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Remote Jobs in Irvine, CA

Last updated: 30+ 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

Remote Corporate Development Associate - AI Trainer ($50-$60 per hour)

Data AnnotationNorth Tustin, California
$50.00 hourly
Remote
Full-time

DataAnnotation is committed to creating high-quality AI.Enjoy the flexibility of remote work and the freedom to set your own schedule.This is an opportunity to work with us as an independent contra... Show more

Courtesy Clerk

TradeJobsWorkForce92614 Irvine, CA, US
Full-time

Sweeping and mopping store floors, and keeping restrooms, check stands, grocery carts and the parking lot clean and tidy.Bagging customers' purchases swiftly and efficiently.Assisting customers and... Show more

 • Promoted

SERVICE EXPERIENCE ADVISOR

Micro ElectronicsTustin, CA, US
$18.50 hourly
Full-time

We are currently seeking a self-motivated, results oriented.It is Micro Center’s core promise to take care of our associates and customers which has led to our success over the last 40+ years!.The ... Show more

Coordinator, Foreign Trade Zone (FTZ)

VF CorporationCosta Mesa, CA, United States
$58,752.00 yearly
Full-time

Foreign Trade Zone Coordinator.As part of the Foreign Trade Zone (FTZ) Team, you will support the management and oversight of VF's Foreign Trade Zone operations to ensure full compliance with U.Cus... Show more

Aerospace Sales Support Administrator

National MicrochipLake Forest, CA, US
$20.00 hourly
Full-time

National Microchip is a growing leader in aerospace, aviation, and defense parts distribution.For over 15 years, we have proudly supplied the U.Air Force, Boeing, General Atomics, DART, and many mo... Show more

Usage Tester - Work From Home - $45 per hour

GL1Newport Beach, 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

Work from Home - Full Time - Data Entry - $45 per hour

GL Inc.Laguna Woods, California
$45.00 hourly
Remote
Full-time +2

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

Automotive Support Associate

TradeJobsWorkforce92706 Santa Ana, CA, US
Full-time

An exciting opportunity awaits for a Automotive Support Associate to follow safety procedures and company policies, work collaboratively across teams and departments, and provide excellent service ... 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

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.