NewHealthcare EDI Analyst - Payer Connectivity (Remote) Experian Information Solutions IncHealthcare EDI Analyst - Payer Connectivity (Remote)Costa Mesa, 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.
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.
Bilingual Spanish Health Coach and Educator (Home Visits in San Gabriel Valley / Southeast LA, CA | Field Remote) Alignment HealthcareBilingual Spanish Health Coach and Educator (Home Visits in San Gabriel Valley / Southeast LA, CA | Field Remote)Whittier, CaliforniaRemoteEffective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors; Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly. Reasoning Skills: Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution.
CCSB Call Center Representative I Western GrowersCCSB Call Center Representative IIrvine, CARemote$38,625.60–$48,750 / yearAt Pinnacle Claims Management, we are an innovative third-party administrator (TPA) that provides a full-suite of comprehensive and customized health benefits administration services for self-funded companies, including health management and wellness solutions, and pharmacy benefit management. This position provides consultative telephonic and web-based assistance to Agents, Certified Enrollment Counselors, Qualified Health Plans (QHP), federal and state agencies and other stakeholders in Health Benefit Exchange administration.
Field Service Engineer- Los Angeles/ San Fernando Valley Danaher CorpField Service Engineer- Los Angeles/ San Fernando ValleyPasadena, CARemote$36–$45 / hourIn this role, you will have the opportunity to: Working independently, handle troubleshooting, installation, preventative maintenance, and service repair needs of Beckman Coulter equipment, including providing excellent and efficient service to Beckman Coulter's customers, along with technical training on products. As a global leader in clinical diagnostics, Beckman Coulter Diagnostics has challenged convention to elevate the diagnostic laboratory's role in improving patient health for more than 90 years.
Call Center Representative I (California Only) Western GrowersCall Center Representative I (California Only)Irvine, CARemote$38,625.60–$50,874.31 / yearAt Pinnacle Claims Management, we are an innovative third-party administrator (TPA) that provides a full-suite of comprehensive and customized health benefits administration services for self-funded companies, including health management and wellness solutions, and pharmacy benefit management. The Call Center Representative I will play a crucial role in assisting clients over the phone and electronically, making a real difference in their experience with the Health Benefits Exchange (HBEX).
Clinical Reviewer - (Remote in California) Acentra HealthClinical Reviewer - (Remote in California)CARemote$28.37–$39.19 / hourMust hold an active California license as a Licensed Marriage and Family Therapist (LMFT) or Licensed Clinical Social Worker (LCSW) and a master's degree in a directly related field from an accredited institution. Proactively assess, prioritize, and manage daily workloads and review queues, adjusting work schedules as needed to effectively meet departmental demands.