NewConsulting Manager, Claims modernization Program Manager (healthcare) Cognizant Technology Solutions CorpConsulting Manager, Claims modernization Program Manager (healthcare)Long Beach, CARemote$105,000–$129,500 / yearYou will be a valued member of the Healthcare Consulting team and work collaboratively with business leaders, product owners, architects, UX/UI teams, API developers, vendors, and client stakeholders to successfully execute complex claims modernization initiatives. In this role, you will combine program leadership, stakeholder management, and healthcare domain expertise to drive the successful delivery of enterprise-scale transformation programs while enhancing member and provider experiences.
Sales Director, Healthcare Genesys Cloud Services IncSales Director, HealthcareCARemote$156,800–$275,800 / yearYou will serve as an executive sponsor for key customers, shape go-to-market strategy, and help customers leverage AI-powered customer experience transformation to achieve measurable business outcomes. Our platform connects people, systems, data and AI to help organizations deliver more personalized service, improve operational efficiency and build stronger customer relationships.
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.
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.
Inside Sales Agent-Healthcare Call Center 26-00240 Alura Workforce SolutionsInside Sales Agent-Healthcare Call Center 26-00240Aliso Viejo, CARemote$20–$25 / hourAn innovative leader in ophthalmology, they deliver an exceptional patient experience through advanced technology and a team of highly skilled, experienced surgeons — trusted by more than 3,000 referring eye doctors nationwide. We're looking for a high energy, people focused Inside Sales Call Center Agent who excels at building trust, influencing decisions, and guiding patients toward life-changing vision correction procedures.
Inside Sales Agent-Healthcare Call Center Alura Workforce SolutionsInside Sales Agent-Healthcare Call CenterRemote, CARemote$20–$25 / hourAn innovative leader in ophthalmology, they deliver an exceptional patient experience through advanced technology and a team of highly skilled, experienced surgeons — trusted by more than 3,000 referring eye doctors nationwide. We're looking for a high energy, people focused Inside Sales Call Center Agent who excels at building trust, influencing decisions, and guiding patients toward life-changing vision correction procedures.
Care Review Clinician (RN) Remote Molina Healthcare IncCare Review Clinician (RN) RemoteCARemoteResponsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
NewRN Call Center Nurse Per Diem - Remote UnitedHealth Group IncRN Call Center Nurse Per Diem - RemoteTorrance, CARemote$29–$52 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. We have received recent reports of fraudulent LinkedIn messages and emails alleging or claiming to be sent from UnitedHealth Group, UnitedHealthcare, or Optum Executives.
NewRN Call Center Nurse - CA Remote UnitedHealth Group IncRN Call Center Nurse - CA RemoteTorrance, CARemote$28.94–$51.63 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. We have received recent reports of fraudulent LinkedIn messages and emails alleging or claiming to be sent from UnitedHealth Group, UnitedHealthcare, or Optum Executives.
Healthcare Analyst II Cohere Health Technologies LLCHealthcare Analyst IICARemote$85,000–$92,000 / yearBy unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. With an enterprise approach that streamlines payer-provider decision-making across the care continuum-including policy, prior authorization, payment accuracy, and more-the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction.
Part -Time Registered Dietitian (90% remote) RD Nutrition ConsultantsPart -Time Registered Dietitian (90% remote)Artesia, CaliforniaRemoteThis role allows flexibility and a balanced blend of in-person and remote work, ensuring our patients receive the best care while our team enjoys a work-life harmony. Conduct comprehensive nutritional assessments on new admissions and quarterly thereafter, with more frequent reviews as needed for high-risk residents.
Account Payable Associate (Remote) Stratus StaffingAccount Payable Associate (Remote)Pasadena, CARemoteWe have an open vendor platform and large database of talented applicants covering, Home health, HomeCare, nursing, Hospice, LCT, SNF, ALF, Senior Living, RN LVN, PT, DPT, PTA, OT, SLP, MSW, C-Suite, Administration, Finance, Accounting executives, healthcare management, Travel Nursing, IT, Coding, HIM, Finance, Billing, and a variety of careers from the top ten staffing firms in the country. This role is responsible for managing the accounts payable process, ensuring timely and accurate processing of invoices, managing vendor relationships, maintaining accurate financial records, and maintaining strong relationships with internal teams and external partners.
