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Salary Range:&nbsp;&nbsp;$135,136.00&nbsp;(Min.) -&nbsp;$175,676.00&nbsp;(Mid.) -&nbsp;$216,218.00&nbsp;(Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. <h4>Job Summary</h4>The Applied Artificial Intelligence (AI) Scientist III is a subject matter expert, hands-on practitioner who designs, builds, and implements advanced artificial intelligence (AI) and machine learning (ML) solutions that directly enable the organization to execute its strategic priorities. This role combines deep technical expertise with healthcare domain knowledge to deliver scalable, production-grade AI applications that improve quality, reduce administrative waste, and enhance member outcomes.The Applied AI Scientist III independently leads complex projects from ideation through operational deployment, working across data, technology, and business teams to develop models and algorithms that power key functions such as claims accuracy, care coordination, quality improvement, and fraud detection. This position is highly collaborative, frequently partnering with leaders across departments to understand business needs and translate them into AI-driven capabilities that deliver measurable value.&nbsp;The Applied AI Scientist III serves as a mentor and role model for staff promoting best practices in model design, documentation, version control, and interpretability. The position is central to advancing the organization’s AI maturity—driving both innovation and execution within an applied, results-oriented framework. Acts as a Subject Matter Expert (SME), serves as a resource and mentor for other staff.&nbsp;&nbsp; <h4>Duties</h4>Design, train, validate, and deploy complex AI and ML models to address enterprise use cases across departments such as Health Services, Payment Integrity, Quality Improvement, Finance, and Provider Network Management.Lead all phases of the AI solution lifecycle – from problem framing and data engineering through model design, validation, and operational integration.Implement production-grade ML pipelines using modern MLOps practices, ensuring scalability, reproducibility, and continuous model performance monitoring.Serve as a subject matter expert in responsible and explainable AI, ensuring model fairness, transparency, and compliance with regulatory and ethical standards.Partner with business and technology leaders to identify and prioritize new AI use cases that align with the organization’s transformation strategy.Translate business challenges into well-structured analytical problems and lead cross-functional teams through data discovery, feature engineering, and algorithm development.Work directly with cloud-based data and AI platforms (e.g., Snowflake, Azure ML, Databricks) to operationalize model delivery and integration with enterprise data assets.Mentor and coach staff, providing technical guidance, code reviews, and knowledge sharing.Document all model design assumptions, data sources, evaluation metrics, and deployment protocols for transparency and reproducibility.Communicate complex technical results in accessible, actionable ways for both executive and operational stakeholders.Contribute to the development of reusable AI assets, libraries, and standardized templates to accelerate future model development.<h4>Remain current on emerging AI/ML technologies, frameworks, and healthcare analytics applications, and advise leadership on adoption opportunities.</h4><h4>Apply subject matter expertise in evaluating business operations and processes. Identify areas where technical solutions would improve business performance. Consult across business operations, provide mentorship, and contribute specialized knowledge. Ensure that the facts and details are correct so that the program's deliverable meets the needs of the department, organization and legislation's policies, standards, and best practices. Provide training, recommend process improvements, and mentor staff, department interns, etc. as needed.</h4><h4>Perform other duties as assigned.</h4><h4>Duties Continued</h4><h4>Education Required</h4>Master's DegreeIn lieu of degree, equivalent education and/or experience may be considered.<h4>Education Preferred</h4>Doctorate Degree<h4>Experience</h4>Required:At least 6 years of professional experience developing and deploying machine learning and AI solutions in enterprise or healthcare environments.Demonstrated experience leading full AI solution lifecycles – from problem definition to deployment and monitoring.Proven successful experience developing predictive models using structured and unstructured healthcare data (e.g., claims, encounters, eligibility, provider, quality metrics).Experience with Python (Pandas, Scikit-learn, PySpark), distributed data frameworks (Spark), and MLOps concepts.Strong collaboration and mentorship experience, including guiding junior data scientists and analysts.Experience integrating AI solutions into production environments in collaboration with IT or Data Engineering.Experience with version control (Git) and model documentation best practices.Experience building and deploying models in production using MLOps frameworks and cloud platforms.Preferred:Experience within a Managed Care Organization (MCO) or health plan environment (Medi-Cal, Medicare, or ACA Exchange).Experience developing and operationalizing Large Language Models (LLM)-based solutions, including prompt engineering or retrieval-augmented generation (RAG).Experience in risk adjustment, payment integrity, or quality measurement modeling.Experience with healthcare data analytics and modeling in Managed Care settings.