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.
Revenue Cycle Auditor RN - Full time, Day, Remote Providence Health & ServicesRevenue Cycle Auditor RN - Full time, Day, RemoteIrvine, CARemoteRequsition ID: 437114 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.
Revenue Cycle Auditor RN - Full time, Day, Remote Providence St. Joseph HealthRevenue Cycle Auditor RN - Full time, Day, RemoteIrvine, 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. These amounts 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.
RN Utilization Review - Per Diem - REMOTE Providence Health & ServicesRN Utilization Review - Per Diem - REMOTEIrvine, CARemote$57.28–$88.92 / hourRequsition ID: 434193 Company: Providence Jobs Job Category: Health Information Management Job Function: Revenue Cycle Job Schedule: Part time Job Shift: Multiple shifts available Career Track: Nursing Department: 7000 UTILIZATION MGMT OCHD Address: CA Irvine 15480 Laguna Canyon Rd Work Location: Providence System Offices Discovery Park-Irvine Workplace Type: On-site 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.
RN Utilization Review - Per Diem - REMOTE Providence St. Joseph HealthRN Utilization Review - Per Diem - REMOTEIrvine, CARemoteThe Utilization Management RN must effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing regulatory environment, demonstrating excellent negotiation, communication, problem-solving, and decision-making skills. Together, 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.
RN Utilization Review - Full-time - REMOTE Providence St. Joseph HealthRN Utilization Review - Full-time - REMOTEIrvine, CARemoteThe Utilization Management RN must effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing regulatory environment, demonstrating excellent negotiation, communication, problem-solving, and decision-making skills. Together, 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.
RN Utilization Review - Full-time - REMOTE Providence Health & ServicesRN Utilization Review - Full-time - REMOTEIrvine, CARemote$57.28–$88.92 / hourRequsition ID: 437582 Company: Providence Jobs Job Category: Health Information Management Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 7000 UTILIZATION MGMT OCHD Address: CA Irvine 15480 Laguna Canyon Rd Work Location: Providence System Offices Discovery Park-Irvine 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.
Provider Outreach Representative - Healthcare Eating Recovery CenterProvider Outreach Representative - HealthcareIrvine, CARemote$74,000–$90,000 / yearFocuses on newly established providers in the market and/or new business opportunities, with emphasis on re-establishing and creating relationships with providers not currently in the book of business. As one of the nation's leading treatment providers for eating disorders and mood, anxiety, and trauma-related conditions, we bring innovative, evidence-based, and deeply compassionate care to patients across the country.
NewSenior Healthcare Recruitment Specialist - Partner Track MLee Medical EmploymentSenior Healthcare Recruitment Specialist - Partner TrackIrvine, CARemoteOur innovative approach melds two decades of industry knowledge with cutting-edge technology, providing us the capacity to connect healthcare organizations with exceptional talent in a way that's never been done before. Our carefully crafted infrastructure is designed to do away with obstacles, giving you the freedom to thrive in connecting people and yielding outstanding results.
NewSenior Healthcare Recruitment Specialist - Growth Track MLee Medical EmploymentSenior Healthcare Recruitment Specialist - Growth TrackFontana, CARemoteWe stand apart from traditional agencies; we are a tech-focused recruiting platform that treats senior recruiters as valuable partners rather than mere order-takers. Whether you aspire for seven-figure commissions, executive-level client relationships, or wish to develop your vertical within our framework, we offer the essential tools to bring your vision to fruition.
NewSenior Healthcare Recruitment Specialist - Growth Path MLee Medical EmploymentSenior Healthcare Recruitment Specialist - Growth PathRiverside, CARemoteAt MLR, the role of Senior Healthcare Recruitment Specialist is not just a job-it's a chance to create impact, develop your personal brand, and work with the same advanced strategies and structures employed by Fortune 500 companies. Leverage Technology: Access tools that help you streamline candidate management, track interactions, automate follow-ups, and maintain organization.
Manager Automation, AI & Insights - Remote Providence Health & ServicesManager Automation, AI & Insights - RemoteIrvine, CARemoteRequsition ID: 434064 Company: Providence Jobs Job Category: HR Generalist Job Function: Human Resources Job Schedule: Full time Job Shift: Day Career Track: Leadership Department: 4002 SS HR OPS SERV DELIV 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. The Manager - Automation, AI & Insights is a hands‑on HR operations leader responsible for enabling automation, AI‑supported services, analytics, and data governance that simplify work, improve service delivery, and support confident, data‑driven decisions at scale.