Medical Science Liaison, US remote Haemonetics CorpMedical Science Liaison, US remoteCARemote$101,074.94–$172,098.56 / yearThe MSL leads high-value scientific exchange with key opinion leaders (KOLs), provides non-promotional education, and delivers actionable medical insights to support clinical research, product development, and Medical Affairs strategy. For non-sales roles, employees will be eligible for a discretionary annual bonus, the target amount of which varies based on the applicable role, to be governed by the applicable plan terms.
Remote Hospice Triage RN PT 3:30p-11p Compact & CA license needed IntellaTriage, Inc.Remote Hospice Triage RN PT 3:30p-11p Compact & CA license neededCARemoteUtilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008.
Clinical Documentation Improvement Specialist (Remote), Day Shift, Clinical Documentation Shady Grove Adventist HospitalClinical Documentation Improvement Specialist (Remote), Day Shift, Clinical DocumentationCARemote$77,313.60–$115,980.80 / weekWe do this by offering: Work life balance through nonrotating shifts Recognition and rewards for professional expertise Free Employee parking Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available) Paid Time Off Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance Subsidized childcare at participating childcare centers Tuition Reimbursement * Employee Assistance Program (EAP) support As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Education and Experience: Doctor of Medicine (MD), Doctor of Osteopathy (DO), Foreign Medical Graduate (FMG), Registered Nurse (RN), Pharmacist, Doctor of Physical Therapy RHIA, RHIT, or related clinical/allied health degree Minimum of 5 years inpatient clinical experience 2+ years of clinical documentation, coding, case management, utilization review, or acute-care clinical experience Experience interpreting physician documentation, lab results, imaging, and clinical indicators.
Product Marketing Director - Experian Health (Remote) Experian Information Solutions IncProduct Marketing Director - Experian Health (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.
Senior Product Manager - Remote Providence Health & ServicesSenior Product Manager - RemoteCalifornia, CARemoteRequsition ID: 447162 Company: Providence Jobs Job Category: Product Management & Support Job Function: Project/Product Management Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4007 SS CC CLL ANALYTICS 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 Senior Product Manager will be part of a team within the ACOE that supports analytics products and services for Acute Hospital Operations (e.g., Length of Stay reduction, Case Management, Perioperative Services, Emergency Medicine, Critical Care, Hospital Medicine, Imaging).
Customer Insights Manager, Home Health/Hospice US, Remote Eleos Health Inc.Customer Insights Manager, Home Health/Hospice US, RemoteCARemote$120,000–$150,000 / yearProvide clinical validation and subject matter expertise for AI-driven compliance prompts, Live Quality Assist nudges, and compliance dashboard checks, reviewing AI-generated narrative notes, OASIS responses, and HOPE items for clinical accuracy and regulatory alignment. Lead discovery sessions with HH&H executives, QA/QAPI directors, and clinicians to identify compliance needs and workflow gaps, and support compliance implementations end-to-end - including data schema validation, EHR ingestion review, and custom rules development.
QNXT Program Manager (Remote) HJ StaffingQNXT Program Manager (Remote)LONG BEACH, CARemoteTransformation Leadership: Proven experience leading large, cross-functional system implementations or platform migrations involving data conversion, system testing, defect triage, mock conversions, cutover planning, and go-live stabilization. You will collaborate closely with product managers and leaders supporting Provider Data, Configuration (provider contracts, benefits, utilization management, business rules), and Capitation to ensure a seamless migration, precise claims adjudication, and operational readiness for go-live.
NewSenior Manager Identity Governance Administration Engineering - Remote Experian Information Solutions IncSenior Manager Identity Governance Administration Engineering - RemoteCARemoteExperian''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. You will set the technical direction for SailPoint Identity Security Cloud, identity lifecycle management, and governance for both human and non-human identities.