<h4>Skills</h4>Required:Advanced programming skills in Python, including libraries for data processing, modeling, and analytics (e.g., Pandas, Scikit-learn, PySpark).Deep understanding of machine learning and AI techniques, including supervised and unsupervised learning, feature engineering, model optimization, and explainability.Strong analytical problem-solving skills with the ability to structure complex problems into actionable modeling tasks.Exceptional written and verbal communication skills, including documentation and presentation of technical material to non-technical audiences.Excellent collaboration skills and ability to lead cross-functional projects involving IT, business stakeholders, and analytics peers.Excellent communication, documentation, and stakeholder engagement skills.Preferred:Knowledge of generative AI tools and frameworks (e.g., LangChain, OpenAI APIs, Azure OpenAI).Knowledge and understanding of responsible AI principles, including bias detection, fairness, and explainability.Knowledge of R or SQL for complementary analytics tasks.Knowledge of Snowpark for scalable model deployment.Knowledge of Shiny or Streamlit for AI-driven application delivery.<h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4>Snowflake SnowPro Core CertificationSnowPro® Specialty: Snowpark CertificationPython Institute PCEP™ or PCAP™ (Python Programming)HarvardX or Johns Hopkins Data Science Certificate (R)Microsoft Certified: Data Scientist Associate (DP-100)Certified Analytics Professional (CAP)Certified Health Data Analyst (CHDA)Microsoft Certified Professional (MCP)<h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4>Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.&nbsp; The range is subject to change.L.A. Care offers&nbsp;a wide range of benefits including<ul><li>Paid Time Off (PTO)</li><li>Tuition Reimbursement</li><li>Retirement Plans</li><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Volunteer Time Off (VTO)</li></ul> Nearest Major Market: Los Angeles Job Segment: Claims, Medicare, Defense, Insurance, Healthcare, Government

L.A. Care Health Plan

Applied Artificial Intelligence Scientist III

Salary Range:&nbsp;&nbsp;$88,854.00&nbsp;(Min.) -&nbsp;$115,509.00&nbsp;(Mid.) -&nbsp;$142,166.00&nbsp;(Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. <h4>Job Summary</h4>The Enterprise Data Analyst III serves as a Subject Matter Expert (SME) contributor responsible for leading complex analytic projects that link insights directly to enterprise goals, resource allocation, and performance improvement. This position leads the full analytic development process from business case definition and structured scoping through peer review, deployment, and post-implementation evaluation, ensuring high-quality, reproducible, and impactful outputs.The Analyst III applies advanced analytic reasoning and strong business acumen to deliver analyses that inform both operational and financial decision making. Acts as a Subject Matter Expert (SME), serves as a resource and mentor for other staff.&nbsp; <h4>Duties</h4>Leads end-to-end analytic development, from structured business case definition and requirements gathering to delivery of validated, actionable insights.Conducts advanced analyses evaluating drivers of quality, operational efficiency, and financial performance.Coordinates with IT and product owners to ensure analytic outputs are integrated into enterprise systems and recurring workflows.Develops, optimizes, and automates analytic assets (data models, dashboards, reports) following enterprise design and refresh standards.Implements and maintains version control, peer review (pull request), and continuous integration practices for analytic codebases.Maintains awareness of data lineage and governance compliance throughout all analytic work.Manages project planning, tracking, and post-implementation assessment for assigned deliverables.Mentors and models adherence to analytic development best practices.Applies subject matter expertise in evaluating business operations and processes. Identifies areas where technical solutions would improve business performance. Consults across business operations, providing mentorship, and contributing specialized knowledge. Ensures that the facts and details are correct so that the program's deliverable meets the needs of the department, organization and legislation's policies, standards, and best practices. Provides training, recommends process improvements, and mentors junior level staff, department interns, etc. as needed.Perform other duties as assigned.<h4>Duties Continued</h4>Domain Specific Experience and Skills:Domain Focus: Authorization &amp; Claims Operations AnalyticsRequired: Experience with Utilization Management (UM) authorization workflows and prior authorization metrics. Knowledge of claims operations, including receiving, adjudication, and provider dispute resolution. Knowledge of clinical and financial aspects of UM/claims and collaboration with operations or provider teams. Ability to analyze operational Key Performance Indicators (KPIs) (e.g., turnaround times, denial rates, appeals outcomes) and translate data into actionable insights.Domain Focus: Network Strategy AnalyticsRequired: Experience supporting initiatives to optimize cost, access, and quality within provider networks. Experience analyzing provider networks, including contracting, credentialing, and panel optimization. Ability to evaluate network performance metrics and translate findings into actionable insights for strategy and business planning.Domain Focus: Risk Adjustment AnalyticsRequired: Experience with risk adjustment methodologies, including Hierarchical Condition Category (HCC) coding, hierarchical models, and member risk scoring. Knowledge of diagnosis documentation, encounter data, and coding completeness to optimize plan revenue and quality scores. Knowledge of regulatory requirements impacting risk adjustment (e.g., Centers for Medicare and Medicaid Services (CMS) guidelines). Ability to assess encounter submission and processing operations, identifying trends, anomalies, or gaps in risk capture across provider or member populations.Preferred Certification: AAPC Certified Risk Adjustment Coder (CRC®); Practice Management Institute Certified Risk Adjustment and HCC Coder (CRA-HCC™); NAMAS Certified HCC Coder (CHCC™); AHIMA Certified Coding Specialist (CCS®)Domain Focus: Medical Cost Driver AnalyticsRequired: Experience analyzing medical cost drivers across populations, conditions, and service types. Experience developing dashboards or analytic tools to monitor and optimize medical spend. Knowledge of claims, provider, and condition level analyses to support financial and operational decision making. Ability to identify high-cost services, utilization patterns, and opportunities for cost containment.