Manager Automation, AI & Insights - Remote Providence St. Joseph HealthManager Automation, AI & Insights - RemoteIrvine, CARemoteThe Manager - Automation, AI & Insights is a hands‑on HR operations leader responsible for enabling automation, AI‑supported services, analytics, and data governance that simplify work, improve service delivery, and support confident, data‑driven decisions at scale. They lead teams responsible for hands‑on operational enablement, shape strategy based on real operational demand, and partner across HR, vendors, and the enterprise to ensure solutions are aligned, adopted, and effective.
Principal Data Analyst - Revenue Cycle - Remote Providence St. Joseph HealthPrincipal Data Analyst - Revenue Cycle - RemoteIrvine, CARemoteThe Principal Data Analyst serves as a senior analytical contributor responsible for designing, implementing, and managing complex data analysis initiatives that support revenue cycle performance and organizational financial objectives. Together, 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.
Principal Data Analyst - Revenue Cycle - Remote Providence Health & ServicesPrincipal Data Analyst - Revenue Cycle - RemoteIrvine, CARemoteRequsition ID: 434820 Company: Providence Jobs Job Category: Analytics/Business Intelligence Job Function: Information Technology Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4001 SS RC RPTNG ANALYTICS 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.
Remote Bilingual Social Worker – Case Management (Special Needs Plan, SNP) Alignment Healthcare USA, LLCRemote Bilingual Social Worker – Case Management (Special Needs Plan, SNP)Orange, CARemoteFull timeThe employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. *DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information.
Data Engineer I IS - Remote Providence Health & ServicesData Engineer I IS - RemoteIrvine, CARemoteRequsition ID: 435996 Company: Providence Jobs Job Category: Development/Engineering Job Function: Information Technology Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Business Professional Department: 4011 SS IS HI DP 3 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. Together, 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.
We're Hiring - Account Managers, Sales (Remote or Lake Forest, CA) MatterHackers, Inc.We're Hiring - Account Managers, Sales (Remote or Lake Forest, CA)Lake Forest, CARemote$45,000–$65,000 / yearYou'll have the opportunity to be trained as one of the few experts in desktop 3D printing and digital fabrication, and then share your knowledge with customers just getting started, as well as global companies putting 3D printers on the desk of every engineer. Creating custom packages and product offerings for potential customers, managing the post-sale support structure, and tracking completed transactions in Salesforce.
NewHybrid Remote/Onsite Dietitian Compass GroupHybrid Remote/Onsite DietitianOntario, CARemote$40–$50 / hourThe 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. Compass 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 .
Hiring Sales Associate (Remote USA or In-Person/Hybrid Lake Forest, CA) MatterHackers, Inc.Hiring Sales Associate (Remote USA or In-Person/Hybrid Lake Forest, CA)Lake Forest, CARemoteIf you are based in Southern California and are looking for an in-person position, greeting and assisting our showroom customers (by appointment), giving short and informative facility tours, establishing and maintaining relationships with clients, and following up for repeat business. Help customers from various backgrounds, including schools, small businesses, global corporations, the military, and 3D printing enthusiasts, by providing them with the solutions they need to become successful advocates for 3D printing.
Architectural Services Project Manager - Remote US - West Allegion PlcArchitectural Services Project Manager - Remote US - WestDiamond Bar, CARemote$117,000–$150,000 / yearThe Architectural Services Consultant will promote professional door hardware specification services including Division 8 and 28 to prospective architectural accounts as a "pull through" sales strategy to penetrate the market. Additionally, Allegion is proud to be recognized with the 2026 Gallup Exceptional Workplace Award (GEWA) for the third consecutive year, earning distinction in both the employee engagement and strengths categories.
NewProfessional Consultant - Remote Genesis10Professional Consultant - RemoteIrvine, CARemote$40–$42 / hourTemporaryContractorFull timep>Ranked a Top Staffing Firm in the U.S. by Staffing Industry Analysts for six consecutive years, Genesis10 puts thousands of consultants and employees to work across the United States every year in contract, contract-for-hire, and permanent placement roles. Technical & Solution Leadership Own and lead end‑to‑end AI/ML solution architecture for multiple Medicare Risk Adjustment initiatives spanning predictive modeling, NLP, GenAI, and operational analytics.
Sr iOS Developer- REMOTE TechoundsllcSr iOS Developer- REMOTEAliso Viejo, CaliforniaRemoteCollaboration:Work closely with cross-functional teams, including, backend developers, and project managers, to deliver high-quality solutions. Hands-on experience with Realm Database for local data management and MongoDB Atlas for cloud data synchronization.
NewProgram Associate, Beacon (Remote) American Association of Critical Care NursesProgram Associate, Beacon (Remote)Aliso Viejo, CARemote$63,088–$78,860 / yearThis role supports initiatives to ensure the delivery of high-impact program outcomes and seamless operational continuity across the following key accountabilities: Contributes to Beacon Award activities at the National Teaching Institute & Critical Care Exposition (NTI), including the planning for Beacon Award booth/areas, ensuring operational alignment within established deadlines. The position applies expertise to exercise discretion in decision-making on business matters affecting Beacon outcomes, focusing on administering program workflows, leading high-level communication, and making independent determinations to interpret guidelines and implement appropriate resolution pathways in varied and complex situations.
WEEKEND REMOTE DIETITIAN Compass Group North AmericaWEEKEND REMOTE DIETITIANVictorville, CARemoteFull-time and part-time positions are offered the following benefits: Retirement Plan, Associate Shopping Program, Health and Wellness Programs, Discount Marketplace, Identify Theft Protection, Pet Insurance, and other voluntary benefits including Critical Illness Insurance, Accident Insurance, Hospital Indemnity Insurance, Legal Services, and Choice Auto and Home Program. With more than 31,000 dedicated team members, including 1,600 registered dietitians and 1,200 executive chefs, we empower and uplift each other by working together, take responsibility for our commitments, and believe in helping one another achieve more together by realizing our unlimited potential.
Data Engineer I IS - Remote Providence St. Joseph HealthData Engineer I IS - RemoteIrvine, 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. These amounts 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.
Business Development Officer (Remote) PEAK Technical StaffingBusiness Development Officer (Remote)Foothill Ranch, CARemoteAs a global leader with over 25 years of industry excellence and a growing, diverse team of 500 employees across offices in North America, Europe, Australia, and Asia, we're driven by innovation, integrity, and impact. The role partners closely with Sales Leadership, Marketing, Product, and Customer Success to deliver differentiated solutions that solve customer problems and generate measurable ROI.
Remote Nocturnist Hospitalist HCA HealthcareRemote Nocturnist HospitalistRiverside, CARemote$700–$900 / hourRiverside, California is located in Southern California and the most populous city in the Inland Empire, Riverside is just 55 miles east of downtown Los Angeles and a 55-minute drive to some of Southern California’s most popular beaches. Complex and minimally invasive surgical services with robotics including; general surgery, orthopedics, neurosurgery, cardiovascular and thoracic, colorectal, gynecology, urology.
(Remote) AI Bid & Proposal Manager Harris Computer Systems(Remote) AI Bid & Proposal ManagerCARemoteWhat makes this role distinct is that you will also architect and operate the AI-assisted proposal workflow: building and maintaining the answer corpus, tuning retrieval pipelines, and managing the human review loop that ensures every response is accurate, competitive, and on-brand. As a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals.
Hybrid Remote/Onsite Dietitian Compass Group North AmericaHybrid Remote/Onsite DietitianOrange, CARemote$40–$50 / hourThe 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. Compass 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.
Licensed Mental Health Therapist (LCSW, LMFT, & LPCC) - Hybrid or 100% Remote! LifeStance Health IncLicensed Mental Health Therapist (LCSW, LMFT, & LPCC) - Hybrid or 100% Remote!Corona, CARemote$107,000–$122,000 / yearLifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its 550+ clinics nationwide and through its digital health telemedicine offering. As one of the nation's largest providers of outpatient mental health care, LifeStance Health's mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare.
Business Development Officer (Remote) PEAK Technical Services Inc.Business Development Officer (Remote)Foothill Ranch, CARemote$100,000–$120,000 / yearAs a global leader with over 25 years of industry excellence and a growing, diverse team of 500 employees across offices in North America, Europe, Australia, and Asia, we're driven by innovation, integrity, and impact. The role partners closely with Sales Leadership, Marketing, Product, and Customer Success to deliver differentiated solutions that solve customer problems and generate measurable ROI.
