Senior Manager Revenue Cycle Program Management Office PMO UCLA Health SystemSenior Manager Revenue Cycle Program Management Office PMOLos Angeles, CA$98,200–$214,600 / yearThis role partners with revenue cycle leaders, Information Technology, and other stakeholders to strengthen project execution, improve financial and operational performance, support sustainable process improvements, and advance initiatives across patient access, coding, revenue integrity, billing, and collections. In this role, you will: Manage a portfolio of revenue cycle projects, including feasibility and impact analysis, project planning, milestone tracking, risk management, prioritization, and delivery within established PMO frameworks.
Program Manager Care Management Independent Living Systems LLCProgram Manager Care ManagementGlendale, CAILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role: The Program Manager Care Management is responsible for overseeing and coordinating multiple health-related programs to ensure they meet organizational goals and regulatory requirements.
NewDirector, Risk Management & Patient Safety Fox Point Recruitment LLCDirector, Risk Management & Patient SafetyDowney, CA$175,600–$258,100 / yearThe Director of Risk Management & Patient Safety oversees critical risk management projects and drives continuous clinical quality, patient safety, and regulatory compliance across acute care hospital operations. Direct patient safety programs, hazard responses, and event management protocols; collaborate with executive leadership to improve patient flow, clinical support, and seamless care transitions.
CHIEF, REVENUE MANAGEMENT, HEALTH SERVICES/CORRECTIONAL HEALTH Los Angeles CountyCHIEF, REVENUE MANAGEMENT, HEALTH SERVICES/CORRECTIONAL HEALTHLos Angeles, CA$141,907.20–$220,694.40 / yearVeteran's Credit: Pursuant to the County Charter and County policy, in all open competitive examinations (i.e., examinations open to everyone), the County of Los Angeles will add a credit of 10 percent of the total credits specified for such examination to the final passing score of an honorably discharged veteran, as well as the spouse of a deceased or disabled veteran, who served in the Armed Forces of the United States under specific conditions. Option 1: Three years of experience in directing one or more of the following complex health care fiscal operations: budgetary projections or reporting; revenue programs; patient, general, or cost accounting; cost reporting; revenue enhancement strategy development; revenue cycle operations; or other major finance-related areas.
NewDirector, Risk Management & Patient Safety (KFH/HP) Veracity Software IncDirector, Risk Management & Patient Safety (KFH/HP)Downey, CAThe position also serves as a subject matter expert for clinical quality improvement processes and regulations and works closely with senior leadership, physicians, clinical teams, regulatory agencies, and other stakeholders. Bachelor's degree in Business Administration, Healthcare Administration, Nursing, Public Health, or related field plus 7+ years of healthcare/related experience, or 10+ years of healthcare/related experience .
VP, Network Strategy and Management Solutions Centene Corporation GroupVP, Network Strategy and Management SolutionsCA$171,900–$326,900 / yearAssist with value based contracting provider network strategy, including provider contract negotiation, development of new value-based models, drive provider performance related to quality and reduction of avoidable healthcare costs, assist with preparation for provider performance meetings, and support decision makers with analysis related to historical and projected provider performance. Position Purpose: Role will lead strategy development and execution for the growing ICHRA product, including building provider networks with dedicated rates across current and future markets for both Centene employees and external members.
Vendor Management Director Alignment Healthcare IncVendor Management DirectorCA$130,332–$195,498 / yearThe role oversees strategic vendors and delegated entities that support core Medicare Advantage functions including claims administration, pharmacy services, care management, utilization management, member services, risk adjustment, quality improvement, provider operations, and technology platforms. The Director develops and executes vendor governance strategies, performance management frameworks, risk oversight programs, and partnership models that support organizational growth, operational excellence, member satisfaction, and regulatory compliance.
Manager, Care Management SCAN Health PlanManager, Care ManagementLong Beach, CaliforniaRemote$92,400–$133,671 / yearManages the daily operations and continuous quality improvement of care management programs at SCAN to ensure the delivery of high quality, evidence-based care with a focus on addressing the medical, behavioral health, and social needs of members. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information.
Non-Clinical - Health and Information Management - Patient Registrar BesticaNon-Clinical - Health and Information Management - Patient RegistrarWhittier, CADemonstrated attention to detail; Good English speaking, spelling, reading and Mathematical skills required Demonstrate ability to learn quickly, and follow directions as outlined in policies or given by Supervisor Strong Computer skills and Knowledge in Word, Excel and ability to maneuvering through multiple screens in a timely manner 1+ year of medical office /hospital work experience preferred Medical terminology knowledge strongly preferred Insurance knowledge required Ability to multi- task in a fast and high pressured environment Stringent adherence to all HIPPA laws Strong typing skills 45 and up wpm is required Strong analytical skills, problem solving. Complete HPE comprehensive training program as required Excellent Customer service and phone skills with a background in the medical industry Ability to travel to off-site locations (Outpatient only) EDUCATION/EXPERIENCE/TRAINING One year experience in a high volume healthcare facility or medical office setting with strong computer and customer service experience required High school graduate required or equivalent, evidence of continuing education preferred.
Non-Clinical - Health and Information Management - Patient Registrar 22nd Century Technologies, Inc.Non-Clinical - Health and Information Management - Patient RegistrarWhittier, CAPerforms all tasks related to pre-registration, and registering of inpatients and outpatients including securing and calculating upfront collections with co-pays, and co-insurance in an efficient, accurate and hospitable manner to ensure that patient, physician and hospital needs are met. Demonstrates successful collection skills by collecting payment, setting up payments plans and securing reimbursement for 75% of insured patients with liability and some form of payment for 33% of self pay patients that do not qualify for HPE, Medi-Cal or charity.
