Sr. Project Manager Accela IncSr. Project ManagerCARemote$115,000–$135,000 / yearProject Health: Drive on-time and on-budget completion of projects; track project progress and variability; work collaboratively with customer and internal teams to identify risks; develop and execute appropriate risk mitigation strategies within a defined escalation path; implement appropriate tracking and reporting metrics in a manner that provides transparency and visibility into project health. Customer Relationship Management: Foster an environment of highly effective and collaborative communications in day-to-day interactions with clients and stakeholders; serve as the first point of escalation on the project; support Regional Director in executive steering committees.
Medical Director - Clinical Advocacy and Support - Remote - PST preferred UnitedHealth Group IncMedical Director - Clinical Advocacy and Support - Remote - PST preferredLos Angeles, CARemote$248,500–$373,000 / yearThe Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support, and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members.
Medical Director - Sleep Medicine - Remote UnitedHealth Group IncMedical Director - Sleep Medicine - RemoteLos Angeles, CARemote$248,500–$373,000 / yearThe Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support, and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members.
RN Care Navigator (100% Remote for candidates located in the PST & MST time zones) Healthmap Solutions IncRN Care Navigator (100% Remote for candidates located in the PST & MST time zones)CARemoteManaging a set caseload of mixed acuity members, reviewing and/or obtaining member data and entry in HealthMap's Care Management documentation system (Compass), completing member health and social determinants of health screenings, medication reconciliation, creation and maintaining member-centric care plans, updates of identified problems, barriers, interventions, and goals and assistance with ongoing case management. Serve as liaison between the patient, the patient's support network, treating physician, and other ancillary providers as a member of an interdisciplinary care team to coordinate care, resolve nursing problems and assist patients in meeting individualized goals.
Healthcare Consultant, Network Strategy & Analytics (remote) UnitedHealth Group IncHealthcare Consultant, Network Strategy & Analytics (remote)Los Angeles, CARemote$72,800–$130,000 / yearThis role will partner closely with contracting, finance, actuarial, operations, provider relations, and clinical teams to evaluate pricing impacts, support provider negotiations, and drive data-informed business decisions. This role primarily supports and validates provider and payor network contracting and trend management activities through financial or pricing modeling, negotiation support, analysis, and reporting.
Product Enablement Manager PacvueProduct Enablement ManagerCARemote$130,000–$150,000 / yearAbout the Role: The Product Enablement Manager drives product training execution and commercial team readiness across Pacvue by producing high-impact resources and leading training programs to ensure that all customer success and sales team members have the knowledge and confidence to effectively position and sell Pacvue products. Strong grounding in learning and instructional design principles (e.g., adult learning theory, retention and engagement techniques), applied with independent judgment to shape how training content is structured and delivered.
Medical Science Liason (MSL) - Podiatry, Men’s Health and Ortho (Southwest) Mallinckrodt PharmaceuticalsMedical Science Liason (MSL) - Podiatry, Men’s Health and Ortho (Southwest)Los Angeles, CaliforniaRemoteThis is a field-based Medical Affairs position requiring a strong scientific background (technical or clinical experience) as the MSL will be a credible source of clinical/scientific data as well as technical/practical education to practicing clinicians, key opinion leaders (KOL), professional societies, and payers. A Medical Science Liaison (MSL) will serve as a liaison to the medical/scientific community and will be responsible for establishing, developing and maintaining relationships with key stakeholders within the geographic and therapeutic area of coverage.
Network Compliance Auditor, FSR SCAN Health PlanNetwork Compliance Auditor, FSRLong Beach, CaliforniaRemoteConducts closing meetings with audited providers to give them a preliminary overview of completed compliance audits Assists providers in achieving and maintaining compliance with SCAN, Federal, State and NCQA requirements and guidelines including the development and implementation of corrective action plans (CAP), monitoring CAP activities and providing education and tools Responds to audited providers as disagreements with audit findings arise Analyzes submitted reports from providers, including the request for corrections from providers as needed Communicates regulation interpretations and explains their application, provides supplemental information if needed Conducts detailed review, analysis, and interpretation of legislative, statutory, regulatory, and contract language. Conducts all aspects of annual oversight projects, individual correspondence; coordination of projects with internal SCAN staff and departments; monitoring and reporting delegated compliance; tracking, trending and reporting upon project status; coordinating with Compliance regarding report submissions and regulatory updates Uses critical thinking skills and identifies impactful areas for provider data requirements to develop an effective implementation and communication plans.
Sr. Risk Engineering Consultant (Multiline) MSIG HoldingsSr. Risk Engineering Consultant (Multiline)Los Angeles, CaliforniaRemoteEstablish focused risk improvement process through a consultative approach including the identification of client needs, establishing service plans that eliminate loss causes and actively assists clients with best practices focused on achieving their business goals and reduce overall loss costs. Develops and markets focused consultative service plans to improve client exposure to business loss through a Specific, Measurable, Attainable, Realistic and Timely (S.M.A.R.T) objective process to provide measure improvement through outcomes of services.
Sales Group Manager, Inside Sales (Remote - Pst, MT, CST Only) The RealReal, Inc.Sales Group Manager, Inside Sales (Remote - Pst, MT, CST Only)Los Angeles, CARemote$85,000–$94,000 / yearAs a sustainable company, we give new life to pieces by thousands of brands across numerous categories-including women's and men's fashion, fine jewelry and watches, art, and home-in support of the circular economy. To determine starting pay we carefully consider a variety of factors, including primary work location and an evaluation of a candidate's skills, experience, market demands, and internal parity.
