Tapestry Jobs in Usa

The Claims Manager is responsible for overseeing the end-to-end claims operations within the MSO managed care delegated functions. This role provides guidance on healthcare claims adjudication and payment processing for Medi-Cal, Medicare, PACE, and other lines of business based on member Evidence of Coverages (EOC) and CMS/DHCS guidelines, ensures that claims are processed accurately, timely, and in compliance with regulatory requirements and contractual obligations. The Claims Manager will lead the claims team, implement process improvements, and collaborate with internal and external stakeholders to optimize claims adjudication workflows.

This role requires high-level of decision-making and problem-solving skills in relates to claims operations, compliance, and process improvements. Deep understanding of Medi-Cal, Medicare Advantage, PACE, CMS, and DHCS regulations; ensuring full compliance across the department. Ability to manage multiple priorities, oversee department workflows, and optimize resource allocation. Responsible to design training programs for claims teams and leads initiatives to enhance team expertise. Excellent communication skills to interact with leadership, payers, providers, auditors, and MSO internal departments.

ESSENTIAL JOB FUNCTIONS:

• Oversee managed care claims processing, ensuring compliance with CMS, DHCS, and health plan guidelines.
• Monitor claims adjudication, ensuring accuracy, timeliness, and regulatory adherence.
• Develop and implement policies and procedures to improve claims processing efficiency.
• Work with IT and system vendors to optimize claims processing systems and troubleshoot issues.
• Lead and mentor the claims team, including Claims Supervisors and processors, ensuring high performance and engagement.
• Conduct regular performance evaluations, design training programs, provide training, and develop staff competencies.
• Establish and monitor productivity metrics to enhance team efficiency.
• Serve as the primary liaison with health plans, providers, auditors, and third-party administrators to resolve claims issues and disputes.
• Manage escalations, appeals, and grievances related to claims processing.
• Coordinate with provider relations to address claims denials and payment disputes.
• Identify areas for process improvement and implement best practices to enhance claims adjudication.
• Analyze claims data, trends, and key performance indicators to drive operational enhancements.
• Prepare reports for senior management on claims performance, backlog, and issue resolution.
• Direct supervision of a department involving responsibility for results in terms of costs, methods and personnel. Responsible for carrying out supervisory/managerial responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing and hiring of employees; planning, assigning, scheduling, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
• Performs other job duties as required by manager/supervisor.

QUALIFICATIONS:

• Bachelor's degree in business, healthcare administration, or related field is preferred; Associate’s degree may be considered with relevant, equivalent work experience.
• Experience: Minimum of 5 years in managed care claims and compliance field, with at least 3 years in a managerial role within an IPA, health plan, medical group, or TPA.
• Knowledge of: Medi-Cal and MA claims processing, CMS and DHCS regulations, capitated vs. fee-for-service (FFS) models, claims adjudication systems (e.g., EZ-CAP, HealthEdge, Tapestry, or similar).
• Skills: Strong analytical, problem-solving, and leadership skills. Proficiency in Excel, reporting tools, and claims systems.
• Certifications (Preferred): AAHAM, CPC, or other relevant claims-related certifications.

LANGUAGE:

• Must be able to fluently speak, read and write English.
• Fluency in other languages are an asset.

STATUS:

• This is an FLSA Exempt position.
• This is not an OSHA high-risk position.
• This is a full-time position.

NEMS is proud to be an Equal Opportunity Employer welcoming diversity in our workforce. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

NEMS BENEFITS: Competitive benefits, including free medical, dental and vision insurance for employee, spouse and/or children; and company contribution to 401(k).

Job Description

At Boeing, we innovate and collaborate to make the world a better place. We're committed to fostering an environment for every teammate that's welcoming, respectful and inclusive, with great opportunity for professional growth. Find your future with us.

Tapestry Solutions, A Boeing Company, brings over 30 years of industry experience designing, implementing, training, and supporting high-quality, cost-effective information technology and business intelligence solutions. With a dedicated team of approximately 500 professionals, we proudly serve 75 defense, commercial, and government clients across more than 50 U.S. locations and 9 countries worldwide.

