Healthcare jobs in Downey, California - Page 17Crear alertas

Key Responsibilities Act as a strategic consultant for attorneys regarding electronic discovery technology and methodologies Oversee project progress and workflow from inception through trial, providing status reports Provide training and support for case teams on eDiscovery tools and processes

Key Responsibilities Serve as the dedicated QC/QA reviewer for all scientific content to ensure accuracy and compliance Conduct rigorous fact-checking and maintain annotated files for internal tracking and MLR submissions Collaborate with cross-functional teams to maintain smooth workflows and c

A company is looking for a Clinical Appeals Nurse (Remote).Key Responsibilities Investigates and analyzes written appeals and reconsideration requests, responding with detailed letters while adhering to corporate policies and regulations Organizes appeal cases for physician review, compiles neces

A company is looking for a Commercial Utilization Review Nurse/RN for a remote position in Virginia. Key Responsibilities Conduct utilization management services including prior authorization and various types of reviews Manage appeals for denied services and facilitate care transitions Ensure c

A company is looking for a Medical Science Partner in the Eastern US, remote with EST.

A company is looking for a Remote Social Designer to produce high-velocity, premium, social-first video assets for their Social Media and Customer Marketing departments.

Key Responsibilities Utilize encoder and coding resources to determine appropriate ICD-10-CM, CPT, and HCPCS codes Maintain knowledge of National Correct Coding Initiatives and apply regulatory requirements to select codes and modifiers Ensure compliance with Medicare Teaching Physician Guidelin

Key Responsibilities Utilize encoder, grouper software, and other coding resources to determine appropriate ICD-10-CM, CPT, and HCPCS codes Maintain knowledge of National Correct Coding Initiatives and apply regulatory requirements to select appropriate codes and modifiers Ensure compliance with

A company is looking for a Nurse Practitioner - Asynchronous Care. Key Responsibilities Manage patient messaging and care coordination through the Coverage Inbox Review and process asynchronous prescription and refill requests Conduct same-day and next-day visits for urgent patient needs Requir

A company is looking for a Remote Home Health RN Assistant Clinical Manager.Key Responsibilities Evaluate nursing activities to ensure patient care and team efficiency Oversee the Quality Program and maintain compliance with regulations Provide training and support for clinical staff and supervi

A company is looking for a Remote Licensed Clinical Psychologist. Key Responsibilities Provide virtual therapy sessions to a diverse client base Assess and diagnose mental health conditions using standardized methods Develop and implement personalized, evidence-based treatment plans Required Qu

A company is looking for a Remote Licensed Clinical Psychologist. Key Responsibilities Provide virtual therapy sessions to a diverse client base Assess and diagnose mental health conditions using standardized methods Develop and implement personalized, evidence-based treatment plans Required Qu

A company is looking for a Psychiatric Mental Health Nurse Practitioner. Key Responsibilities Provide psychiatric care and medication management to clients via a secure telehealth platform Conduct psychiatric evaluations and develop individualized treatment plans Maintain accurate and timely cli

A company is looking for a Member Support Specialist to guide new members through the onboarding process and serve as their primary point of contact. LLCs/S Corps) Strong organizational skills with the ability to manage multiple clients and tasks simultaneously A collaborative, professional mindse

Key Responsibilities Oversee safety operational processes and strategic content for clinical studies Develop training materials for clinical trial safety data reporting and collection Lead quality reviews of Individual Case Safety Reports (ICSRs) and manage data quality KPIs Required Qualificat

Key Responsibilities Serve as the first point of contact for incoming billing customer service calls Provide optimum customer service and assist with patient inquiries and appointment scheduling Document patient accounts accurately and manage payment plans and billing information Required Quali

Key Responsibilities Translate clinical judgment into clear recommendations for employment suitability Complete and submit documentation accurately and promptly Provide exceptional customer service to clients Required Qualifications PsyD or PhD from an APA-accredited doctoral program Valid a

A company is looking for a Psychiatric Mental Health Nurse Practitioner. Key Responsibilities Provide psychiatric care and medication management to clients via a secure telehealth platform Conduct psychiatric evaluations and develop individualized treatment plans Maintain accurate and timely cli

A company is looking for a Remote Licensed Clinical Psychologist to provide high-quality mental health services remotely across the United States. Key Responsibilities Provide virtual therapy sessions to a diverse client base Assess and diagnose mental health conditions using standardized methods

Key Responsibilities Assist pharmacists and providers with medication-related functions and processes Interact with other departments to resolve member issues regarding medications Process medication updates and assist with patient assistance programs Required Qualifications Completion of an

A company is looking for a Medical Services Support Specialist.Key Responsibilities Handle inbound calls, faxes, and emails to process orders for medical services and equipment Perform order triage based on priority, ensuring urgent needs receive prompt attention Interact professionally with hea

A company is looking for a C&I Sales Optimization Support Specialist to assist Senior Sales Representatives and Sales Leaders in the Commercial and Industrial Sales Department. Key Responsibilities Manage requests for customer historical utility usage and enter data into the CRM system Utilize we

A company is looking for a Coder II to assign diagnoses and procedure codes to medical records in a fully remote setting.Key Responsibilities Assigns correct ICD-10-CM and CPT codes to diagnoses and procedures documented in medical records Thoroughly reviews medical documents to ensure coding spe

