NewMedical Billing Specialist JobotMedical Billing SpecialistLos Angeles, CA$25–$29 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. This role is responsible for preparing, reviewing, and submitting claims, resolving denied or unpaid claims, and maintaining compliance with local, state, and federal billing regulations.
NewDocumentation Specialist-In Office JobotDocumentation Specialist-In OfficeAnaheim, CA$22–$25 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. The Quality Support Coordinator Provides administrative and operational support for quality‑related processes, including performance tracking, reporting, and coordination of internal and external feedback.
Payroll Specialist JobotPayroll SpecialistTorrance, CA$28–$34 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Known for our commitment to quality, reliability, and employee retention, we have built a strong reputation through decades of successful project execution and long-term customer relationships.
NewQuality Specialist Inspector Johnson Service GroupQuality Specialist InspectorChatsworth, CAIn the performance of their respective tasks and duties all Quality Specialist are expected to conform to the following: Customer & Supplier Quality Management Support customer and supplier audits in a variety of roles; prepare documentation and audit findings. The Quality Specialist must be able to conduct external and internal audits, help managing supplier and customer quality interactions, and supporting root cause analysis and continuous improvement initiatives.
NewBilling Specialist Vaco LLCBilling SpecialistCosta Mesa, CA$42–$48 / hourDetermining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
NewPayroll Specialist Vaco LLCPayroll SpecialistCosta Mesa, CADetermining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. A growing company in the services/hospitality-related space is seeking a detail-oriented Payroll Specialist to manage end-to-end payroll operations across a multi-state workforce.
AV Commissioning Specialist/AV Field Engineer IGIAV Commissioning Specialist/AV Field EngineerLos Alamitos, CA$42–$54 / hourOur presentation, video conferencing, and digital signage systems help customers use the right technology in board, conference, VTC, collaboration rooms, and huddle spaces to share information, meet goals, and communicate more effectively. Install and integrate innovative AV technologies from manufacturers such as Barco, Biamp, Christie Digital, Crestron, Extron, Middle Atlantic, NVIDIA, Poly, Samsung, Shure, Sony and Microsoft Teams.
New Account Review Specialist Cathay General BancorpNew Account Review SpecialistRosemead, CA$23.22–$25.91 / hourWe welcome applications for employment from all qualified candidates, regardless of race, color, ethnicity, ancestry, citizenship, gender, national origin, religion, age, sex (including pregnancy and related medical conditions, childbirth and breastfeeding), reproductive health decision-making, sexual orientation, gender identity and expression, genetic information or characteristics, disability or medical condition, military status or status as a protected veteran, or any other status protected by applicable law. The New Accounts Review Specialist acts as a liaison with the Retail Banking team and other areas of the bank in reviewing, verifying and processing customer account opening documents to ensure compliance with legal, regulatory and internal bank policies.
IP Patent Docketing Quality Review Specialist ArentFox Schiff LLPIP Patent Docketing Quality Review SpecialistLos Angeles, CA$81,000–$112,000 / yearThorough knowledge and understanding of domestic and foreign patent prosecution procedures, terminology, and deadlines required; Strong organization, problem-solving, analytical decision-making, proofreading and reading comprehension skills; Excellent communications skills, both verbal and written; Accurate data entry skills; Ability to work well under pressure and adjust quickly to changing priorities while maintaining a high level of productivity and accuracy; Proficiency in use of office software such as Word and Excel helpful; Flexibility for overtime required. In this role, the Specialist will help maintain the highest level of quality across docketing operations, provide thoughtful guidance and corrections when needed, and contribute to the continued development of team members through training and support.
Validation Lifecycle & Periodic Review Specialist Validation & Engineering Group, IncValidation Lifecycle & Periodic Review SpecialistThousand Oaks, CAValidation & Engineering Group, Inc. (V&EG) a Pinnaql company is a leading services supplier who provides solutions for the Pharmaceutical, Biotechnology, Chemical, Food, and Medical Devices industries in the following areas: Laboratory, Compliance, Computer, Engineering, Project Management, Validation, and other services. Perform Equipment Periodic Reviews (EQPRs), Controlled Temperature Chamber Reviews (CTCPRs), Computerized System Periodic Reviews (CSPRs), and Annual Audit Trail Reviews (AATRs), as applicable.