As a trusted partner, our employees embody our core values by consistently delivering excellence, taking full ownership, and developing innovative solutions that enable critical missions and ensure the safety of our global customers and team members. Joining Tapestry Solutions means enjoying the best of both worlds: access to the vast resources of Boeing combined with the agility and people-focused, family-oriented culture of a small business where your contributions truly matter.

We are seeking a dynamic and visionary Chief Software Engineering Manager in Swansea, IL or Maryland Heights, MO to lead our technology strategy and oversee both software development and information technology (IT) services to serve our team and meet the demands of our government and commercial clients. This leader will play a critical role in shaping the technological direction of the company, ensuring that our offerings are aligned with industry standards, government regulations, and best practices in IT management. This is an exciting opportunity to help lead our business into the future, focused on serving as a trusted partner to our customers, providing exceptional software products and services in support of U.S. and foreign military defense operations. We developed the market-leading maintenance, repair and overhaul software solution and we have a long legacy advancing the DoD's cornerstone logistics command and control applications. We also support next-generation mission planning software across multiple platforms including the F-22, F-15, F-18, MQ-25, and Tomahawk Cruise Missile.

Our people are located primarily in St. Louis, MO, San Diego, CA and San Luis Obispo, CA.

Position Responsibilities:

• Develop and execute the technology vision and strategy for Tapestry, ensuring alignment with overall business objectives and government requirements
• Drive innovation in software development practices, methodologies, and technologies to enhance product offerings and improve service delivery
• Lead the technical requirements and resource allocation in support of capture activities, including proposal development and solution design
• Oversee the design, implementation, and maintenance of our IT infrastructure, ensuring it supports the software development lifecycle and meets the operational needs of the organization
• Establish and enforce cybersecurity policies and practices to protect sensitive government data and ensure compliance with federal regulations
• Lead and mentor a team of software engineers, IT professionals, and technical staff, fostering a culture of collaboration, continuous learning, and high performance
• Collaborate with government and commercial clients, partners, and internal stakeholders to understand their needs and translate them into technical solutions
• Oversee the technology budget, ensuring efficient allocation of resources including vendor relationships to support development initiatives, IT operations, and infrastructure needs
• Stay abreast of industry trends, emerging technologies, and competitive landscape to identify opportunities for growth and innovation in both software and IT services
• Identify potential risks associated with technology initiatives and develop mitigation strategies to address them
• Manage and provide developmental opportunities for employees and mid-level managers

Basic Qualifications (Required Skills/Experience):

• 10+ years of leadership experience in software development, with a focus on government contracting and services
• A demonstrated track record of managing technical teams and driving successful projects
• 5+ years of budget responsibility
• 3+ years of experience providing technical software development direction in support of capture and business development activities
• In-depth knowledge of the entire SDLC process including software development methodologies (Agile, DevOps, etc.)
• Familiarity with government regulations and compliance standards related to software development and cybersecurity
• Excellent communication and interpersonal skills, with the ability to engage effectively with diverse stakeholders at all levels internally and externally
• Strong analytical and problem-solving abilities, with a strategic mindset
• Experience with budget management and resource allocation

Preferred Qualifications (Desired Skills/Experience):

• Prior experience as a Chief Technology Officer
• 5+ years of experience in IT operations management, with a focus on government contracting and services including government regulations and compliance standards related to IT operations
• Knowledge of best practices in IT infrastructure management
• Experience working within a subsidiary of a large company

Drug Free Workplace:

We are a Drug Free Workplace where post offer applicants and employees are subject to testing for marijuana, cocaine, opioids, amphetamines, PCP, and alcohol when criteria is met as outlined in our policies.

Pay & Benefits:

We strive to deliver a Total Rewards package that will attract, engage and retain the top talent. Elements of the Total Rewards package include competitive base pay and variable compensation opportunities.

We also provide eligible employees with an opportunity to enroll in a variety of benefit programs, generally including health insurance, flexible spending accounts, health savings accounts, retirement savings plans, life and disability insurance programs, and a number of programs that provide for both paid and unpaid time away from work.

The specific programs and options available to any given employee may vary depending on eligibility factors such as geographic location, date of hire, and the applicability of collective bargaining agreements.

Pay is based upon candidate experience and qualification, as well as market and business considerations.

