RCM Jobs in California

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Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

•

Remote or Austin, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu
Posted moments ago

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

•

Remote or Dallas, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu
Posted moments ago

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

•

Remote or Houston, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu
Posted moments ago

Actimize Developer || Remote

VDart, Inc.

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Remote

Third Party, Contract

Position: Actimize Developer Location: Remote Contract Job description: Must Have: 5+ years of development experience in Actimize IFM Solutions Experience in developing customized AIS and RCM Components. Good Knowledge and understanding of the RCM Objects. Proficiency in development of custom profiles, AIS/RCM Plugins. Implementation experience of ActOne and IFM-X install, configure and code with in Actimize modules comprising of the Microsoft SQL. Experience in Solution upgrades and profile mig
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Posted 11 hours ago

Actimize developer || San Francisco || onsite

Saven Technologies

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Daly City, California, USA

Third Party, Contract

Actimize Developer Location San Francisco (onsite daily) Must Have s: Extensive experience in NICE Actimize IFM-X Design and implement custom models within AIS (Actimize Intelligence Server) and RCM (Risk Case Manager). Hands On Experience in Actimize solution version upgrade and Service pack deployment. Roles and Responsibilities (8-12 yrs): Extensive experience in NICE Actimize IFM-X (Integrated Fraud Management), including integration and customization of fraud detection systems. Design and i
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Posted 1 day ago

Actimize SME - REMOTE WORK

System One

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Remote or Phoenix, Arizona, USA

Full-time

For immediate consideration, please connect with me on LinkedIn at and then email your resume, work authorization status, current location, availability, and compensation expectations directly to - make sure to include the exact job title and job location in your email message. REMOTE WORK Actimize SME : - Be a part of the Fraud Technology Team that develops and supports the corporate fraud screening engine based on Actimize, this teams also maintains and updates all the infrastructure that
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Posted 2 hours ago

Actimize SME - REMOTE WORK

System One

•

Remote or Pittsburgh, Pennsylvania, USA

Full-time

For immediate consideration, please connect with me on LinkedIn at and then email your resume, work authorization status, current location, availability, and compensation expectations directly to - make sure to include the exact job title and job location in your email message. REMOTE WORK Actimize SME : - Be a part of the Fraud Technology Team that develops and supports the corporate fraud screening engine based on Actimize, this teams also maintains and updates all the infrastructure that
Easy Apply
Posted 2 hours ago

Actimize SME - REMOTE WORK

System One

•

Remote or Dallas, Texas, USA

Full-time

For immediate consideration, please connect with me on LinkedIn at and then email your resume, work authorization status, current location, availability, and compensation expectations directly to - make sure to include the exact job title and job location in your email message. REMOTE WORK Actimize SME : - Be a part of the Fraud Technology Team that develops and supports the corporate fraud screening engine based on Actimize, this teams also maintains and updates all the infrastructure that
Easy Apply
Posted 2 hours ago

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

•

Remote or Newark, New Jersey, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu
Posted 31 days ago | Updated moments ago

Medical Claims Auditor I - Remote US

Gainwell Technologies LLC

•

Remote or Jersey City, New Jersey, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty or estate fu
Posted 31 days ago | Updated moments ago

Project Manager with Healthcare Domain

Akshaya Inc

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Remote

Contract

Role: Project Manager with Healthcare Domain Location: Remote Description: Mainly looking: Application upgrades driven by EOL applications and/or infrastructure.Looking for pure Healthcare domain experience. Project ManagementExperience in Revenue Cycle, HIM.PMP Certification. Skills: Proficiency in EHR/EMR systems and healthcare RCM platforms. Ability to interpret clinical documentation and payer authorization rules. Strong analytical, technical, and problem-solving skills.
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Posted 2 days ago

Actimize Developer - Remote || W2 only

Cerebra Consulting Inc

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Remote or Jersey City, New Jersey, USA

Contract

Cerebra Consulting Inc is a System Integrator and IT Services Solution provider with a focus on Big Data, Business Analytics, Cloud Solutions, Amazon Web Services, Salesforce, Oracle EBS, Peoplesoft, Hyperion, Oracle Configurator, Oracle CPQ, Oracle PLM and Custom Application Development. Utilizing solid business experience, industry-specific expertise, and proven methodologies, we consistently deliver measurable results for our customers. Cerebra has partnered with leading enterprise software c
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Posted 11 hours ago

