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Jobs in Costa Mesa, CA

Last updated: 5 days ago

Remote Underpayment & Managed-care Contract Specialist - AI Trainer ($85-$85 per hour)

MercorSanta Ana, California, US
$85.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Underpayment and Managed Care Contract Specialists to evaluate ... Show more

Remote Sales Representative 60k / Year

Spade Recruiting USAPeters, California
Remote
Full-time
Quick Apply

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day pr... Show more

Sales Associate – Optical – Part Time – Bilingual Spanish

America's BestSanta Ana, California, United States
Part-time

Provide excellent customer service while supporting store sales goals.Help customers select eyewear based on lifestyle, prescription, and budget.Dispense eyeglasses and contact lenses and provide l... Show more

Remote Pharmacy Prior Authorization & Specialty-Medication Access Specialist - AI Trainer ($75-$75

MercorIrvine, California, US
$75.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Medication and Pharmacy Prior Authorisation specialists with ex... Show more

Usage Tester - Work From Home - $45 per hour

GL1Santa Ana, California
$45.00 hourly
Remote
Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more

 • Promoted

Warehouse Operator - Japanese bilingual

Humina ResourceIrvine, CA, US
$18.00 hourly
Full-time

Warehouse Operator - Japanese Bilingual      (Future Supervisor Candidate).No special skills required to become a supervisor!  We welcome those with no prior experience!.Customer management (order ... Show more

Remote Quality Assurance Tester - $45 per hour

Great LionSanta Ana, California
$45.00 hourly
Remote
Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more

Remote Pharmacy Prior Authorization & Specialty-Medication Access Specialist - AI Trainer ($75-$75

MercorCosta Mesa, California, US
$75.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Medication and Pharmacy Prior Authorisation specialists with ex... Show more

CNA - Full Green Card Sponsorship

Flint Healthcare, IncTustin, CA
Full-time

Welcome to the US Visa Sponsorship Program by Flint Healthcare, Inc.Please fill in your details so we can assess your fit and reach out to you for an interview should you qualify.We are seeking a c... Show more

Meat Butcher

King's Seafood DistributionSanta Ana, CA, US
$22.00 hourly
Full-time

We keep it reel! Premium benefits, an amazing culinary family, growth opportunities, and more! Are you hooked yet?.The butcher/meat cutter position is key in executing accurate prep with consistenc... Show more

Treasury Specialist

Kia America, Inc.Irvine, CA, US
Full-time

At Kia, we’re creating award-winning products and redefining what value means in the automotive industry.It takes a special group of individuals to do what we do, and we do it together.Our culture ... Show more

AIR CONDITIONING AND HEATING INSTALLER

Kemnitz Air Conditioning and Heating, incIrvine, CA, US
$58,240.00 yearly
Full-time

Seeking a person with experience in installing air conditioning and heating equipment for our residential and commercial customers.Individual must have experience as a LEAD INSTALLER.TAKE RESPONSIB... Show more

Remote Customer Service Sales

HMG CareersTustin, California
$69,000.00 yearly
Remote
Full-time
Quick Apply

This full-time position offers flexible work hours and ample opportunities for advancement into management roles.You will work remotely to serve clients and offer valuable advice and protection to ... Show more

Delivery Driver - Earn up to $32/hr

TradeJobsWorkforce92614 Irvine, CA, US
$32.00 hourly
Full-time

This position is for a dedicated Delivery Driver, where you will learn company products and services to better assist others, coordinate with other departments when needed, and handle orders, shipm... Show more

 • Promoted

Bakery/Deli Clerk

RalphsHuntington Beach, US
Part-time

Create an outstanding customer experience through exceptional service.Establish and maintain a safe and clean environment that encourages our customers to return.Assist the department manager in re... Show more

Bank Teller

TradeJobsWorkForce92728 Fountain Valley, CA, US
Full-time

Bank Teller Job Duties: Serves customers by completing account transactions.Provid... Show more

 • Promoted

Patient Care Technician - Entry Level Training Program

Dreambound Inc.Newport Beach, California, United States
Full-time

Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more

 • Promoted

Busser

Sota SushiCorona Del Mar, CA, US
$16.50 hourly
Part-time

Career Advancement Opportunities .In this role, you will remove dirty dishes and wipe down surfaces, replace tablecloths, set tables, and provide patrons with water and coffee.Your goal is to ensur... Show more

Warehouse Facility Clothing Grader

Savers / Value VillageHuntington Beach, CA, US
$19.32 hourly
Full-time +1

Job Title: Warehouse Facility Clothing Grader.Must be 18 years of age or older.Geographic & job eligibility rules may apply.Comprehensive coverage (medical/dental/vision) at a reasonable cost .Spec... Show more

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Remote Underpayment & Managed-care Contract Specialist - AI Trainer ($85-$85 per hour)

Remote Underpayment & Managed-care Contract Specialist - AI Trainer ($85-$85 per hour)

MercorSanta Ana, California, US
30+ days ago
Salary
$85.00 hourly
Job type
  • Full-time
  • Remote
Job description
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced Underpayment and Managed Care Contract Specialists to evaluate AI tools designed to detect payment variances and automate contract compliance monitoring. Your expertise in payer contract interpretation, payment variance analysis, and underpayment recovery will help AI systems optimise net revenue and identify systematic underpayments. **Responsibilities** - Identify, analyse, and recover underpayments and payment variances across commercial, Medicare Advantage, and Medicaid managed care payer contracts. - Evaluate AI-generated underpayment detection alerts, contract compliance outputs, and payment variance analyses for accuracy. - Interpret payer contract terms including fee schedules, carve-outs, outlier provisions, and payment methodologies to validate claim payments. - Conduct contract modelling and payment reconciliation to identify systematic underpayment patterns. - Develop and submit underpayment claims and recovery correspondence to payers. - Collaborate with managed care contracting teams to identify contract language gaps and renegotiation opportunities. - Monitor underpayment recovery KPIs including identified underpayment dollars, recovery rates, and payer response rates. - Ensure compliance with payer contract terms, HIPAA, and timely filing requirements for underpayment recovery. - Annotate AI outputs and provide structured feedback to support AI training datasets. **Requirements** - 5+ years of experience in underpayment recovery, payment variance analysis, or managed care contracting, with demonstrated expertise in contract interpretation. - Deep knowledge of payer payment methodologies including DRG-based, per diem, per cent-of-billed charges, and fee schedule reimbursement. - Strong experience with contract modelling, payment reconciliation, and payer dispute resolution. - Familiarity with managed care contract management systems and payment variance detection tools. - Proficiency with Excel-based financial analysis and revenue cycle analytics platforms. - Exceptional written and verbal English communication skills. - High attention to detail with the ability to identify payment discrepancies in complex contract structures and AI-generated outputs. **Preferred Qualifications** - CHFP, CRCR, or managed care contracting certification. - Experience with contract management software (e.g., Experian Health, Recondo, or similar). - Background in hospital, health system, or large physician group underpayment recovery operations. - Familiarity with AI tools and comfort evaluating AI-generated payment variance content. - Experience negotiating payer contracts and presenting underpayment analysis to executive leadership. **Why Join?** - Contribute to the development of frontier AI systems in healthcare. - Collaborate with a world-class AI research organisation. - Gain exposure to cutting-edge AI workflows in managed care contracting and the revenue cycle. - Opportunity to work on high-impact projects shaping the future of healthcare AI.