Medicaid Administrative Claims Jobs

This per diem Pediatrics Neonatologist role is based in Fresno, California, with The Permanente Medical Group. The position involves providing specialized neonatal care within a physician-led organization that manages all overhead and billing, eliminating RVU requirements. Key responsibilities include managing patient care using an AI-enhanced electronic medical record system and maintaining active California medical licensure and board certification. The opportunity appeals to physicians seeking a strong work-life balance with flexible scheduling and comprehensive practice support. The role offers a collaborative environment in a region known for its mild climate, proximity to major national parks, and affordable cost of living.

This full-time Admissions Coordinator role supports the healthcare facility's admissions team by managing the intake process for skilled nursing residents. Key responsibilities include conducting facility tours, verifying insurance coverage for Medicare, Medi-Cal, and private payers, and coordinating with discharge planners and families to ensure smooth resident transfers. The position requires strong interpersonal skills to handle sensitive situations with elderly and disabled individuals while maintaining accurate documentation. The role offers appealing opportunities for professional growth through leadership development within a supportive, positive work environment. The position is based on-site and requires mental resilience to manage a fast-paced setting.

This part-time Phlebotomist I role is based in Arlington, Massachusetts, operating on Saturdays from 8:00 AM to 4:30 PM. The position focuses on collecting patient specimens for various tests, including drug screens and biometric screenings, while managing data entry and billing information. Key responsibilities also involve processing samples, maintaining inventory, and ensuring compliance with safety protocols and departmental policies. The role appeals to candidates seeking a supportive environment with access to comprehensive benefits such as health assessments, retirement matching, and education assistance. The position requires a high school diploma and preferred phlebotomy certification, offering a stable opportunity within a healthcare-focused team.

This managerial role leads a large multidisciplinary radiology and imaging department within a Level III Medical Office Building in Silverdale, Washington. The position oversees operations for over 35 staff members across modalities including CT, MRI, ultrasound, and nuclear medicine. Key responsibilities include managing departmental budgets, overseeing employee performance and development, handling equipment maintenance, and collaborating with internal clinical partners to optimize workflows. The role offers the opportunity to lead a significant team in a dynamic healthcare environment with a focus on operational excellence and staff growth. The position requires on-call availability and may involve working non-standard hours to support 24/7 facility operations.

This part-time Phlebotomist I role is based in Boston, MA, operating on Saturdays from 8:00 AM to 4:30 PM. The position focuses on collecting various specimens, including drug screens and biometric screenings, while administering oral solutions and processing samples for transport. Key responsibilities involve verifying test orders using lab technology systems, entering accurate data, handling billing information, and maintaining inventory and safety logs. The role appeals to candidates seeking a supportive environment with access to comprehensive benefits such as a 401(k) match, education assistance, and wellness programs. While the position requires phlebotomy certification and prior experience, it offers a collaborative setting for those interested in healthcare operations and patient care support.

The Care Manager RN role at Highmark Inc. is a remote position focused on implementing effective utilization management strategies to optimize healthcare delivery. The incumbent reviews the appropriateness of medical services, applies established criteria for resource utilization, and identifies opportunities for member referrals to health coaching or case management. Key responsibilities include analyzing qualitative and quantitative data to improve provider performance, educating providers and members on proactive care, and ensuring compliance with federal and state regulations. This position appeals to nurses seeking a flexible work arrangement with minimal travel, offering the chance to enhance member health outcomes through collaborative interventions and data-driven strategies within a supportive, mission-oriented environment.

This remote Care Manager RN role at Highmark Inc. focuses on implementing utilization management strategies to ensure appropriate healthcare resource use and improve member outcomes. Key responsibilities include reviewing the appropriateness of medical services, analyzing data to develop quality improvement strategies, and collaborating with providers and members to facilitate care interventions. The position requires a licensed Registered Nurse with clinical experience to navigate regulatory compliance and promote efficient care delivery. The role appeals to professionals seeking a flexible work arrangement with minimal travel, offering the opportunity to make a meaningful impact on population health within a supportive, mission-driven organization.

The LPN Intake Specialist role at Peoples Health Services supports the Florida Panhandle's family-owned hospice and home health team by managing patient admissions and insurance coordination. Key responsibilities include verifying insurance benefits, calculating co-pays, entering referral data into clinical systems, and prioritizing urgent calls to facilitate timely care authorization. The position appeals to candidates seeking a supportive, locally governed environment that values work-life balance and community care. While primarily based in an office setting, the role requires a valid Florida LPN license and offers the opportunity to contribute to a mission-driven organization dedicated to both patient and staff well-being.

