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 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.
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 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.
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.
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.
Senior Manager, Patient Journey Optimization TMTT (Remote US) Edwards LifesciencesSenior Manager, Patient Journey Optimization TMTT (Remote US)Los Angeles, CARemote$142,000–$201,000 / yearDeliver high‑impact clinical education to heart teams across disease state, patient identification, treatment options, timing of intervention, and application of clinical evidence to support confident decision‑making. With millions of patients served in over 100 countries, each team makes a meaningful contribution by improving patient outcomes and discovering lasting solutions for unmet patient needs.
Practitioner Recruiting Director (Remote) Klarity HealthPractitioner Recruiting Director (Remote)Los Angeles, CaliforniaRemoteDemonstrated experience in core functions of physician practice operations, including provider relations, patient flow, revenue cycle, quality, service excellence, purchasing and inventory, and teamwork, and accountability. High level of interpersonal skills, with the ability to effectively manage provider relationships, to promote and maintain positive relationships.
Customer Service and Sales Representative (Remote) | Spanish-Speaking McQuadeTheFuture-CLTBCustomer Service and Sales Representative (Remote) | Spanish-SpeakingAnaheim, CARemoteSPANISH VERSION BELOW We are actively seeking motivated Spanish-speaking professionals to join our growing team serving families throughout the United States. This position combines Customer Service, Customer Support, Client Relations, and Sales Assistance responsibilities. You will help customers understand available solutio...
Sr Trade Account Manager (Remote) Tandem Diabetes Care IncSr Trade Account Manager (Remote)CARemote$130,000–$161,000 / yearTrade Account Manager at Tandem also: Develops relationships with trade account leadership on a national level and ensures attainment and retention of market share, sales plans, and profitability. Trade Account Manager is responsible for developing and implementing Tandem's dual Channel strategy with trade accounts to include traditional distributors, wholesalers, specialty distributors and mail order pharmacies.
Mid-Market Account Executive Remote- USA DZKICorp IncMid-Market Account Executive Remote- USACARemote$80,000–$160,000 / yearIn this role, you will be responsible for identifying and engaging prospective small to mid-sized business customers, demonstrating the value of Dozuki's solution, and converting leads into loyal clients. Relationship Building: Collaborate with marketing and customer success teams to nurture prospects and build strong, long-term client relationships.
Remote Bilingual Spanish Care Coordination Supervisor, Transitions of Care Alignment Healthcare IncRemote Bilingual Spanish Care Coordination Supervisor, Transitions of CareCARemote$58,531–$87,797 / yearEffectively communicate and keep the Care Management leadership team informed of all departmental operations, activities, data, program performance, issues or any other pertinent information that would impact the overall program compliance or achievement of internal goals. Direct administrative work as needed, including but not limited to maintaining and updating member's records, mailing, or faxing correspondence to PCP's/Specialists, opening cases and tasks in the Care Management platform to meet specific deadlines.
Senior Product Manager (PM/RCM) - Full Time - Remote Experity IncSenior Product Manager (PM/RCM) - Full Time - RemoteCARemote$107,750–$151,400 / yearResponsibilities: Own day-to-day execution of the Revenue Cycle Management product roadmap, ensuring on-time delivery of capabilities across charge capture, coding, claim creation and submission, payer processing, payment posting, denial management, accounts receivable, patient balances, reporting, and related billing workflows. Deep knowledge of healthcare revenue cycle management, including charge capture, coding, claim submission, clearinghouses, payer adjudication, remittance processing, denial management, accounts receivable, and payment posting.
REMOTE Vendor Management Supervisor, CMS Carrington Mortgage Services, LLCREMOTE Vendor Management Supervisor, CMSOrange, CARemote$71,000–$85,000 / yearThe Vendor Management Supervisor will be responsible for directing the activities of the Vendor Management Specialists in the implementation and management of a formalized process of selecting, monitoring and assessing the compliance of third-party vendors providing services related to mortgage operations, which include a national default servicing network of law firms, lending origination and marketing vendors. Oversee accurate and effective vendor management assessment of vendors' risk levels, including the review of high volume of vendors' due diligence documentation and conducting final assessment of vendor profile to ensure accuracy, completeness, and compliance with all requirements.
Labor Relations Manager - Remote based in CA Other ExecutiveLabor Relations Manager - Remote based in CAWoodland Hills, CARemote$103,584–$165,568 / yearReporting to the Senior Director of Labor Relations, the Labor Relations Managerand the Director of Labor Relationsserve as day-to-day resources for all labor relations matters in Tenet’s affiliated California and Tennessee markets. This role will be part of a team that provides labor relations assistance to seven facilities in California and two facilities in Tennessee and will work closely with senior human resources leadership.
Remote Service Support Specialist Daisy Co - CorporateRemote Service Support SpecialistCosta Mesa, CARemoteFull timeWorking remotely as part of the Daisy Call Center team, you diagnose and resolve audio-visual, networking, control, lighting, and surveillance issues remotely, and when an issue cannot be closed over the phone you coordinate the full path to resolution: work order creation and assignment, scheduling, technician briefing, parts and repair tracking, client confirmation, and closeout. Roughly half the day is live client and technician support; the other half is disciplined case ownership in Dynamics, ensuring nothing sits idle and no branch technician arrives onsite without full context.
Data Scientist - Remote City of HopeData Scientist - RemoteCARemoteIndividuals in this role will use statistics, machine learning, deep learning, LLM frameworks, and domain knowledge to understand relationships and patterns in data; train predictive models; design AI agents, tools, and skills; and support automation efforts in business, research and clinical domains. City 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.