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Jobs in Costa Mesa, CA

Last updated: 22 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

ORANGE, CA | Substitute Teacher, Teacher, Coding Robotics

PARENT EDUCATION BRIDGE FOR STUDENT ACHIEVEMENT FOUNDATION LLCOrange, CA, US
$40.00 hourly
Full-time

Areas:  Santa Ana, Fullerton, Anaheim, Irvine, Orange County .We are seeking an energetic and experienced.As an Instructor, you will teach classes using the curriculum provided by our organization.... Show more

Remote Work – Product Tester

OCPAWestminster, California, US
$15.00 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

Work From Home – No Experience – Product Tester

OCPAMidway City, California, US
$15.00 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 Work – No Experience – Product Tester

OCPAMidway City, California, US
$15.00 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

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

Per Diem Teacher's Aide | Huntington Beach, California -

SpindleHuntington Beach, CA, US
Full-time

Instructional Aide substitute positions offer the chance to make a meaningful impact in school communities while enjoying flexible, per diem scheduling.These opportunities are a perfect fit for com... Show more

Security Technician

OutsourceIrvine, CA
$25.00 hourly
Full-time

Access Control Installer / Security Technician - $25-$35/hr – DOE.We are currently hiring Security Technicians / Access Control Installer with 3+ years of experience installing, servicing, troubles... Show more

WORK-FROM-HOME Customer Service - Product Support - $25-$45 per hour

GL1Fountain Valley, California
$25.00 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

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 Voice Actor: CX Agent Voice Cloning (Canadian French) - AI Trainer ($50-$50 per hour)

MercorOrange, California, US
$50.00 hourly
Remote
Full-time

Mercor is partnering with a leading AI research lab to build next-generation text-to-speech (TTS) systems capable of producing natural, expressive, and human-like voices.We are seeking **Canada-bas... 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

Sales Associate

EssilorLuxottica GroupTustin, CA, US
Full-time

Benefits/Incentive Information.At Sunglass Hut, we're always in the sun.You’ll find a dynamic space with endless possibilities to grow your career.We are a culture that wants to see you succeed, de... Show more

Retail Store Associate

Savers / Value VillageOrange, CA, US
$17.00–$17.91 hourly
Full-time +1

Job Title: Retail Store Associate.Pay Range: Our starting pay ranges from $17.As one of the largest for-profit thrift operators in the United States, Canada and Australia for value priced pre-owned... Show more

Remote Beta Tester - $45 per hour

Great LionCosta Mesa, 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

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

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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.