The Surgery Scheduler role at Banner Health in Payson, Arizona, supports the Administrative Services department by coordinating surgical, cardiovascular, and obstetrical procedures. Key responsibilities include managing patient schedules within a computerized system, verifying physician privileges and insurance authorizations, entering patient data and charges, and acting as a liaison between medical staff, physicians, and families. The position offers the appeal of working within a nonprofit organization dedicated to excellent patient care in a community known for its scenic outdoor recreation. This full-time, on-site position operates Monday through Friday and provides opportunities for professional growth within a supportive team environment.

This full-time employed physician role involves joining a busy, well-established Obstetrics and Gynecology practice within the CHRISTUS Trinity Clinic network in San Antonio. The position focuses on providing comprehensive care across two clinic locations, with deliveries performed at a hospital featuring a Level IV NICU. Key responsibilities include managing a high volume of obstetric cases with approximately 18 to 20 monthly deliveries, performing surgical procedures, and treating high-risk patients with access to onsite maternal-fetal medicine consultation. The role is appealing due to its strong internal referral base, rapid patient access, and significant growth potential within a collaborative team structure. The schedule operates Monday through Friday with a dedicated administrative day, offering a stable work-life balance in a supportive healthcare environment.

This full-time employed physician role is with CHRISTUS Trinity Clinic in San Antonio, focusing on Obstetrics and Gynecology within a busy, established practice. The position involves managing a high volume of deliveries and surgical cases across two clinic locations, with access to Level IV NICU support and onsite maternal-fetal medicine consultations. Key responsibilities include providing comprehensive OB care, handling high-risk pregnancies, and collaborating with a dedicated team of one physician and one nurse practitioner. The role offers a structured Monday through Friday schedule with administrative time built in. It is particularly appealing due to the strong internal referral base, rapid patient access, and significant growth potential within a large, supportive health network.

This full-time Customer Service Representative role supports Neighborhood Health, a network of community health centers in Tennessee serving diverse populations. The position involves managing patient registration, scheduling appointments, and verifying insurance details while assisting medical staff with chart management and administrative tasks. Key responsibilities include translating for Spanish-speaking patients, handling sensitive financial transactions, and ensuring compliance with healthcare privacy standards. The role is appealing for its mission-driven environment focused on eliminating barriers to care for underserved communities. It offers opportunities for professional growth through cross-training and participation in team committees within a collaborative, non-clinical setting.

This full-time Primary Care Physician role at Oak Street Health focuses on delivering value-based care to Medicare patients within a neighborhood clinic setting. The position involves assessing and diagnosing patients, prescribing treatments, and managing electronic medical records while collaborating with large care teams to prioritize quality outcomes over service volume. Physicians also work with practice managers to direct center operations and meet regional health goals. The role is appealing for its supportive environment that allows providers to focus on patient care without administrative burdens, offering opportunities for new graduates and those interested in geriatrics. The position operates on a standard 40-hour weekly schedule with access to comprehensive benefits including wellness programs and professional development resources.

This full-time Clinical Coordinator role serves as a Charge Registered Nurse within a dialysis facility, leading the daily operations of the nursing team to ensure high-quality patient care. Key responsibilities include supervising direct patient care staff, managing shift schedules, overseeing patient treatment plans, and ensuring strict compliance with federal and state regulations. The position requires administering medications, handling emergency situations, and serving as a subject matter expert for the team. This opportunity appeals to experienced nurses seeking a leadership position in a supportive environment that prioritizes patient safety and professional development. The role involves a mix of clinical duties and administrative oversight within a healthcare facility setting.

This full-time Obstetrics & Gynecology physician role is based at Missouri Baptist Sullivan Hospital near St. Louis, Missouri, within an established BJC Medical Group team. The position involves managing a diverse patient panel, performing inpatient rounds, and collaborating with advanced practice providers and support staff to deliver comprehensive women's healthcare. Key responsibilities include conducting patient evaluations, managing labor and delivery cases with a dedicated team, and maintaining medical records. The opportunity appeals to candidates seeking a supportive environment with a shared call schedule, access to advanced technology like the Da Vinci Robot, and a strong referral base. The role offers remote flexibility for administrative tasks, a welcoming small-town community with easy access to city amenities, and significant professional growth within a respected healthcare system.