Associate Sales Representative IantrekAssociate Sales RepresentativeLos Angeles, CARemoteThe Associate Sales Representative (ASR) supports the growth of Iantrek’s surgical glaucoma portfolio by partnering closely with the Regional Sales Director and Surgical Glaucoma Managers to drive product adoption, utilization, and customer success across assigned accounts. This field-based, surgeon-facing role is focused on operating room case support, clinical education, account development, and disciplined sales execution.
Auditor, Support Center Quality - Remote (Bilingual Spanish) Molina Healthcare IncAuditor, Support Center Quality - Remote (Bilingual Spanish)CARemoteAt least 2 years of progressive work experience in quality assurance/auditing, call center, and/or customer service experience in a fast-paced/high-volume environment, or equivalent combination of relevant education and experience. Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and customers.
Energy Storage Project Executive (Remote) SOLV Energy LLCEnergy Storage Project Executive (Remote)CARemote$165,792–$207,240 / yearAble to perform all Project Manager's responsibilities: Work with the project execution team to understand multiple work disciplines along with being a leader in scheduling, cost control, quantity tracking, procurement, client satisfaction, daily jobsite needs, and work activities. In addition, candidate introductions or resumes can only be submitted to our internal talent acquisition recruiting team if a signed vendor agreement is already on file and the third-party recruiter or agency has received formal instructions from our internal talent acquisition team to submit candidates for a particular job posting.
Import Specialist II DeringerImport Specialist IIRancho Dominguez, CARemote$20–$30 / hourInterpersonal Skills- Focuses on solving conflict, not blaming; maintains confidentiality; listens to others without interrupting; keeps emotions under control; remains open to others' ideas and tries new things; takes responsibility for own actions; contributes to building a positive team spirit; supports everyone's efforts to succeed. Customer Oriented- Manages difficult or emotional customer situations; responds promptly to customer needs; solicits customer feedback to improve service; demonstrates ability to speak clearly and persuasively in positive and negative situations; listens and gets clarification; responds well to questions.
Program Director, Quality Improvement (Remote) Molina Healthcare IncProgram Director, Quality Improvement (Remote)CARemoteLeads quality programs/projects in one or more of the following critical QI functional areas: Healthcare Effectiveness Data and Information Set (HEDIS) performance measurement (includes conducting data collection, reporting and monitoring for key performance measurement (KPI) activities), quality reporting, oversight of automated quality software tools and processes, clinical quality interventions, implementation and monitoring of the success of QI activities, and QI compliance, which provides the strategic direction and implementation of corporate and/or Molina plan National Committee for Quality Assurance (NCQA) accreditation surveys and federal and state QI compliance activities. Serves as a quality improvement (QI) subject matter expert and leads quality programs to meet critical quality needs; advises senior leaders and other functions and departments on quality strategies and initiatives.
Chief Cloud Architect (Remote) Newhouse Project ConsultingChief Cloud Architect (Remote)Los Angeles, CARemoteThe successful candidate will be able to architect secure, resilient, and scalable cloud networking solutions across AWS, Azure, hybrid, and multi-cloud environments while improving availability, connectivity, traffic management, and overall network reliability. This role will focus heavily on the design, implementation, security, resiliency, and management of complex cloud and hybrid network infrastructure across Amazon Web Services (AWS) and Microsoft Azure.
Program Manager, PMO - Clinical/UM/CM/Pharmacy - Remote Molina Healthcare IncProgram Manager, PMO - Clinical/UM/CM/Pharmacy - RemoteCARemoteDevelops and maintains integrated program plans, including scope, schedule, milestones, deliverables, resource needs, dependencies, and key risks across multiple related projects. Builds and maintains effective working relationships with business and technology stakeholders; influences decision-making and supports resolution of complex delivery issues.
NewInsomniac - Jr. Recruiter Live Nation EntertainmentInsomniac - Jr. RecruiterCalabasas, CaliforniaRemote$70,304–$85,000 / yearInsomniac takes into consideration a candidate’s education, training, and experience, as well as the position’s work location, expected quality and quantity of work, required travel (if any), external market and internal value, including seniority and merit systems, and internal pay alignment when determining the salary level for potential new employees. Enhanced by state-of-the-art lighting, pyrotechnics and sound design, large-scale art installations, theatrical performers and next generation special effects, our events captivate the senses and inspire a unique level of fan interaction.
SIU Clinical Healthcare Fraud Investigator III Mitchell MartinSIU Clinical Healthcare Fraud Investigator IIILos Angeles, CARemote$45–$55.53 / hourBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. Lead complex investigations into suspected healthcare fraud, waste, and abuse.
NewPR Communications Program Manager Slate AutomotivePR Communications Program ManagerCarson, CaliforniaRemote$85,000–$140,000 / yearThe compensation for this position is the range Slate reasonably and in good faith expects to pay for the position taking into account the wide variety of factors that are considered in making compensation decisions, including job-related knowledge; skillset; experience, education and training; certifications; work location; and other relevant business and organizational factors. Slate is looking for an experienced Public Relations and Communications Program Manager to run the day-to-day and long-term operations of the communications department.