Project Manager(Healthcare Domain)

Akshaya Inc

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Remote

Contract

Job Description: Role: Project Manager (Healthcare Domain) Location: Remote. Mainly looking: Application upgrades driven by EOL applications and/or infrastructure. Skills: Proficiency in EHR/EMR systems and healthcare RCM platforms. Ability to interpret clinical documentation and payer authorization rules. Strong analytical, technical, and problem-solving skills.
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Posted 2 days ago

Medical Billing Specialist /Medical Coder

CMCI

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Remote or Glendora, California, USA

Full-time

Position: Medical Billing Specialist Location: Remote / On-site Department: Revenue Cycle Management Overview: CMCI is seeking a detail-oriented and experienced Medical Billing Specialist to oversee claims processing, revenue cycle management, and contribute valuable insights to develop AI-powered tools that enhance medical billing workflows. The ideal candidate will have expertise in medical coding, claims submission, payer interactions, and denial management, ensuring optimized billing practic
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Posted 60+ days ago | Updated 9 days ago

Auditor - IT and Data Science

Snowflake Inc.

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Dublin, California, USA

Full-time

Build the future of the AI Data Cloud. Join the Snowflake team. Snowflake is growing and looking for a driven Auditor to join our team. You will report to the Senior Manager, IT Internal Audit and help with an evolving workload with minimal supervision in a fast-paced environment. Whether it is facilitating Snowflake's SOX compliance efforts or conducting internal audits, we strive to enhance the effectiveness, efficiency and scalability of the company's processes, systems, and underlying inter
Posted 21 days ago | Updated 4 hours ago

Senior AI Engineer (ML/GenAI)

ConsultNet, LLC

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Remote

Full-time

Title: Senior AI Engineer (ML/GenAI) Location : Remote Target Start Date : 3-4 weeks Type: (C, CTH, D) - CTH Pay Rate / Salary (Ranges OK) : Hourly Rate - $100-$110/hr - Salary around $160-$170k **THESE ARE FOCUSED ON CTH - PLEASE DO NOT SEND CANDIDATES THAT WOULDN'T BE INTERSTED AND ELIGIBLE TO CONVERT IN 3-6 MONTHS Selling Point on Client - Our client is investing heavily into building our their product space by leveraging ML/AI. They are expanding these teams signifiacntly and expect to p
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Posted 44 days ago | Updated 4 hours ago

Actimize Lead Developer

Stanley David and Associates

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Remote

Full-time

Role :: Actimize Lead Developer Location :: Charlotte, NC Type :: Fulltime Job Description Must Have: 5+ years of development experience in Actimize IFM Solutions Experience in developing customized AIS and RCM Components. Good Knowledge and understanding of the RCM Objects. Proficiency in development of custom profiles, AIS/RCM Plugins. Implementation experience of ActOne and IFM-X install, configure and code with in Actimize modules comprising of the Microsoft SQL. Experience in Solution
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Posted 4 days ago

Controls Program Manager

Aditi Consulting

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Remote or Seattle, Washington, USA

Contract

Payrate: $100.00 - $103.00/hr.Summary: Controls Program Manager will have fluency across three disciplines Finance (specifically SOX Compliance), Program Management, and Technology and will be well-versed in all three to bridge across our diverse stakeholder group. The ideal candidate will be an entrepreneurial self-starter, a fast learner, and capable of working in a limited direction while taking full ownership of projects. Responsibilities: Oversee the Security & Controls workstream within th
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Posted 6 hours ago | Updated moments ago

Senior FCRM Testing Analyst

TechSpace Solutions Inc.

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Remote

Contract, Third Party

The Financial Crime Risk Management (FCRM) Enterprise Testing Team (formerly Global Anti-Money Laundering) sits within the second line of defense and conducts design and operating effectiveness (DEA and OEA) testing of AML/ATF, Sanctions, and ABAC controls (collectively referred to as "FCRM Controls") within TD's business lines, relevant operational and control units (including the Financial Intelligence Unit (FIU)), and key FCRM technologies, Enterprise-wide (Canada, Europe, and Asia-Pacific).