Summary base pay range $195,000 - $215,000

Applications for this position will be accepted until Mar. 21, 2026

Export Control Requirements:

This is not an Export Control position.

Relocation

Relocation assistance is not a negotiable benefit for this position.

Security Clearance

This position requires the ability to obtain a U.S. Security Clearance for which the U.S. Government requires U.S. Citizenship. An interim and/or final U.S. Secret Clearance Post-Start is required.

Visa Sponsorship

Employer will not sponsor applicants for employment visa status.

Shift

This position is for 1st shift

Equal Opportunity Employer:

Boeing is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status or other characteristics protected by law.

Must Haves:

• Bachelor's degree
• Epic Tapestry Certification
• Minimum of 3 years of experience in configuring and supporting Epic modules
• Experience supporting a new build Go-live
• Medical Management (utilizations management / UM) within Tapestry
• Ability travel onsite to Louisville KY 3 days a month

Position Overview:

We are seeking an Epic Certified Configuration Analyst (Tapestry) to support the build, configuration, testing, and deployment of Epic’s Tapestry (Utilization Management) solution. This role partners closely with business stakeholders, operational subject matter experts (SMEs), technical teams, and downstream Epic application teams to translate requirements into scalable configuration and to ensure end-to-end readiness for go-live.

Job Description

At Boeing, we innovate and collaborate to make the world a better place. We’re committed to fostering an environment for every teammate that’s welcoming, respectful and inclusive, with great opportunity for professional growth. Find your future with us.

Tapestry Solutions, A Boeing Company, brings over 30 years of industry experience designing, implementing, training, and supporting high-quality, cost-effective information technology and business intelligence solutions. With a dedicated team of approximately 500 professionals, we proudly serve 75 defense, commercial, and government clients across more than 50 U.S. locations and 9 countries worldwide.

As a trusted partner, our employees embody our core values by consistently delivering excellence, taking full ownership, and developing innovative solutions that enable critical missions and ensure the safety of our global customers and team members. Joining Tapestry Solutions means enjoying the best of both worlds: access to the vast resources of Boeing combined with the agility and people-focused, family-oriented culture of a small business where your contributions truly matter.

We are seeking a dynamic and visionary Chief Software Engineering Manager in Swansea, IL or Maryland Heights, MO to lead our technology strategy and oversee both software development and information technology (IT) services to serve our team and meet the demands of our government and commercial clients. This leader will play a critical role in shaping the technological direction of the company, ensuring that our offerings are aligned with industry standards, government regulations, and best practices in IT management. This is an exciting opportunity to help lead our business into the future, focused on serving as a trusted partner to our customers, providing exceptional software products and services in support of U.S. and foreign military defense operations. We developed the market-leading maintenance, repair and overhaul software solution and we have a long legacy advancing the DoD’s cornerstone logistics command and control applications. We also support next-generation mission planning software across multiple platforms including the F-22, F-15, F-18, MQ-25, and Tomahawk Cruise Missile.

Our people are located primarily in St. Louis, MO, San Diego, CA and San Luis Obispo, CA.

Position Responsibilities:

• Develop and execute the technology vision and strategy for Tapestry, ensuring alignment with overall business objectives and government requirements
• Drive innovation in software development practices, methodologies, and technologies to enhance product offerings and improve service delivery
• Lead the technical requirements and resource allocation in support of capture activities, including proposal development and solution design
• Oversee the design, implementation, and maintenance of our IT infrastructure, ensuring it supports the software development lifecycle and meets the operational needs of the organization
• Establish and enforce cybersecurity policies and practices to protect sensitive government data and ensure compliance with federal regulations
• Lead and mentor a team of software engineers, IT professionals, and technical staff, fostering a culture of collaboration, continuous learning, and high performance
• Collaborate with government and commercial clients, partners, and internal stakeholders to understand their needs and translate them into technical solutions
• Oversee the technology budget, ensuring efficient allocation of resources including vendor relationships to support development initiatives, IT operations, and infrastructure needs
• Stay abreast of industry trends, emerging technologies, and competitive landscape to identify opportunities for growth and innovation in both software and IT services
• Identify potential risks associated with technology initiatives and develop mitigation strategies to address them
• Manage and provide developmental opportunities for employees and mid-level managers