Director, Transformation Management (Open to Remote, Continental U.S.) Dentsu International LtdDirector, Transformation Management (Open to Remote, Continental U.S.)Los Angeles, CARemote$113,000–$158,750 / yearEmployees who live within a commutable distance of one of our hub offices, currently located in Chicago, metro Detroit, Los Angeles, and New York City, are required and expected to work from the office three days per week (two days per week for employees based in Los Angeles). This role partners with executive stakeholders, business leaders, program teams, and external partners to ensure that transformation investments translate into measurable business outcomes, sustained adoption, and improved ways of working.
NewDirector of Patient Safety & Clinical Risk Management Macpower Digital Assets Edge Private LimitedDirector of Patient Safety & Clinical Risk ManagementDowney, CA$168,400–$258,000 / yearOversees infection prevention and control programs to improve employee and patient safety by: directing and prioritizing epidemiological investigations and simulations of significant clusters of infection or serious communicable disease concerns as a part of prevention, surveillance, and outbreak management; coordinating, developing, and maintaining significant outbreak containment protocols and efforts; and consulting with Administration on infection control implications of architectural design, renovation, and construction. Oversees patient safety programs and initiatives by: directing significant event management and response to safety hazards, accidents, incidents, threats, and significant events; and collaborating with executive management and external personnel to develop patient care and satisfaction programs which aim to improve patient flow, clinical support, patient services, and seamless transition of care.
Workforce Management Supervisor- Patient Access Organization UCLA Health SystemWorkforce Management Supervisor- Patient Access OrganizationLos Angeles, CA$42.58–$91.14 / hourThis position supervises Workforce Management Analysts and ensures the delivery of accurate forecasting, scheduling, reporting and operational insights that enable leaders to effectively manage patient access demand and maintain high levels of service for patients and clinics. The Workforce Management (WFM) Supervisor provides operational leadership for workforce planning, real-time staffing management, and performance monitoring within the Patient Access Organization's centralized call center operations.
Associate Director, Global Outsourcing & Budget Management ImmunityBio IncAssociate Director, Global Outsourcing & Budget ManagementEl Segundo, CAThe Associate Director, Global Outsourcing and Budget Management leads the operational delivery of clinical sourcing, contracting, budgeting and supplier-management activities across global clinical studies. 8+ years of progressive experience in pharmaceutical, biotechnology, CRO or related clinical-research operations, including clinical outsourcing, supplier management, budgeting, contracting or site payments required.
Vendor Management Compliance Consultant University of CaliforniaVendor Management Compliance ConsultantLos Angeles, CA$88,900–$190,300 / yearThis role helps ensure compliance with CMS, DMHC, and other applicable regulatory requirements while strengthening vendor oversight, supporting operational effectiveness, and contributing to the successful development of new products and expanded services. Participate in special projects and initiatives supporting vendor management, compliance program objectives, system enhancements, regulatory requirements, new product offerings, service expansion, and operational improvements.
Vendor Management Director Alignment Healthcare USA, LLCVendor Management DirectorOrange, CAFull timeThe role oversees strategic vendors and delegated entities that support core Medicare Advantage functions including claims administration, pharmacy services, care management, utilization management, member services, risk adjustment, quality improvement, provider operations, and technology platforms. The Director develops and executes vendor governance strategies, performance management frameworks, risk oversight programs, and partnership models that support organizational growth, operational excellence, member satisfaction, and regulatory compliance.
VP, Vendor Management Alignment Healthcare IncVP, Vendor ManagementCA$227,952–$341,928 / yearThis role ensures that all delegated entities, technology partners, operational service providers, and business process outsourcing partners deliver high-quality, compliant, cost-effective services that support the organization''s Medicare Advantage growth, operational excellence, member experience, and regulatory obligations. This leader partners across Operations, Clinical Services, Compliance, Finance, Information Technology, Risk Adjustment, Quality, Legal, and Procurement to maximize vendor value while mitigating operational, financial, regulatory, and reputational risk.
NewDirector of Quality & Risk Management Sherman Oaks HospitalDirector of Quality & Risk ManagementSherman Oaks, California$87,048–$115,273 / hourFull timeThis position partners with executive leadership, department leaders, medical staff, and multidisciplinary teams to promote safe, high-quality patient care, mitigate organizational risk, improve clinical outcomes, and maintain continuous regulatory and accreditation readiness. Staffed with over 500 employees and an extraordinary team of physicians, the hospital is recognized for advanced technology and compassionate care and provides 24/7 emergency care in addition to a full range of specialized medical, surgical, and diagnostic services to improve and save lives.
NewUtilization Management Policy Initiatives Registered Nurse Macpower Digital Assets Edge Private LimitedUtilization Management Policy Initiatives Registered NurseLos Angeles, CARemote$102,183–$132,838 / yearThis role ensures that the day to day functions of Utilization Management initiatives comply with regulatory and accreditation requirements such as those stated in contracts, CalAIM Population Health Management (PHM) Policy Guide, National Committee on Quality Assurance (NCQA) Department of Health Care Services (DHCS) All Plan Letters (APLs), and Centers for Medicare and Medicaid Services (CMS) Model of Care (MOC) through sound clinical policy maintenance. Non-negotiable requirements of this position: Direct past experience with Health Care / Medical Policy work specifically within a Managed Care Plans environment; experience with the ongoing development of the Medical Policy review process including clinical and utilization data analysis; Assisted in developing training documents and presentations for new and/or revised Medical Policies to internal stakeholders.
Epic Application Analyst l, II, lll, Tapestry (Core Administration, Utilization Management or Benefits) PIH HealthEpic Application Analyst l, II, lll, Tapestry (Core Administration, Utilization Management or Benefits)Whittier, CA$102,481–$169,104Full timeThe fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology.