time - REMOTEMission Hills, CARemote$57.28–$88.92 / hourRequsition ID: 434156 Company: Providence Jobs Job Category: Health Information Management Job Function: Revenue Cycle Job Schedule: Part time Job Shift: Day Career Track: Nursing Department: 7000 UTILIZATION MGMT REMOTE Address: CA Mission Hills 15031 Rinaldi St Work Location: Providence Holy Cross Medical Ctr-Mission Hills Workplace Type: Remote Pay Range: $57.28 - $88.92 Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.
Appeals RN - Case Management - Per Diem - REMOTE Providence Health & ServicesAppeals RN - Case Management - Per Diem - REMOTETorrance, CARemote$57.28–$88.92 / hourRequsition ID: 437924 Company: Providence Jobs Job Category: Care Management Job Function: Clinical Care Job Schedule: Job Shift: Multiple shifts available Career Track: Nursing Department: 7000 UTILIZATION MGMT CA SOCAL Address: CA Torrance 21311 Madrona Ave Work Location: PMI Madrona-Torrance Workplace Type: Remote Pay Range: $57.28 - $88.92 The Care Management Recovery Advocate (CMRA) is responsible for providing overall management and communication of clinically-based appeals between Providence Health and Services, California Region (PH&S) outside payers.
Clinical Reviewer - RN - PRN (Remote U.S.) Acentra HealthClinical Reviewer - RN - PRN (Remote U.S.)CARemote$28.37–$36 / hourIn fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Responsibilities: Review and interpret patient records, comparing them against criteria to determine medical necessity and appropriateness of care; assess if the medical record documentation supports the need for services.
Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Exempt) (Non-Union) University of Southern CaliforniaSenior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Exempt) (Non-Union)Alhambra, CaliforniaRemoteThe Senior RI Specialist also coordinates with Keck Medical Center of USC Administration, IS, Compliance, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge, and provides data derived from multiple entities of Keck Medical Center of USC for the management and support of critical decisions and functions related the Chargemaster, CDM Maintenance, and the improvement of charge capture. As a subject matter expert in the area of compliance and pricing of services, the Senior RI Specialist responds to inquiries regarding Chargemaster issues and is responsible for supervising meetings for projects associated with educating and communicating to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement.
Appeals RN - Case Management - Per Diem - REMOTE Providence St. Joseph HealthAppeals RN - Case Management - Per Diem - REMOTETorrance, CARemoteTogether, 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. The Care Management Recovery Advocate (CMRA) is responsible for providing overall management and communication of clinically-based appeals between Providence Health and Services, California Region (PH&S) outside payers.
Clinical Program Manager RN - Full time - REMOTE Providence St. Joseph HealthClinical Program Manager RN - Full time - REMOTETorrance, CARemoteServes as designated divisional liaison with providers and ministry Care Coordination teams, to move patients towards safe and effective discharge plans or transitions to the most appropriate next level of care. Providence Little Company of Mary in Torrance is celebrated in 2025 as one of America's Best-In-State Hospitals by Newsweek and recognized by U.S. News & World Report for excellence in 11 types of care.
Revenue Cycle Auditor RN -Remote Providence Health & ServicesRevenue Cycle Auditor RN -RemoteCalifornia, CARemoteRequsition ID: 428089 Company: Providence Jobs Job Category: Revenue Cycle Operations Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 4001 SS RC REV INTEGRITY Address: CA Irvine 15480 Laguna Canyon Rd Work Location: Providence System Offices Discovery Park-Irvine 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. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
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.
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.