Validation Lifecycle & Periodic Review Specialist Validation & Engineering GroupValidation Lifecycle & Periodic Review SpecialistThousand Oaks, CAValidation & Engineering Group, Inc. (V&EG) a Pinnaql company is a leading services supplier who provides solutions for the Pharmaceutical, Biotechnology, Chemical, Food, and Medical Devices industries in the following areas: Laboratory, Compliance, Computer, Engineering, Project Management, Validation, and other services. Perform Equipment Periodic Reviews (EQPRs), Controlled Temperature Chamber Reviews (CTCPRs), Computerized System Periodic Reviews (CSPRs), and Annual Audit Trail Reviews (AATRs), as applicable.
Compliance Specialist - Medical Billing Advantage Healthcare ServicesCompliance Specialist - Medical BillingHuntington Beach, CAThis role serves as a key operational partner to Compliance, Pharmacy Operations, Revenue Cycle, and Credentialing teams to support licensing activities, billing compliance, audit readiness, reimbursement requirements, and ongoing regulatory compliance. The ideal candidate combines strong administrative discipline with knowledge of pharmacy operations, licensing regulations, healthcare reimbursement, medical billing, pharmacy claims processing, and regulatory documentation.
Sr. Regulatory Affairs Specialist, Medical Devices (Long Beach, CA) BeautyHealthSr. Regulatory Affairs Specialist, Medical Devices (Long Beach, CA)Long Beach, CaliforniaAn employee’s pay position within the salary range will be based on several factors including, but not limited to, relevant education, qualifications, certifications, experience, skills, seniority, geographic location, performance, travel requirements, revenue-based metrics, any contractual agreements, and business or organizational needs. This includes developing regulatory planning, preparing submissions, ensuring ongoing compliance with applicable regulations such as U.S. FDA and international market regulations, and supporting cross-functional teams to bring innovative solutions to market safely and efficiently.
NewMedical Coding Specialist OneOncology IncMedical Coding SpecialistCARemoteOneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.
Sr. Medical Affairs Specialist LancesoftSr. Medical Affairs SpecialistLos Angeles, CA$85Develop and execute data dissemination plans to effectively communicate the clinical value of ***’s line of products to both internal and external audiences, including healthcare providers, people with diabetes, investors, and regulatory bodies, to emphasize the value of ***’s line of products and inform clinical care. ·Responsible for collaborating with cross-functional teams to ensure the clinical value of the Omnipod line of products is communicated internally and externally in a manner that is scientifically accurate, solves unmet needs, and meets global regulatory requirements.
NewMedical Collector / Accts Receivable Specialist Surgery Partners IncMedical Collector / Accts Receivable SpecialistBeverly Hills, CAKNOWLEDGE AND SKILLS: Has initiative, resourcefulness, analytical ability, problem solving skills, and can deal effectively and harmoniously with all groups and individuals. Must be able to communicate articulately, comprehend written and verbal communications; and must be able to function effectively in a fast-paced work environment.
NewMedical Billing & Coding Specialist OneOncology IncMedical Billing & Coding SpecialistCARemoteOneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.
Medical Billing & Coding Specialist CrewBloomMedical Billing & Coding SpecialistLos Angeles, CARemoteYou will work closely with healthcare practitioners in private practices and medical clinics to accurately review, assign, and manage medical codes, ensuring compliant billing, timely reimbursements, and efficient revenue cycle operations. While industry certifications are a plus, what matters most is hands-on experience with medical billing and coding, particularly a strong understanding of Eye Care Practice (ECP) coding guidelines and regulations.
Sr. Claims Specialist, Professional Liability | Medical Malpractice | California Sedgwick Claims Management Services, Inc.Sr. Claims Specialist, Professional Liability | Medical Malpractice | CaliforniaLong Beach, CA$100,000–$125,000 / yearIdeal candidates demonstrate strong analytical and negotiation skills, exercise sound judgment, and are committed to delivering timely, cost‑effective claim resolutions while maintaining a high level of customer service. ESSENTIAL RESPONSIBLITIES MAY INCLUDE: Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
Medical Assistant/ Insurance verifier , authorization specialist Apex Practice Management GroupMedical Assistant/ Insurance verifier , authorization specialistNorthridge, CAFull timeThe ideal candidate will be responsible for obtaining insurance authorizations and check eligibility for medical procedures and services, ensuring timely approvals to facilitate patient care. - Communicate with healthcare providers, insurance companies, and patients to gather necessary information.