Basic Qualifications (Required Skills/Experience):

• 10+ years of leadership experience in software development, with a focus on government contracting and services
• A demonstrated track record of managing technical teams and driving successful projects
• 5+ years of budget responsibility
• 3+ years of experience providing technical software development direction in support of capture and business development activities
• In-depth knowledge of the entire SDLC process including software development methodologies (Agile, DevOps, etc.)
• Familiarity with government regulations and compliance standards related to software development and cybersecurity
• Excellent communication and interpersonal skills, with the ability to engage effectively with diverse stakeholders at all levels internally and externally
• Strong analytical and problem-solving abilities, with a strategic mindset
• Experience with budget management and resource allocation

Preferred Qualifications (Desired Skills/Experience):

• Prior experience as a Chief Technology Officer
• 5+ years of experience in IT operations management, with a focus on government contracting and services including government regulations and compliance standards related to IT operations
• Knowledge of best practices in IT infrastructure management
• Experience working within a subsidiary of a large company

Drug Free Workplace:

We are a Drug Free Workplace where post offer applicants and employees are subject to testing for marijuana, cocaine, opioids, amphetamines, PCP, and alcohol when criteria is met as outlined in our policies.

Pay & Benefits:

We strive to deliver a Total Rewards package that will attract, engage and retain the top talent. Elements of the Total Rewards package include competitive base pay and variable compensation opportunities.

We also provide eligible employees with an opportunity to enroll in a variety of benefit programs, generally including health insurance, flexible spending accounts, health savings accounts, retirement savings plans, life and disability insurance programs, and a number of programs that provide for both paid and unpaid time away from work.

The specific programs and options available to any given employee may vary depending on eligibility factors such as geographic location, date of hire, and the applicability of collective bargaining agreements.

Pay is based upon candidate experience and qualification, as well as market and business considerations.

Summary base pay range $195,000 - $215,000

Applications for this position will be accepted until Mar. 21, 2026

Export Control Requirements:

This is not an Export Control position.

Relocation

Relocation assistance is not a negotiable benefit for this position.

Security Clearance

This position requires the ability to obtain a U.S. Security Clearance for which the U.S. Government requires U.S. Citizenship. An interim and/or final U.S. Secret Clearance Post-Start is required.

Visa Sponsorship

Employer will not sponsor applicants for employment visa status.

Shift

This position is for 1st shift

Equal Opportunity Employer:

Boeing is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status or other characteristics protected by law.

Up to $150K Sign On Bonus – Milwaukee, WI – Seeking Cardiac Anesthesiology Physicians

Join the Physician Partnership Where You Can Increase Your Impact

Vituity’s ownership model provides autonomy, local control, and a national system of support, so you can focus your attention where you want it to be – on your patients.

Join the Vituity Team. Vituity is a 100% physician-owned partnership and is led by frontline physicians that are all equitable owners. As an equal and valued partner from day one, our ownership model provides you with financial transparency, a comprehensive benefits package including profit distribution, and multiple career development opportunities. Our leadership understands what your practice needs to thrive and gives you autonomy and local control so you can provide care when, where, and how your patients need it. You are backed by a best-in-class corporate healthcare team and supported by the broad peer-level expertise of 6,000 Vituity clinicians. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.

Vituity Locations: Vituity has opportunities at 890 practices across the country, serving 14.5 million patients a year. With Vituity, if you ever need to move, you can take your job with you.

The Opportunity

• Up to $150k sign-on bonus for qualified candidates.
• Seeking Board Eligible/Certified Cardiac Anesthesiologists.

• Current WI state license is a plus.

   

The Practice

Ascension St. Francis Hospital – Wisconsin

Ascension SE Wisconsin Hospital – Elmbrook Campus – Wisconsin

Ascension SE Wisconsin Hospital – Franklin Campus – Wisconsin

Ascension SE Wisconsin Hospital – Mayfair Road – Wisconsin

Ascension SE Wisconsin Hospital – St. Joseph Campus – Wisconsin

Ascension Columbia St. Mary’s Hospital – Ozaukee Campus – Wisconsin

Ascension Columbia St Mary's – River Woods Parkway – Wisconsin

Ascension Columbia St. Mary's Hospital – Milwaukee, Wisconsin 

• A critical care hospital and 24/7 ER with advanced specialty care services.
• Level IV Trauma Center and Comprehensive Stroke Center with advanced surgical care.
• A destination for heart and vascular health, cancer care, stroke care, orthopedics and women’s health.
• On-site full-service digital imaging and an on-site lab.
• Recognized for America's 100 Best Hospitals Award™ and Cranial Neurosurgery Excellence Award™ 2022-2024.

