Utilization management jobs in Los Angeles, CA

Quality Configuration Assurance Analyst II

Hybrid in Los Angeles, California

•

Today

Title: Quality Configuration Assurance Analyst IILocation:Los Angeles,CA Employment Type: ContractCompensation Pay range:$45.29-$48.29/HrsDescription Experience in document configuration within health services, population health, or utilization management. Ability to configure letters, templates, and health risk assessments. Advanced knowledge of Medicare and Medicaid rules and regulations. Experience understanding business requirements from various departments.Key Responsibilities Document conf

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Full-time, Contract

$45.29 - $48.29 hr

Epic Tapestry Membership Application Analyst II-(Open to experienced remote in ID, NE, MO, OK, TX)

Remote or Whittier, California

•

Today

Determination for the Epic Application Analyst (I, II or ), Tapestry Membership roles will be based on experience and qualifications. Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this ti

Full-time

USD 102,481.00 - 169,104.00 per year

Epic Application Analyst I, II, III, Tapestry Core Administration-(Open to experienced remote in ID, NE, MO, OK, TX)

Remote or Whittier, California

•

Today

Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible to apply for other internal openings for which

Full-time

USD 102,481.00 - 169,104.00 per year

Epic Tapestry Membership Application Analyst II-(Open to experienced remote in ID, NE, MO, OK, TX)

Whittier, California

•

Today

Job DescriptionDetermination for the Epic Application Analyst (I, II or ), Tapestry Membership roles will be based on experience and qualifications. Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to Daniel.Quinones@PIHHealth.org PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. F

Full-time

Epic Tapestry Medical Management Application Analyst II-(Open to experienced remote in ID, NE, MO, OK, TX)

Remote or Whittier, California

•

Today

Determination for the Epic Application Analyst (I, II or ), Tapestry Medical Management roles will be based on experience and qualifications. Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within

Full-time

USD 102,481.00 - 169,104.00 per year

Epic Tapestry Medical Management Application Analyst II-(Open to experienced remote in ID, NE, MO...

Whittier, California

•

Today

Job Description Determination for the Epic Application Analyst (I, II or ), Tapestry Medical Management roles will be based on experience and qualifications. Not currently working with 3rd party recruitment agencies. For immediate consideration email resume to Daniel.Quinones@PIHHealth.org PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the p

Full-time

Medical Director

Remote

•

4d ago

Immediate need for a talented Medical Director. This is a 06+ Months Contract opportunity with long-term potential and is located in U.S.(Remote). Please review the job description below and contact me ASAP if you are interested. Job ID:25-81263 Pay Range: $125 - $140/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Assist the Chief Medical Director to direc

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Contract

$125 - $140

Epic Application Analyst I, II, III, Tapestry Core Administration-(Open to experienced remote in ID, NE, MO, OK, TX)

Remote or Kansas City, Missouri

•

Today

Full-time

USD 102,481.00 - 169,104.00 per year

Epic Application Analyst I, II, III, Tapestry Core Administration-(Open to experienced remote in ID, NE, MO, OK, TX)

Remote or Fremont, Nebraska

•

Today

Full-time

USD 102,481.00 - 169,104.00 per year

Epic Tapestry Medical Management Application Analyst II-(Open to experienced remote in ID, NE, MO, OK, TX)

Remote or Chesterfield, Missouri

•

Today

Full-time

USD 102,481.00 - 169,104.00 per year

Epic Tapestry Medical Management Application Analyst II-(Open to experienced remote in ID, NE, MO, OK, TX)

Remote or Shawnee, Oklahoma

•

Today

Full-time

USD 102,481.00 - 169,104.00 per year

Epic Tapestry Medical Management Application Analyst II-(Open to experienced remote in ID, NE, MO, OK, TX)

Remote or Joplin, Missouri

•

Today

Full-time

USD 102,481.00 - 169,104.00 per year

Registered Nurse | Utilization Management Appeals Nurse | Remote | Contract

Remote

•

13d ago

Utilization Management Appeals Nurse | 2 years experience | Remote | Contract Walker Healthforce is seeking a Utilization Management Appeals Nurse with 2 years of experience to support a healthcare client based out of New Jersey. This is a 6-month contract opportunity. START DATE: 6/1/2025 HOURS/SCHEDULE: 8am-5pm EST Monday- Friday WORKER TYPE: W2 CORE REQUIREMENTS: Requires Prior Authorization Experience Minimum of two (2) years clinical experience 3 - 5 years of experience with a background

Easy Apply

Contract

Depends on Experience

Senior Network Pricing Analyst - Hybrid in Las Vegas, NV

Remote or Las Vegas, Nevada

•

Today

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. Why work for the leading organization in health care to help improve the lives of millions? You'll fin

Full-time

USD 58,800.00 - 105,000.00 per year

Data Analyst II Healthcare Analytics

Remote or Nevada

•

Today

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Analyze integrated and extensive datasets to extract value, which directly impacts and influences business decisions. Work collaboratively with key business stakeholders to identify areas of v

Full-time

USD 55,100.00 - 99,000.00 per year

Data Analyst II Medical Economics

Remote or Florida

•

Today

Full-time

USD 55,100.00 - 99,000.00 per year

Data Analyst IV Medical Economics

Remote or Missouri

•

Today

Full-time

USD 86,000.00 - 154,700.00 per year

Data Analyst III Medical Economics

Remote or Missouri

•

Today

Full-time

USD 68,700.00 - 123,700.00 per year

Senior Analyst, Medical Economics - REMOTE

Remote or Athens, Georgia

•

7d ago

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Full-time

USD 77,969.00 - 120,000.00 per year

Senior Analyst, Medical Economics - REMOTE

Remote or Columbus, Ohio

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7d ago

Full-time

USD 77,969.00 - 120,000.00 per year

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Utilization management jobs in Los Angeles, CA, USA