Medical Billing Specialist Unicare HealthMedical Billing SpecialistThousand Oaks, CAFull timeFounded in 1988, Unicare Health helps patients with complex medical needs thrive at home through compassionate care, expert clinical support, and trusted partnership with families and healthcare providers. Patient-friendly customer service skills are critical; this role carries a meaningful volume of inbound and outbound patient and family calls, including escalations, and requires warmth, patience, and professionalism on every one.
Medical Patient Language Writing Specialist Cohere Health Technologies LLCMedical Patient Language Writing SpecialistCARemote$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.
Medical Intake Specialist (Spanish Fluency Required) Stealth HCMedical Intake Specialist (Spanish Fluency Required)Los Angeles, CaliforniaFounded in 2024, we are a venture backed company that has already reached profitability and built a strong, credentialed customer base across California, including leading orthopedic surgeons. This is a non clinical , remote healthcare role that is well suited for individuals who want meaningful work and real exposure to healthcare operations.
Medical Records Specialist HCA Healthcare IncMedical Records SpecialistThousand Oaks, CA$19.70–$27.58 / hourWhat you will do in this role:You will perform collection, processing, filing and maintenance of medical recordsYou will arrange all chart forms and correspondence reports (e.g., operative, lab, electrocardiogram, x-ray, pathology, etc.) in appropriate orderYou are responsible for adhering to medico-legal requirements when answering correspondence and inquiriesYou will obtain all missing chart contents needed to complete medical recordsYou will uphold a checkout and return system for medical records while maintaining confidentiality and security of the documentsYou are responsible for the arrangement of a safe off-site for the storage of microfilmingYou will serve as a liaison between your surgery center and the transcription companyQualifications you will need: Minimum (1) year of experience in a medical office setting highly preferred (i.e. ambulatory surgery center, hospital, doctor's office) Benefits Los Robles Surgery Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
NewMedical Records Specialist PRN HCA Healthcare IncMedical Records Specialist PRNThousand Oaks, CA$19.70–$27.58 / hourWhat you will do in this role: You will perform collection, processing, filing and maintenance of medical records You will arrange all chart forms and correspondence reports (e.g., operative, lab, electrocardiogram, x-ray, pathology, etc.) in appropriate order You are responsible for adhering to medico-legal requirements when answering correspondence and inquiries You will obtain all missing chart contents needed to complete medical records You will uphold a checkout and return system for medical records while maintaining confidentiality and security of the documents You are responsible for the arrangement of a safe off-site for the storage of microfilming You will serve as a liaison between your surgery center and the transcription company Qualifications you will need: Minimum (1) year of experience in a medical office setting highly preferred (i.e. ambulatory surgery center, hospital, doctor's office) Benefits Los Robles Surgery Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
Medical Assistant/Cast Specialist - Manhattan Beach-BCO Ortho Clinic- Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaMedical Assistant/Cast Specialist - Manhattan Beach-BCO Ortho Clinic- Full Time 8 Hour Days (Non-Exempt) (Non-Union)Manhattan Beach, CA$29–$45.20 / hourOrthopaedic Technologist Certified (OTC) - Registered Orthopaedic Technologist (ROT) from American Society of Orthopedic Professional (ASOP), Registered Orthopaedic Technologist (ROT) from National Board for Certification in the Orthopedic Specialties (NBCOS), or Orthopaedic Technologist Certification (OTC) from the National Board for Certification of Orthopaedic Technologists (NBCOT). Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at (213) 821-8100, or by email at uschr@usc.edu.
Clinical Support Specialist - Medical Assistant (Temp-to-Hire) Arine IncClinical Support Specialist - Medical Assistant (Temp-to-Hire)CA$20–$22 / hourStrong computer skills, including proficiency in Google Workspace and Mac (Apple) environment, with comfort using collaboration and contact-center tools such as Slack and Five9, navigating multiple browser-based systems simultaneously, utilizing keyboard shortcuts, maintaining a high typing speed (WPM), and performing basic technical troubleshooting to stay productive in a phone-based environment. We combine cutting edge data science, machine learning, AI, and deep clinical expertise to introduce a patient-centric view to medication management, and develop and deliver personalized care plans on a massive scale for patients and their care teams.