The Community

• Milwaukee boasts a rich tapestry of culture and history including Summerfest, Polish Fest, Festa Italiana, and more.
• Sitting on Lake Michigan, there is plenty of access to freshwater resources contributing to the city’s beautiful scenery and recreational opportunities.
• Known as “The Beer Capital of the World,” Milwaukee has tons of local breweries serving as social hubs fostering a sense of community for its residents.
• A great city for sports lovers who can dress up and watch professional teams play anytime of the year!
• A city committed to green initiatives and sustainability, with efforts aimed at making the city more environmentally friendly.

Benefits & Beyond

Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.

• Superior Health Plan Options.
• Dental, Vision, HSA, life and AD&D coverage, and more.
• Partnership models allows a K-1 status pay structure, allowing high tax deductions.
• Extraordinary 401K Plan with high tax reduction and faster balance growth.
• Eligible to receive an Annual Profit Distribution/yearly cash bonus.
• EAP and travel assistance included.
• Student loan refinancing discounts.
• Purpose-driven culture focused on improving the lives of our patients, communities, and employees.

We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.

Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity. 

Applicants only. No agencies please.

Up to $150K Sign On Bonus – Milwaukee, WI – Seeking Anesthesiology Physicians

Join the Physician Partnership Where You Can Increase Your Impact

Vituity’s ownership model provides autonomy, local control, and a national system of support, so you can focus your attention where you want it to be – on your patients.

Join the Vituity Team. Vituity is a 100% physician-owned partnership and is led by frontline physicians that are all equitable owners. As an equal and valued partner from day one, our ownership model provides you with financial transparency, a comprehensive benefits package including profit distribution, and multiple career development opportunities. Our leadership understands what your practice needs to thrive and gives you autonomy and local control so you can provide care when, where, and how your patients need it. You are backed by a best-in-class corporate healthcare team and supported by the broad peer-level expertise of 6,000 Vituity clinicians. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.

Vituity Locations: Vituity has opportunities at 890 practices across the country, serving 14.5 million patients a year. With Vituity, if you ever need to move, you can take your job with you.

The Opportunity

• Up to $150k sign-on bonus for qualified candidates.
• Seeking Board Eligible/Certified General Anesthesiologists.
• Current WI state license is a plus.

The Practice

Ascension St. Francis Hospital – Wisconsin

Ascension SE Wisconsin Hospital – Elmbrook Campus – Wisconsin

Ascension SE Wisconsin Hospital – Franklin Campus – Wisconsin

Ascension SE Wisconsin Hospital – Mayfair Road – Wisconsin

Ascension SE Wisconsin Hospital – St. Joseph Campus – Wisconsin

Ascension Columbia St Mary's – River Woods Parkway – Wisconsin

Ascension Columbia St. Mary’s Hospital – Ozaukee Campus – Wisconsin

Ascension Columbia St. Mary's Hospital – Milwaukee, Wisconsin  

• A critical care hospital and 24/7 ER with advanced specialty care services.
• Level IV Trauma Center and Comprehensive Stroke Center with advanced surgical care.
• A destination for heart and vascular health, cancer care, stroke care, orthopedics and women’s health.
• On-site full-service digital imaging and an on-site lab.
• Recognized for America's 100 Best Hospitals Award™ and Cranial Neurosurgery Excellence Award™ 2022-2024.

The Community

• Milwaukee boasts a rich tapestry of culture and history including Summerfest, Polish Fest, Festa Italiana, and more.
• Sitting on Lake Michigan, there is plenty of access to freshwater resources contributing to the city’s beautiful scenery and recreational opportunities.
• Known as “The Beer Capital of the World,” Milwaukee has tons of local breweries serving as social hubs fostering a sense of community for its residents.
• A great city for sports lovers who can dress up and watch professional teams play anytime of the year!
• A city committed to green initiatives and sustainability, with efforts aimed at making the city more environmentally friendly.

