• Senior Medical Director - Sharp Health Plan…

    Sharp HealthCare (San Diego, CA)
    …with medical management such as provider relations, member services, benefits and claims management, IT management, etc. + Plans, organizes, and directs the ... review and analysis of Plan performance from summary data of paid claims , encounters, authorization logs, complaint and grievance logs and other sources. +… more
    Sharp HealthCare (07/19/25)
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  • Healthcare Process Risk Manager (Internal…

    Grant Thornton (Newport Beach, CA)
    …4 years of direct experience with diverse life sciences companies or healthcare providers, including hospitals, academic medical centers, healthcare systems, and ... to revenue cycle optimization, including patient access, revenue integrity, coding, claims processing, billing, and reimbursement, with a focus on enhancing… more
    Grant Thornton (09/03/25)
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  • Director, Consult Partner - Contact Center…

    Kyndryl (Sacramento, CA)
    …transforming Contact Center operations for enterprise organizations, particularly those in the Healthcare or State or Local Government and / or Educational (SLED) ... communication, presentation, and stakeholder management skills with C-Level. + Healthcare industry experience is a strong plus, especially in payer/provider… more
    Kyndryl (07/29/25)
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  • Provider Contracts Specialist

    Molina Healthcare (Long Beach, CA)
    …adequacy, financial performance and operational performance, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance ... for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems… more
    Molina Healthcare (07/25/25)
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  • Contract Specialist

    Prime Healthcare (Ontario, CA)
    Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 ... health systems with nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a… more
    Prime Healthcare (09/03/25)
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  • Provider Relations Representative

    Molina Healthcare (San Diego, CA)
    …network adequacy and provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance with ... staff are the primary point of contact between Molina Healthcare and contracted provider network. They are responsible for...2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working… more
    Molina Healthcare (08/31/25)
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  • Patient Account Representative - Self-Pay…

    Guidehouse (El Segundo, CA)
    …None **What You Will Do:** The **Patient Account Representative - Self-Pay - Healthcare ** is an extension of a client's business office staff. Representatives are ... Bilingual Spanish Preferred + 0-2+ years working within the following sectors: healthcare , insurance, business, finance or customer service. + Working knowledge can… more
    Guidehouse (08/17/25)
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  • Project Manager - Owner's Rep - Healthcare

    Colliers Engineering & Design (San Francisco, CA)
    …where you can succeed. We are currently looking for a Project Manager to join our Healthcare OPM team in the Central Valley & Bay Area. In this role, you'll be ... management/owner's representation services in our markets which primarily includes healthcare clients in addition to the possibility of supporting commercial,… more
    Colliers Engineering & Design (08/08/25)
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  • Assistant Revenue Cycle Management

    Cardinal Health (Fresno, CA)
    …reimbursement to the medical facility. This role works directly with insurance companies, healthcare providers, and patients to ensure claims are processed and ... team focuses on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The… more
    Cardinal Health (09/04/25)
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  • Field Support Manager

    Maxim Healthcare (Monterey, CA)
    Maxim Healthcare is hiring for a Field Support Manager to oversee and maintain operational compliance for the Monterey office. Why Join Maxim: + Competitive pay, ... regulations + Coordinates responses and processing of unemployment and workers' compensation claims + Responsible for working with the Revenue Cycle team at… more
    Maxim Healthcare (08/21/25)
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