Remote Vice President, Market Operations Alignment Healthcare USA, LLCRemote Vice President, Market OperationsOrange, CARemoteFull timeResponsibilities: Enterprise Market Strategy and Performance Accountability: Provide executive oversight and accountability for market level performance across all regions, including but not limited to medical loss ratio (MLR), utilization management, quality performance, Stars, risk adjustment, provider performance and engagement, member experience, contracting, medical cost management, compliance, membership growth and retention. The Vice President, Market Operations defines and evolves the market operating model, leads transformation initiatives, and drives sustainable improvement in medical cost management, Stars performance, provider value based performance, and member experience.
Engineering Program Manager II IS - Voice Services - Remote Providence Health & ServicesEngineering Program Manager II IS - Voice Services - RemoteIrvine, CARemoteRequsition ID: 431597 Company: Providence Jobs Job Category: Development/Engineering Job Function: Information Technology Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4011 SS IS ESI VOICE SVCS Address: CA Irvine 13400 Jamboree Road Work Location: Providence-Irvine Marketplace 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. Their responsibilities span the life of the solution or service and include collaboration with engineering and business stakeholders, engaging with caregivers, working with engineering to define the solution or service, managing the release, establishing the solution/service's identity in the ecosystem, and connecting with and supporting the caregiver community.
Bilingual Community Engagement Specialist Remote, Full Time - Weekends Arc Care IncBilingual Community Engagement Specialist Remote, Full Time - WeekendsSan Bernardino, CARemoteOur work is powered by a deeply collaborative team of nurses, social workers, community health workers, and medical professionals working alongside product, technology, and operations to close care gaps and improve outcomes for high-need patients. We seek a full-time Community Engagement Specialist to play a critical role on our team by directly engaging with and enrolling individuals living with Serious Mental Illness/ Substance Use Disorder, experiencing homelessness, and/or those who have high medical needs.
NewIndependent Orthodontic Sales Representative (remote) Dental Team FinderIndependent Orthodontic Sales Representative (remote)Santa Ana, CaliforniaRemoteOur client is seeking motivated Independent Sales Representatives to develop new business and grow relationships with orthodontic practices across the United States. If you enjoy building relationships, creating new business opportunities, and helping orthodontic practices thrive, we'd love to hear from you!
Bilingual Case Manager Remote Flexible, Spanish Speaking Arc Care IncBilingual Case Manager Remote Flexible, Spanish SpeakingRiverside, CARemote$22–$25 / hourOur work is powered by a deeply collaborative team of nurses, social workers, community health workers, and medical professionals working alongside product, technology, and operations to close care gaps and improve outcomes for high-need patients. We seek a full-time Lead Care Manager to play a critical role in our whole-person, interdisciplinary care model, responsible for directly outreaching and engaging with individuals living with Serious Mental Illness/ Substance Use Disorder, experiencing homelessness, and/or those who have high medical needs.
NewsUAS Remote Pilot in Command (RPIC) DZYNE TechnologiessUAS Remote Pilot in Command (RPIC)Irvine, CaliforniaRemotePosition Title: sUAS Remote Pilot in Command (RPIC) Location: Irvine Work Arrangement: On-Site / Hybrid Position SummaryThe sUAS Remote Pilot serves as a dual-role operator with integrated responsibilities spanning RPIC authority and full system readiness ownership. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:Must have the ability to stoop, stand, climb, occasionally lift a minimum of 25 lbs.
NewSenior sUAS Remote Pilot In Command DZYNE TechnologiesSenior sUAS Remote Pilot In CommandIrvine, CaliforniaRemoteThis position will not only serve as an RPIC to support testing and development of new systems but also serve as mentor and trainer for newer pilots and be responsible for planning, leading, and executing missions and test plans at the direction of the Test Director and Flight Ops teams. Position Title: Senior sUAS Remote Pilot in Command (RPIC) Location: Irvine, CA Work Arrangement: On-site / Hybrid, 30-50% travel required and occasional weekend work based on business needs.
Claims Examiner - Xcelys Remote, Temporary NTT DATA Group CorpClaims Examiner - Xcelys Remote, TemporaryOntario, CARemoteReviews written dispute requests received from providers of denied or incorrect payments based on contractual arrangements with providers and non-contractual providers. affecting the Claims Departments ability to process claims accurately and forwarding those issues to the correct internal department, attaching all necessary documentation, to ensure the system is updated, as appropriate and follow-up with these departments.
