Remote Pharmacy Technician Prior Auth Molina Healthcare IncRemote Pharmacy Technician Prior AuthCARemotePerforms initial receipt and review of non-formulary or prior authorization requests against pharmacy plan approved criteria; requests additional information from providers as needed to properly evaluate requests. Assists Molina member services, pharmacies, and health plan providers in resolving member prescription claims, prior authorizations, and pharmacy service access issues.
Solution Specialist, BHT (Remote) Cengage Learning IncSolution Specialist, BHT (Remote)California, CARemote$52,000–$67,600 / yearTheir work directly contributes to Cengage's broader institutional strategy by building faculty advocacy, driving digital usage, and creating departmental momentum that strengthens the value proposition for larger institutional agreements negotiated by Account Teams. Cengage, a global education technology company serving millions of learners, provides affordable, quality digital products and services that equip students with the skills and competencies needed to be job ready.
Senior Director, Higher Education Strategy & Products - Remote American Health Information Management AssociationSenior Director, Higher Education Strategy & Products - RemoteCARemoteWorking across product, academic affairs, certification, membership, marketing, sales, technology, and finance, this individual will identify emerging market needs and translate them into relevant, scalable, and financially sustainable solutions. The role will strengthen AHIMA''s relationships with academic institutions while ensuring its educational products prepare learners for the evolving demands of health information, data, revenue cycle, privacy, compliance, and healthcare technology careers.
Manager of Provider Transition and Growth - Remote within the Los Angeles Metro Area UnitedHealth Group IncManager of Provider Transition and Growth - Remote within the Los Angeles Metro AreaTorrance, CARemote$72,800–$130,000 / yearThe 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. The 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.
Network Contract Manager - Remote UnitedHealth Group IncNetwork Contract Manager - RemoteTorrance, CARemote$72,800–$130,000 / yearThe 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. This position also involves hosting Joint Operating Committee meetings, educating accounts on compliance and best practices, and collaborating across departments to deliver creative solutions.
NewRemote Care Coordinator, SNP (Bilingual Spanish Preferred)) Alignment Healthcare IncRemote Care Coordinator, SNP (Bilingual Spanish Preferred))CARemote$41,472–$62,208 / yearGENERAL DUTIES / RESPONSIBILITIES (MAY INCLUDE BUT ARE NOT LIMITED TO): Reaches out to members telephonically to assist with referrals, authorizations, HHC, DME needs, medication refills, make provider appointments and follow ups, etc. The Special Needs Plan (SNP) team is responsible for the health care management and coordination of care for members with complex and chronic care needs.
Regional Sales Director (Remote - United States) Nextech Systems LLCRegional Sales Director (Remote - United States)CARemoteThe Regional Sales Director is responsible for handling client prospects from all sources including responses to marketing, trade show and general inquiries as well as referrals from existing practices and physicians, maintaining established customer relationships and transitioning newly acquired clients to a Nextech Account Manager. The primary responsibility of the Regional Sales Director ("RSD") is to sell "Nextech" to assigned physician markets generally consisting of practices with 3 or more doctors in a territory or territories assigned by the VP Sales.
Pricing Manager - Remote DanaherPricing Manager - RemoteLos Angeles, CARemote$145,000–$155,000 / yearThe Pricing and Contracts Manager is responsible for leading commercial deal support across pricing strategy, contract governance, bid and quote operations, and deal desk activities to enable profitable growth and reduce commercial risk. Act as a business lead and subject matter expert for CPQ processes, workflows, and user adoption, partnering with Sales Operations, IT, and commercial stakeholders to identify and prioritize CPQ enhancements.
Accounts Receivable Analyst- Remote Pride Technologies LLCAccounts Receivable Analyst- RemoteCARemote$60–$70 / hourThe ideal candidate is currently working as a Senior Accounts Receivable Analyst, Senior Collections Specialist, Accounts Receivable Specialist, or Accounts Receivable Supervisor with experience owning a high-volume B2B portfolio. We're looking for professionals who thrive in high-volume environments, work independently with minimal supervision, and bring strong expertise in B2B accounts receivable operations, collections, and modern AR automation platforms.
NewRemote Sr. Virtual Desktop Lead - Virtual Desktop (VA ESOM) IT Concepts IncRemote Sr. Virtual Desktop Lead - Virtual Desktop (VA ESOM)CARemote$117,083.20–$132,683.20 / yearServe as a Subject Matter Expert (SME) by advising application developers on methodologies to identify application compatibility, security considerations, and troubleshooting approaches as applications are migrated or upgraded within Azure Virtual Desktop and Citrix environments. Actively participate as a Subject Matter Expert (SME) in technical working groups and engineering activities related to Azure Virtual Desktop and Citrix Virtual Apps and Desktops.