Medical / Legal Record Retrieval Specialist Legal Copy ServiceMedical / Legal Record Retrieval SpecialistVan Nuys, CARemote$20–$21 / hourFull timeThe ideal candidate is proactive, organized, comfortable making a high volume of calls, and capable of independently resolving issues to ensure records are obtained in a timely manner. Responsibilities include, but are not limited to: Handle 40–50 incoming and outgoing calls daily to medical facilities, providers, and record custodians as a scheduler, coordinator, and appointment setter.
Itemized Bill Review Auditor III (IBR) ExlService Holdings IncItemized Bill Review Auditor III (IBR)CA$70,000–$90,000 / yearEXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others.
Sr. Regulatory Affairs Specialist, Medical Devices (Long Beach, CA) Beauty Health Group LimitedSr. Regulatory Affairs Specialist, Medical Devices (Long Beach, CA)Long Beach, CA$107,500–$125,000 / yearAn employee's pay position within the salary range will be based on several factors including, but not limited to, relevant education, qualifications, certifications, experience, skills, seniority, geographic location, performance, travel requirements, revenue-based metrics, any contractual agreements, and business or organizational needs. This includes developing regulatory planning, preparing submissions, ensuring ongoing compliance with applicable regulations such as U.S. FDA and international market regulations, and supporting cross-functional teams to bring innovative solutions to market safely and efficiently.
Medical Management Specialist I Elevance HealthMedical Management Specialist IWoodland Hills, CaliforniaWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Location: Virtual - This role enables associates to work virtually full-time, with the exception of required in-person training sessions (when indicated), providing maximum flexibility and autonomy.
Sr. Call Center Specialist (Medical) Ultimate Staffing ServicesSr. Call Center Specialist (Medical)Burbank, California$58,000–$65,000The Call Center Specialist serves as a key customer service representative, handling incoming calls from participants, providers, and other stakeholders while processing health insurance claims. Key Responsibilities: Answer high-volume incoming calls and assist with benefit, eligibility, billing, payment, and claims inquiries.
Temp - Medical Admin Specialist (Empanelment) - Westlake Clínica Monseñor Oscar A. RomeroTemp - Medical Admin Specialist (Empanelment) - WestlakeLos Angeles, CADuties and Responsibilities: Works with the PCMH Manager on assigned patient lists to review and assign current Primary Care Providers (PCP) to ensure that each patient is empaneled to a PCP. The Empanelment Clerk is responsible for assisting with chart reviews to update the Primary Care Providers to ensure that the proper provider/care team is assigned to individual patients.
TEMP - Medical Admin Specialist (Empanelment) - Marengo Clinica Monsenor Oscar A RomeroTEMP - Medical Admin Specialist (Empanelment) - MarengoLos Angeles, CADuties and Responsibilities: Works with the PCMH Manager on assigned patient lists to review and assign current Primary Care Providers (PCP) to ensure that each patient is empaneled to a PCP. The Empanelment Clerk is responsible for assisting with chart reviews to update the Primary Care Providers to ensure that the proper provider/care team is assigned to individual patients.
NewInsurance Billing Specialist (Transplant) - Patient Accounting - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaInsurance Billing Specialist (Transplant) - Patient Accounting - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Los Angeles, CA$30.16–$47.01 / hourWhen extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. Maintains current understanding of specialized (Global Transplant Billing process), payer-specific, transplant billing requirements for the purpose of billing claims in accordance with contract agreements, for all government and non-government payers.
Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (Remote) (Exempt) (Non-Union) University of Southern CaliforniaSenior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (Remote) (Exempt) (Non-Union)Alhambra, CARemote$99,507–$130,000 / yearThe Senior RI Specialist also coordinates with Keck Medical Center of USC Administration, IS, Compliance, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge, and provides data derived from multiple entities of Keck Medical Center of USC for the management and support of critical decisions and functions related the Chargemaster, CDM Maintenance, and the improvement of charge capture. As a subject matter expert in the area of compliance and pricing of services, the Senior RI Specialist responds to inquiries regarding Chargemaster issues and is responsible for supervising meetings for projects associated with educating and communicating to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement.
Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Exempt) (Non-Union) University of Southern CaliforniaSenior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Exempt) (Non-Union)Alhambra, CaliforniaRemote$99,507–$130,000 / yearThe Senior RI Specialist also coordinates with Keck Medical Center of USC Administration, IS, Compliance, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge, and provides data derived from multiple entities of Keck Medical Center of USC for the management and support of critical decisions and functions related the Chargemaster, CDM Maintenance, and the improvement of charge capture. As a subject matter expert in the area of compliance and pricing of services, the Senior RI Specialist responds to inquiries regarding Chargemaster issues and is responsible for supervising meetings for projects associated with educating and communicating to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement.
Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (Exempt) (Non-Union) University of Southern CaliforniaSenior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (Exempt) (Non-Union)Los Angeles, CA$99,507–$164,559 / yearThe Senior RI Specialist also coordinates with Keck Medical Center of USC Administration, IS, Compliance, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge, and provides data derived from multiple entities of Keck Medical Center of USC for the management and support of critical decisions and functions related the Chargemaster, CDM Maintenance, and the improvement of charge capture. As a subject matter expert in the area of compliance and pricing of services, the Senior RI Specialist responds to inquiries regarding Chargemaster issues and is responsible for supervising meetings for projects associated with educating and communicating to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement.
Regulatory Affairs and Quality Assurance Specialist SprintRayRegulatory Affairs and Quality Assurance SpecialistHuntington Beach, California$90,000–$120,000Without a written agreement signed by an officer of SprintRay: a) SprintRay does not accept resumes from recruiting agencies, headhunters, or any other party expecting payment in the event SprintRay speaks with or hires a candidate from such submitted resume; b) SprintRay is not responsible for any fees related to unsolicited resumes or related Terms of Service, and c) Unsolicited resumes received will be considered the property of SprintRay and will be processed accordingly. Whether we’re building next-generation AI tools, designing new materials, or supporting our customers on the front lines, we’re united by the same passion—transforming digital dentistry and having fun while we do it.
NewClinical Documentation Integrity Specialist- Onsite, Los Angeles UnitedHealth Group IncClinical Documentation Integrity Specialist- Onsite, Los AngelesLos Angeles, CA$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. Primary Responsibilities: Provides expert level review of inpatient clinical records within 24-48 hours of admit; identifies gaps in clinical documentation that need clarification for accurate code assignment to ensure the documentation accurately reflects the severity of the condition and acuity of care provided.
NewClinical Documentation Improvement Specialist - Remote UnitedHealth Group IncClinical Documentation Improvement Specialist - RemoteLos Alamitos, 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. Clinical Documentation Improvement Specialist - Remote at UnitedHealth Group ","FormTypeId":null,"UrlLanguageCode":null,"PreviewType":0,"DateCreated":"2026-03-13T13:45:39.5319907","DateUpdated":"2026-07-13T17:56:15.0506395"}, "site"); Caring.
Quality Specialist Karwell TechnologiesQuality SpecialistLos Angeles, CAMcKesson is seeking a Quality Specialist with experience in Healthcare, Pharmaceutical, Medical Device, or Regulated Distribution environments to support Quality Management System (QMS) operations, supplier quality programs, quality agreements, SOP development, and regulatory compliance activities. The ideal candidate will have strong knowledge of FDA 21 CFR Part 211, ISO 13485, supplier quality processes, and document-controlled QMS environments.
Financial Clearance Specialist III HireTalentFinancial Clearance Specialist IIIIrwindale, CADescription: Position Overview/Project Details: Under the general direction of a supervisor or manager, responsible for performing pre-registration functions and obtaining authorizations from various insurance carriers. This role requires a high level of independent judgement in order to successfully coordinate and obtain authorization requests for complex managed care patients in a timely and efficient manner.
NewAppeals and Grievances Specialist GTT, LLCAppeals and Grievances SpecialistLos angelas, CAThis position will provide resolution of complaints in compliance with Centers for Medicare and Medicaid Services (CMS), California Department of Health Care Services (DHCS), Department of Managed Health Care (DMHC), Managed Risk Medical Insurance Board (MRMIB), and National Committee for Quality Assurance (NCQA) regulatory requirements. The organization is committed to providing accessible, high-quality care and administrative services to its members, employing professionals across managed care, appeals and grievances, utilization management, claims processing, and member services functions.