Project Manager - Capital Planning - Remote Providence Health & ServicesProject Manager - Capital Planning - RemoteIrvine, CARemoteRequsition ID: 435692 Company: Providence Jobs Job Category: Project Management Job Function: Project/Product Management Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4012 SS REH CAPITAL PLAN 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. Project Manager Equipment is responsible for coordinating details related to equipment planning and installation of capital equipment to meet critical deadlines and accountabilities on major large scale capital projects, as well as facilitating replacement capital.
Project Manager - Capital Planning - Remote Providence St. Joseph HealthProject Manager - Capital Planning - RemoteIrvine, CARemoteProject Manager Equipment is responsible for coordinating details related to equipment planning and installation of capital equipment to meet critical deadlines and accountabilities on major large scale capital projects, as well as facilitating replacement capital. Together, 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.
Insurance Specialist (Remote) - Mountain and Pacific Time Zones MeduitInsurance Specialist (Remote) - Mountain and Pacific Time ZonesCaliforniaRemoteboth in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility and/or to identify sources of payment for servicesâ¯. You will utilize your expertise in patient billing, claims submission, and payer guidelines (Medicare, Medicaid, &, commercial insurers) to effectively work with insurance companies, resolve issues, and ensure accurate and timely payments.
Provider Claims Training Specialist - San Diego, CA - Remote Gainwell Technologies LLCProvider Claims Training Specialist - San Diego, CA - Remoterancho cucamonga, CARemote$50,000–$70,000 / yearThe Provider Claims Training Specialist also known as Regional Representatives, support the provider community in a variety of areas including but not limited to virtual and onsite visits, claims follow up and research support, as well as virtual and face-to-face training development and delivery. Provides training (workshops, seminars, program specific group events) to the provider community and acts as liaison with our internal departments and the customer to implement programs that are necessary for the Medicaid program.
Abstractor, National HEDIS /Quality Improvement (Remote) Molina Healthcare IncAbstractor, National HEDIS /Quality Improvement (Remote)San Bernardino, CARemoteParticipates in meetings with the national overread team, national quality training team, the regional HEDIS team, vendors and HEDIS auditors for quality/HEDIS review activities to coordinate medical records and quality-related initiatives. Responsible for data collection and abstraction of medical records for Healthcare Effectiveness Data and Information Set (HEDIS) and HEDIS-like initiatives and compliance, and supplemental data collection activities.
Payroll Manager - Remote (Irvine, CA) Insight Performance IncPayroll Manager - Remote (Irvine, CA)Irvine, CARemote$80,000–$90,000 / yearResponsible for independently managing multi-state payroll and related activities including computation of wage and overtime payments, calculating and recording payroll deductions, paycheck advances, bonus runs, commissions, fringe benefit reporting, and separation payments. Interfaces with outside company auditors as needed related to HR, Payroll and Benefits: provides ad-hoc reports, responds to procedural inquiries, performs careful analysis of information prior to providing to outside audit sources.
Remote Outreach Concierge Navigator (Bilingual in Spanish) Alignment Healthcare USA, LLCRemote Outreach Concierge Navigator (Bilingual in Spanish)Orange, CARemoteFull timeEffective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors; Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. 2. Conducts in-market member engagement including Welcome Calls, New Member Onboarding, JSA Scheduling, High Quality PCP and Provider Terms, Product/Vendor Changes, CAHPS Proxy, Disenrollment Quality Assurance, and Proactive Service Recovery.
Appeals & Grievances Coordinator - Remote - Orange, CA Alignment Healthcare USA, LLCAppeals & Grievances Coordinator - Remote - Orange, CAOrange, CARemoteFull timeEffective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors; Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. The Appeals & Grievance Coordinator is responsible for the day-to-day functions of the tracking and trending of all grievances, appeals, and complaints received within the Member Services Department.
Senior Claims Manager EPL - Remote Providence Health & ServicesSenior Claims Manager EPL - RemoteOrange, CARemoteRequsition ID: 442190 Company: Providence Jobs Job Category: Financial Transactions Job Function: Health Plans Services Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4008 SS RIS Address: CA Orange 1100 W Stewart Dr Work Location: St Joseph Hospital-Orange 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.
Claims Examiner - Xcelys Remote, Temporary NTT DATA Services, LLCClaims Examiner - Xcelys Remote, TemporaryOntario, CARemoteReviews written dispute requests received from providers of denied or incorrect payments based on contractual arrangements with providers and non-contractual providers. affecting the Claims Departments ability to process claims accurately and forwarding those issues to the correct internal department, attaching all necessary documentation, to ensure the system is updated, as appropriate and follow-up with these departments.