Benefits & Beyond

Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.

• Superior Health Plan Options.
• Dental, Vision, HSA, life and AD&D coverage, and more.
• Partnership models allows a K-1 status pay structure, allowing high tax deductions.
• Extraordinary 401K Plan with high tax reduction and faster balance growth.
• Eligible to receive an Annual Profit Distribution/yearly cash bonus.
• EAP and travel assistance included.
• Student loan refinancing discounts.
• Purpose-driven culture focused on improving the lives of our patients, communities, and employees.

We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.

Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity. 

Applicants only. No agencies please.

Up to $100K Sign On Bonus – Delano, CA – Seeking Hospital Medicine Physicians

Join the Physician Partnership Where You Can Increase Your Impact

Vituity’s ownership model provides autonomy, local control, and a national system of support, so you can focus your attention where you want it to be – on your patients.

Join the Vituity Team. Vituity is a 100% physician-owned partnership and is led by frontline physicians that are all equitable owners. As an equal and valued partner from day one, our ownership model provides you with financial transparency, a comprehensive benefits package including profit distribution, and multiple career development opportunities. Our leadership understands what your practice needs to thrive and gives you autonomy and local control so you can provide care when, where, and how your patients need it. You are backed by a best-in-class corporate healthcare team and supported by the broad peer-level expertise of 6,000 Vituity clinicians. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.

Vituity Locations: Vituity has opportunities at 890 practices across the country, serving 14.5 million patients a year. With Vituity, if you ever need to move, you can take your job with you.

The Opportunity

• Up to $100k sign-on bonus for qualified candidates.
• Seeking Board Eligible/Certified Internal Medicine and Family Practice physicians for Hospitalist opportunity.
• Day shifts only; no nights.
• Procedures preferred but not required.
• Current CA state license is a plus.
• Visa Candidates are encouraged to apply.

The Practice

Adventist Health Delano – Delano, California 

• Adventist Health Delano is a full-service community and regional teaching hospital.
• 156-bed medical center serves 10 rural Central California cities and has always been committed to providing an exceptional patient experience.
• Hospital services including an Intensive Care Unit, a Sub-Acute Care Unit, a Medical Surgical Unit, a Surgical Pavilion, and an Obstetrics/Gynecology Unit.

The Community 

• Delano is the second largest city in Kern County.
• An average high temperature of 77 degrees and 223 sunny days a year.
• Delano is situated in the heart of California's agricultural region, offering residents access to fresh and locally grown produce.
• Delano is known for its diverse population, fostering a rich cultural tapestry that adds to the vibrancy of community life.
• Central location — it's just a few hours' drive away from Yosemite and Sequoia National Parks, the Central California Coast, and Southern California’s great sports, theaters, concerts, and amusement parks.

Benefits & Beyond*

Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.

• Superior Health Plan Options
• Dental, Vision, HSA, life and AD&D coverage, and more
• Partnership models allows a K-1 status pay structure, allowing high tax deductions
• Extraordinary 401K Plan with high tax reduction and faster balance growth
• Eligible to receive an Annual Profit Distribution/yearly cash bonus
• EAP and travel assistance included
• Student loan refinancing discounts
• Purpose-driven culture focused on improving the lives of our patients, communities, and employees

We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.

Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.

*Visa status applicants benefits vary. Please speak to a recruiter for more details.

Applicants only. No agencies please.

Immediate need for a talented Operations Specialist III – Medicaid / Medi-Cal (Epic + Utilization Review. This is a 06+months contract opportunity with long-term potential and is located in Long Beach, CA(Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID: 26-02810

Pay Range: $30 - $45/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).Traveler benefits as per agency package. (Benefits vary by vendor and assignment.)