Financial Clearance Specialist III LancesoftFinancial Clearance Specialist IIIIrwindale, CA$25Position Overview/Project Details: Under the general direction of a supervisor or manager, responsible for performing pre-registration functions and obtaining authorizations from various insurance carriers. This role requires a high level of independent judgement in order to successfully coordinate and obtain authorization requests for complex managed care patients in a timely and efficient manner.
NewCustomer Solution Center Compliance/Audit Readiness Specialist Macpower Digital Assets Edge Private LimitedCustomer Solution Center Compliance/Audit Readiness SpecialistLos Angeles, CA$88,854–$115,509 / yearThis position will be responsible for the regulatory obligations for each line of business and their governing bodies; California Department of Health Care Services (DHCS), Department of Public Social Services (DPSS), Centers for Medicare and Medicaid Services(CMS), CalHers, and National Committee for Quality Assurance (NCQA) along with review and analysis of regulatory requirements for all product lines The position will take lead in all of the audit situations and be prepared to present and report full findings and ensure action plans are created, executed, and verified through reconciliation of end to end on all regulatory functions. Card and member materials, outbound health risk assessment (HRA) calls for Seniors and People with Disabilities (SPD) and Cal MediConnect (CMC) plus HIF for Medi-Cal Direct program (MCLA), call documentation and categorization, service authorization request and coverage determination, Appeals and Grievances across all lines of business).
CREDENTIALING SPECIALIST Los Angeles CountyCREDENTIALING SPECIALISTLos Angeles, CA$65,911.68–$88,823.04 / 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. Reviews applications for required documentation; verifies credentials, education, employment history, licensure, professional references, hospital affiliations and liability claims history by performing on-line queries from a variety of resources, such as the National Practitioner Data Bank, American Medical Association, Drug Enforcement Administration, and Office of the Inspector General.
Clinical Coding Specialist SmarterDx IncClinical Coding SpecialistCARemote$75,000–$105,000 / yearThis role is fully remote within the US What You'll Do Review and analyze medical records to ensure coding accuracy in a timely fashion Identify opportunities for improvement in coding models Understand and apply coding guidelines to assign appropriate codes to diagnoses and procedures as supported by clinical documentation Participate in ongoing training and professional development to stay current on documentation and coding guidelines Contribute to process improvement efforts to enhance coding practices and support efficient and effective healthcare delivery What You Bring 5+ years of recent experience in performing inpatient coding and/or auditing Strong expertise in ICD-10 classification system Active RHIA, RHIT, and/or CCS credential(s) Experience reviewing complex medical records and applying coding conventions and guidelines accurately Familiarity with DRG and inpatient reimbursement methodologies Strong attention to detail and ability to identify subtle coding inaccuracies Experience with coding audits, QA, or validation workflows Strong written communication for documenting rationale and feedback Nice To Haves Experience working with AI coding tools or CAC (computer-assisted coding) systems Prior experience in auditing or coding quality assurance roles Familiarity with evaluation frameworks, labeling, or annotation workflows Certified Clinical Documentation Specialist (CCDS) or Clinical Documentation Improvement Practitioner (CDIP) credentials Compensation $75k - $105k salary + benefits, 100% US-based remote #LI-Remote #LI-DNP Benefits Medical, Dental & Vision - Comprehensive plans with leading insurance providers, covering 75% of your premiums, depending on the plan. Clinical Coding Specialist (Inpatient) Role As an Inpatient Coding Specialist at SmarterDx, you will be responsible for conducting comprehensive chart reviews and coding validation of AI diagnostic models to support coding improvement.
HR LOA Specialist 839265 HelpmatesHR LOA Specialist 839265Los Angeles, CAIf youre ready to join a dynamic team as an HR LOA Specialist in Culver City, apply today or reach out to our recruiting team to learn more. Join a dedicated team at a forward-thinking company as an HR LOA Specialist in Culver City, CA, and make a real difference every day.
HR LOA Specialist 838707 HelpmatesHR LOA Specialist 838707Los Angeles, CAIf youre ready to join a dynamic team as an HR LOA Specialist in Culver City, apply today or reach out to our recruiting team to learn more. Join a dedicated team at a forward-thinking company as an HR LOA Specialist in Culver City, CA, and make a real difference every day.