NewRemote Senior Program Analyst (VA ESOM CMDB) IT Concepts IncRemote Senior Program Analyst (VA ESOM CMDB)CARemote$135,000–$155,000 / yearMust meet updated ID requirements: https://www.gsa.gov/technology/it-contract-vehicles-and-purchasing-programs/federal-credentialing-services/get-appointment-help/bring-required-documents . As a valued member of our team, you have the unique opportunity to work in a diverse range of technology and business career paths, all while supporting our nation and delivering innovative technology solutions.
Member Engagement Specialist (100% Remote for Pacific or Mountain time zones) Healthmap Solutions IncMember Engagement Specialist (100% Remote for Pacific or Mountain time zones)CARemoteHealthmap Solutions uses clinical big data resources and high-powered analytics to power complex specialty health management programs. Present a positive, professional, and engaging approach to all prospective members and internal stakeholders, regardless of whether they enroll in the program and drive Healthmap culture through all communications channels.
Sr. Product Manager (Remote) Path CCM, IncSr. Product Manager (Remote)CARemoteAs part of our team, full-time employees receive: 100% remote work environment: Working hours to support a healthy work-life balance, ensuring you can meet both professional and personal commitments (must be based in United States, currently not hiring in Hawaii). Day-to-day, you'll dig into data to understand patient pain points, and collaborate with user researchers, analysts, and data scientists to uncover what drives stronger engagement and better outcomes.
Business Analyst - REMOTE Molina Healthcare IncBusiness Analyst - REMOTECARemoteCommunicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices. Self-organized reporting to ensure health plans/product team and other leadership are aware of work efforts and impact for any prospective or retrospective requirement changes that can impact financials.
Director of Marketing Analytics (Remote) Path CCM, IncDirector of Marketing Analytics (Remote)CARemoteLeading a small team of data scientists, you will draw from your vast analytics toolkit to translate broad questions into actionable research and discovery plans, perform proactive data exploration to identify critical insights, design and scale A/B testing frameworks to improve funnel performance and channel effectiveness, and communicate results in a clear and compelling manner. Deep expertise in digital marketing metrics (CAC, LTV, attribution models, incrementality, funnel optimization) and experience working with paid marketing channels (Google, Meta, programmatic, affiliates, etc.).
Psychiatric Quality Specialist (Remote) Path CCM, IncPsychiatric Quality Specialist (Remote)CARemoteAs part of our team, full-time employees receive: 100% remote work environment: Working hours to support a healthy work-life balance, ensuring you can meet both professional and personal commitments (must be based in United States, currently not hiring in Hawaii). The ideal candidate brings exceptional organizational skills, clear communication, sound clinical judgment, and an enthusiastic approach to peer outreach.
Sr. AI/ML Engineer - Remote or Hybrid in Eden Prairie, MN or Irvine, CA UnitedHealth Group IncSr. AI/ML Engineer - Remote or Hybrid in Eden Prairie, MN or Irvine, CAIrvine, CARemote$120,100–$214,500 / yearThe 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. Primary Responsibilities: Design, develop, and deploy AI-powered solutions, LLM workflows, prompt chains, agents, RAG patterns, model integrations, classification models, and decision-support tools to address complex business challenges.
Psychiatrist - Child & Adolescent - 1099 Contractor Remote - California Lyra Health IncPsychiatrist - Child & Adolescent - 1099 Contractor Remote - CaliforniaCARemoteWith our advanced matching technology, supportive provider platform, and opportunities for training and clinical consultation, being part of our network is an incredible chance to do what you love, like patient care, with support for the things you dont love, like self-promotion and scheduling. Collaborative Teamwork: Actively participate in team meetings, contribute to collaborative care planning, and provide consultative support to other team members for comprehensive member care.
Medical Director - Prior Authorization - CA licensure required - Remote UnitedHealth Group IncMedical Director - Prior Authorization - CA licensure required - RemoteTorrance, CARemote$248,500–$373,000 / yearThe 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. The scope of this role will include Prior Authorization for Medicare Advantage members focusing on high value procedures such as Myocardial SPECT, PET scans, DME/Home Ventilator, Genetic Testing, and many more.
Senior AI/ML Engineer - Remote UnitedHealth Group IncSenior AI/ML Engineer - RemoteIrvine, CARemote$91,700–$163,700 / yearThe 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. The ideal candidate consistently seeks opportunities to enhance system performance and contribute to organizational objectives, while upholding ethical AI principles by embedding fairness, transparency, and accountability throughout the model development lifecycle.