Key Responsibilities:

• Medicaid / Medi-Cal Chart Review
• Perform comprehensive health chart and administrative chart reviews
• Ensure documentation completeness and regulatory compliance
• Identify and escalate quality or utilization concerns
• Support Medicaid program performance metrics and reporting
• Utilization Review & Authorizations
• Conduct Utilization Review activities
• Support authorization workflows and payor processes (Anthem, Blue Shield, etc.)
• Review medical necessity documentation
• Collaborate with clinical and administrative teams to resolve discrepancies
• Epic & Workflow Execution
• Navigate and abstract data within Epic (HealthConnect preferred)
• Manage assigned review queues and documentation workflows
• Track operational performance metrics
• Suggest workflow improvements where applicable
• Operational & Process Support
• Assist in centralizing and refining hospital/system-wide workflows
• Support productivity standards and cost-reduction initiatives
• Contribute to operational efficiency and sustainability projects
• Schedule: 8:00 AM – 4:30 PM
• 5 days/week including every other weekend (Saturday & Sunday

Key Requirements and Technology Experience:

• 1–2+ years healthcare operations experience (3–5 years ideal)
• Strong Medicaid / Medi-Cal background
• Experience with Epic EHR (Kaiser HealthConnect highly preferred)
• Utilization Review exposure (authorization workflows, Tapestry preferred)
• Experience conducting chart reviews (clinical or administrative)
• Ability to work independently post-training
• Stable healthcare employment history
• Education: High School Diploma required; Associate or Bachelor’s degree preferred.

Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.

Specialty:

Emergency Medicine, Family Medicine, Internal Medicine

Job Summary:

HCA Florida Healthcare is seeking full-time Emergency Medicine Physicians to join our teams at HCA Florida Osceola Hospital, HCA Florida Poinciana Hospital, HCA Florida Lake Monroe Hospital, Oviedo Medical Center and all of their associated FSERs in our Orlando, FL market.

Qualified Candidates:

• Board certified/board eligible Emergency Medicine Physicians (ABEM/AOBEM)
• BC FM/IM physicians with EM experience or an EM fellowship encouraged to apply!
• Possess ATLS, PALS and ACLS
• New grads welcome!
• Some sites can sponsor a J1 Visa

Incentives/Benefits:

• Newly updated competitive hourly rates at most of our sites
• Both W2 employee and 1099 Independent Contractor Status options
• Start-date bonus and relocation assistance offered
• Flexible scheduling and malpractice coverage

Welcome to Orlando, Florida, a dynamic and diverse city renowned for its world-class attractions, thriving entertainment scene, and exceptional quality of life, making it an ideal destination for prospective residents seeking excitement and opportunity. Here's why Orlando should be your next home:

Theme Park Capital: Experience the magic of Orlando's world-famous theme parks, including Walt Disney World Resort, Universal Orlando Resort, and SeaWorld Orlando, offering endless entertainment and fun for residents of all ages.

Cultural Diversity: Embrace Orlando's vibrant cultural scene, with a melting pot of diverse communities, festivals, and events celebrating the city's multicultural heritage and offering residents a rich tapestry of cultural experiences.

Outdoor Recreation: Enjoy outdoor recreation opportunities in Orlando's lush green spaces, parks, and lakes, including popular destinations like Lake Eola Park, where residents can picnic, paddleboat, and enjoy scenic views of the downtown skyline.

Thriving Economy: Benefit from Orlando's robust economy, driven by industries such as tourism, hospitality, technology, and healthcare, offering residents ample job opportunities, career growth, and economic stability.

Top-rated Education: Access top-rated public and private schools in Orlando, as well as esteemed universities like the University of Central Florida and Rollins College, providing quality education options for residents of all ages.

Family-friendly Environment: Discover a family-friendly environment in Orlando, with top-notch schools, family-oriented attractions, and recreational activities catering to residents of all ages, making it an ideal place to raise a family.

Culinary Delights: Indulge in Orlando's diverse culinary scene, with a wide array of restaurants, cafes, and food trucks offering everything from international cuisine to farm-to-table fare, satisfying residents' appetites for delicious dining experiences.

Warm Climate: Enjoy Orlando's warm and sunny climate year-round, with mild winters and plenty of sunshine, perfect for outdoor activities, beach days, and soaking up the Florida sunshine.

Come discover why Orlando, Florida, is more than just a city—it's a vibrant and dynamic community offering a high quality of life, endless entertainment options, and a welcoming atmosphere for residents to enjoy and embrace.