A company is looking for an Application Support Specialist to support and implement the Design Schedule ERP system and assist users with software-related inquiries. Key Responsibilities Support users of the Design Schedule & Efficiently platform in their daily operations Manage Accounting Seed re

A company is looking for a Psychologist contractor to conduct remote suitability evaluations on a PRN basis. Key Responsibilities Translate clinical judgment into clear recommendations for employment suitability Complete and submit all required documentation accurately and promptly Provide excep

Key Responsibilities Conduct remote monitoring of patient vital signs, symptoms, and health indicators Identify patients requiring immediate clinical intervention based on monitored data Collaborate with nurses and nurse practitioners to ensure coordinated care management Required Qualification

A company is looking for a Member Care Champion / Medical Assistant. Key Responsibilities Manage the check-in process, measure and record vital signs, and communicate with providers Conduct non-invasive diagnostic procedures and ensure accuracy and compliance Coordinate follow-up appointments an

A company is looking for a Clinical Pharmacy Tech.Key Responsibilities Review medication lists to eliminate barriers to medication therapy and ensure proper adherence Facilitate member access to medications, including refills and new prescriptions, while documenting care delivered Partner with p

A company is looking for a Specialty Pharmacy Patient Care Coordinator.Key Responsibilities Support members in accessing specialty medications and resources Act as a liaison between members, providers, pharmacies, and care facilities Coordinate scheduling of specialty medication delivery and mai

A company is looking for a Member Advocate.Key Responsibilities Serve as the primary source of information for members, pharmacies, and physicians via phone, email, and chat Resolve inquiries and research claim processing and eligibility issues Document engagement outcomes and collaborate with o

A company is looking for a RN Quality Assurance Reviewer (100% Remote).

Key Responsibilities Lead and develop a team of Revenue Recovery Specialists to achieve KPIs related to denial resolution and underpayment recovery Oversee the end-to-end recovery lifecycle, ensuring timely resolution of denials and underpayments Develop and interpret dashboards to analyze denia

A company is looking for a Payments Support Specialist to manage complex payment-related issues and provide customer support. Key Responsibilities Respond to escalations from Tier 1 and Tier 2 Customer Support, troubleshooting and resolving complex Integrated Payments issues Document interactions

A company is looking for a Channel Support Specialist to drive growth through partner engagement and enablement.

A company is looking for a Product Support Specialist for a fully remote contract position. Key Responsibilities: Deliver high-quality support for software products via phone and chat Troubleshoot user issues and provide guidance to resolve customer inquiries Maintain accurate records of custome

A company is looking for a Treasury Management- Business Support Specialist I. Key Responsibilities Manage accounts, portfolios, or packages specific to the line of business, ensuring accuracy and compliance Perform various operational tasks related to customer, vendor, and associate inquiries D

A company is looking for a Mid-Level Audit Support Specialist who can provide audit support and maintain IT security operations. Key Responsibilities Provide knowledge and support for audit processes and respond to auditor requests Maintain software and infrastructure components to support IT sec

Key Responsibilities Deliver Tier 2 application support across Cerner Millennium clinical modules Troubleshoot and resolve user errors and system issues Participate in system testing, validation, and support activities Required Qualifications 1-2 years of production support experience with Ce

A company is looking for a System Support Specialist.Key Responsibilities Provide virtual support for practices during the rollout and ongoing adoption of the system Collaborate with practice leaders to identify areas needing additional coaching or support Track support sessions and practice per

A company is looking for an IT Specialist responsible for providing support for computer systems and peripherals. Key Responsibilities Respond to inquiries and requests for assistance, logging all service desk calls into the Incident Management System Analyze and resolve incidents with a goal of

A company is looking for a Tech-savvy Paralegal with a passion for customer service.Key Responsibilities Draft and review legal documents to meet customer requirements Provide customer service support by addressing inquiries and managing account requests Assist customers in setting up connection

A company is looking for a Clinical Pharmacist - Population Health - Remote. Key Responsibilities Lead initiatives to improve HEDIS medication adherence and pharmacy quality measures Conduct Medication Therapy Management (MTM) sessions and educate patients on medication use Monitor HEDIS perform

Key Responsibilities Verify pharmacy orders for accuracy and quality, ensuring compliance with established policies and regulations Provide pharmacist intervention support throughout the prescription lifecycle, including consultations and order fulfillment Monitor compliance with pharmacy operat

Key Responsibilities Respond to support requests through multiple channels and document interactions Participate in product BETA programs and support knowledge base development Research and document product defects, and manage personal backlog of support requests Required Qualifications Bache

A company is looking for a Tech Support Specialist - Tier 2 (Remote, East Coast). Key Responsibilities Respond to customer inquiries via phone, chat, and email, providing technical assistance and escalating complex issues as necessary Take ownership of technical incidents, replicate issues, ident

A company is looking for a Case Underwriter responsible for leading underwriting for new-business medical TPA and pharmacy RFPs.

A company is looking for a Graduate Program - Medical Communications. Key Responsibilities Participate in structured rotations across Scientific, Project Management/Client Services, and Digital/Creative areas Contribute to project-based work that addresses real client challenges and develops impa

Coordinate workflows for new site activations and monitor patient referral flow Collaborate with internal teams and the Chief Medical Officer to address operational challenges Qualifications Bachelor's degree with 7-9 years, Master's with 5-7 years, or PhD with 3-5 years of related experience P