The Patient Coordinator role supports patient care and administrative operations within a mobile and fixed radiology environment. Key responsibilities include greeting patients, managing registration and scheduling, verifying insurance coverage, and maintaining accurate medical records in compliance with HIPAA regulations. The position also involves assisting with patient transport, preparing exam areas, and providing preliminary screening and post-procedure instructions. This opportunity appeals to those seeking a dynamic role that combines customer service with direct patient interaction in a mobile setting. The position offers the chance to work across multiple locations and supports a mission-driven healthcare team focused on patient experience and operational efficiency.

This contract role seeks a fellowship-trained Orthopedic Surgeon specializing in total joints to join a five-physician team in Vacaville, California. The position focuses primarily on primary total joint replacements with a small portion of revision cases, supported by a dedicated team of twelve physician assistants. Key responsibilities include performing surgeries, managing patient care, and participating in a shared 1:16 overnight call schedule. The opportunity is appealing due to the group's emphasis on work-life balance, flexible scheduling, and a physician-led culture that eliminates administrative overhead and billing concerns. Candidates benefit from an integrated healthcare model with multi-specialty collaboration, access to an advanced electronic medical record system, and comprehensive professional development resources.

This per diem role seeks a non-invasive cardiologist to join a close-knit, physician-led team at the Kaiser Permanente facility in San Rafael, California. The position involves providing expert cardiac care within an integrated, multi-disciplinary environment while utilizing advanced AI-based charting systems. Key responsibilities include managing patient care without administrative overhead or RVU requirements, supported by flexible scheduling and comprehensive practice resources. The opportunity is appealing for its strong work-life balance, collaborative culture, and the ability to focus entirely on clinical excellence. Located in scenic Marin County, the role offers easy access to San Francisco and outdoor activities, with a short commute from major metropolitan areas.

This full-time Occupational Medicine physician role is based at the Kaiser Permanente facility in San Jose, California, within a large, physician-led medical group. The position focuses on delivering high-quality patient care without administrative burdens such as billing or overhead management, supported by advanced AI-based charting systems. Key responsibilities include utilizing a flexible electronic medical record for patient management and participating in a practice that prioritizes work-life balance with adaptable scheduling. The role is appealing due to its supportive culture, lack of RVU requirements, and opportunities for professional growth through a shareholder track. The arrangement is a standard on-site full-time position offering comprehensive benefits including malpractice coverage, paid time off, and educational stipends.

This full-time Radiation Oncologist role is based in Rancho Cordova, California, within The Permanente Medical Group, a large integrated healthcare network. The position focuses on delivering high-quality patient care without administrative burdens such as billing or overhead management. Key responsibilities include providing radiation therapy treatments, collaborating with multi-specialty teams, and utilizing an advanced electronic medical record system. The opportunity is appealing due to its strong emphasis on work-life balance, flexible scheduling, and a physician-led culture that supports professional growth through teaching, research, and mentorship. The role offers a supportive environment with comprehensive wellness programs and no RVU requirements, allowing physicians to concentrate entirely on clinical excellence.

The Permanente Medical Group seeks full-time Board Certified or Eligible Anesthesiologists to join its integrated healthcare teams in Modesto or Stockton, California. The role involves delivering high-quality patient care within a multi-specialty environment while utilizing an advanced electronic medical record system. Key responsibilities include managing anesthesia services and collaborating with other physicians in a physician-led organization. This position is appealing for its strong focus on work-life balance, flexible scheduling, and the elimination of administrative overhead such as billing and practice management. The group offers a supportive culture with comprehensive professional development opportunities in teaching, research, and leadership, alongside a robust physician wellness program. The arrangement is full-time with potential for reduced schedules, providing a stable career path within a large, mission-driven medical group.

This full-time Cardiology Non-Invasive role is based at a Kaiser Permanente facility in San Francisco, California, within a close-knit, multi-disciplinary cardiac center. The position requires board certification or eligibility and a cardiology fellowship, with pacemaker implantation skills preferred for certain duties. Key responsibilities include providing expert non-invasive cardiac care, utilizing AI-based charting systems for efficient patient management, and collaborating within a physician-led team. The role is appealing due to its strong focus on work-life balance, flexible scheduling, and the elimination of administrative overhead such as billing and RVUs. Additional benefits include a comprehensive support structure, paid time off for board exams, and opportunities for professional growth through a shareholder track.