Why HCA:

"Above all else, we committed to the care and improvement of human life." At HCA Healthcare we recognize and affirm the unique and intrinsic worth of each individual. We treat all we serve with compassion and kindness. We trust our colleagues as valuable members of our healthcare team and pledge to treat one another with loyalty, respect and dignity. We act with absolute honesty, integrity and fairness in the way we conduct our business and the way we live our lives.

Adventist Health Rideout is seeking an experienced Urologist to join our team in an established and thriving clinic just outside of Sacramento in Yuba City, CA.

Come use our NEW Da Vinci 5 Robotic Surgical System!!

Link below with info about the new Da Vinci 5 robot!

:v:/r/sites/AHRO-News/Shared%20Documents/Videos/AHRO%20Robot%20Video_Final.mp4?csf=1&web=1&share=ERrNLrbrZKFPopuAPw5OqnkByM34psNqO4I1yzzii1QQ8Q

also offer Aquaablation procedure!!

https:///

Rideout Multi-Surgical Clinic is a reputable multi-specialty physician group that provides superior health care for the health and wellness needs of our patients. Our board-certified surgeons are trained in advanced surgical techniques, including minimally invasive procedures.

• Our urology service offers Aquablation, the only image-guided, robotic-assisted, heat-free waterjet for benign prostatic hypertrophy (BPH). We are pleased to be a pioneer facility offering the next-generation Aquablation system - HYDROS - which incorporates advanced image guidance and an AI-powered platform.\"
• Shared call coverage
• Ability to supervise NP/PA preferred
• Fully functional clinic space with front and back office
• Own MA
• The ideal candidate will be working in a beautiful, family-friendly community alongside other qualified providers in a smaller practice

Provider must be California licensed or eligible and meet the hospital's medical staff credentialing standards.

Employed Model: Adventist Health Medical Group (AHMG)

Position qualifies for Public Student Loan Forgiveness Program

Wage Scale: $548,879 -$600,135/year base

+Sign on Bonus

+Metric Bonus

+Relocation

Apply to learn more about our total compensation* and benefits!

*Total compensation may vary based on additional services, including call coverage, administrative services, performance bonus, etc. Compensation may also vary based on productivity after initial guarantee period.

About the Medical Center:

Adventist Health Rideout is a nonprofit community-based system comprised of the Rideout Regional Medical Center, an acute care hospital; the Heart Center at Rideout; the Cancer Center affiliated with UC Davis Medical Center; outpatient clinics and a host of ancillary services including: senior living services located throughout Yuba and Sutter Counties. Adventist Health and Rideout employs more than 2,100 employees and has approximately 300 physicians on the medical staff.

About the community:

Affordable Cost of Living: Yuba City /Marysville offers a more affordable cost of living compared to other parts of California, making it an attractive option for individuals and families seeking a more budget-friendly place to reside.

Proximity to Larger Cities: While Yuba City itself provides a more relaxed and small-town atmosphere, it is also within reasonable driving distance to larger urban centers like Sacramento, providing residents with access to more extensive amenities and job opportunities outside the immediate area.

Pleasant Climate: Yuba City experiences a Mediterranean climate with hot, dry summers and mild winters, making it an attractive place for those who enjoy a climate with distinct seasons and ample sunshine throughout the year.

Family-Friendly Environment: Yuba City offers a family-friendly environment with good educational institutions, recreational facilities, and a relatively low crime rate, making it an appealing place for families to settle down and raise children.

Strong Community Spirit: Yuba City fosters a strong sense of community, where residents often feel a sense of belonging and connection. This community spirit is evident through various local events, cultural celebrations, and a welcoming atmosphere.

Access to Nature: The city's location provides easy access to natural attractions, including the Sutter Buttes, the Feather River, multiple lakes within an hour drive and nearby parks and recreational areas. This appeals to those who enjoy outdoor activities and a closer connection to nature.

Cultural Diversity: Yuba City's diverse population, including a significant Sikh community, contributes to a rich cultural tapestry and fosters an environment of inclusivity and cultural appreciation.

Adventist Health Medical Group is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA and HI) or the option of COVID-19 vaccine or weekly testing (required in OR), etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.