<h4>Education Required</h4>Bachelor's DegreeIn lieu of degree, equivalent education and/or experience may be considered.<h4>Education Preferred</h4>Master's Degree<h4>Experience</h4>Required:At least 4 years of experience in analytics, with substantial exposure to healthcare operations, managed care, or population health.Experience leading end-to-end analytic projects, including requirements gathering, data validation, analysis, and delivery of insights.Experience analyzing multiple data sources and translate findings into actionable recommendations.Preferred:Experience with advanced analytics techniques, including multivariate analysis, regression, control charts, or predictive modeling.Experience in domain specific operations, such as network strategy, risk adjustment, or medical cost driver analysis.Experience mentoring junior analysts or providing guidance on analytic best practices.<h4>Skills</h4>RequiredExpert in SQL for complex exploratory analysis, data modeling, and Extract, Transform, and Load (ETL) processes supporting enterprise dashboards, reports, and analytic deliverables.&nbsp;Advanced proficiency in Tableau (or equivalent BI tools) to design, optimize, and automate dashboards and visualizations for enterprise level insights.Strong statistical and analytical skills, including multivariate analyses, regression, and control charts to identify drivers of operational, clinical, and financial performance.Knowledge of version control (Git, GitHub) and collaborative development workflows, including peer review, continuous integration, and reproducible analytic practices.Ability to develop and maintain reusable analytic frameworks, templates, and processes that support recurring reporting and performance monitoring.&nbsp;Proficiency in data validation, reconciliation, and adherence to governance standards, including data lineage tracking and quality control.Ability to translate complex business problems into structured analytic requirements and actionable insights.&nbsp;Ability to interpret analytic results in the context of organizational performance, operational priorities, and enterprise goals.&nbsp;Ability to apply critical thinking to identify patterns, opportunities, and risks across multiple data domains.&nbsp;Ability to collaborate effectively with IT, operational teams, and business partners to operationalize analytic outputs.&nbsp;Demonstrated knowledge of healthcare concepts, such as quality measures, utilization patterns, and key operational drivers in a managed care environment.Ability to lead analytic projects end-to-end, including business case definition, requirements gathering, analysis, and post-implementation assessment.&nbsp;Ability to mentor junior analysts and promote adherence to analytic best practices.&nbsp;Ability to manage multiple projects simultaneously, prioritize tasks, and escalate issues appropriately.&nbsp;Ability to communicate findings effectively to both technical and non-technical stakeholders.&nbsp;<h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4>Tableau Certified Data Analyst or Tableau Desktop SpecialistMicrosoft Certified: Power BI Data Analyst AssociateSnowflake SnowPro Core CertificationSnowPro® Specialty: Snowpark CertificationSQL Certification (e.g., DataCamp SQL Associate Certificate, Codecademy SQL Professional Certification, W3Schools SQL Certification)Certified Health Data Analyst (CHDA)Managed Care Professional (MCP) or relevant certification.<h4>Required Training</h4>General Skills Preferred:Proficient with Process Improvement Methodology including defining and documenting workflow.&nbsp;Knowledge of program and project level planning, mobilization and managementDomain Specific Experience and Skills: Domain Focus: Population Health AnalyticsRequired: Experience analyzing community supports, care management, health education, Managed Long-Term Support Services (MLTSS), and intervention programs. Experience translating data into actionable insights to guide interventions, resource allocation, program improvements, and new ideas for member programs based on population needs. Knowledge of population health management frameworks and social determinants of health. Ability to evaluate population level outcomes and operational performance metrics. Preferred: Experience understanding and responding to ongoing California Department of Health Care Services (DHCS) requirements for various programs, such as CalAIM. Domain Focus: Quality Improvement AnalyticsRequired: Experience analyzing Healthcare Effectiveness Data and Information Set (HEDIS), Stars, and other quality measurement programs across both medical and pharmacy domains. Experience translating data into actionable insights to inform interventions, compliance, and performance improvement strategies. Knowledge of quality measurement frameworks, regulatory requirements, and reporting standards. Ability to evaluate performance metrics, trends, and gaps to support quality improvement initiatives.Preferred: Experience supporting quality reporting requirements and initiatives for regulatory or accreditation programs (e.g., CMS, DHCS).Experience supporting provider focused incentive program analytics. Preferred Certification: Certified Professional in Healthcare Quality (CPHQ)<h4>Physical Requirements</h4>Light<h4>Additional Information</h4>Domain Specific Experience and Skills:Domain Focus: Access to Care AnalyticsRequired: Experience analyzing appointment timeliness, access, and provider availability. Experience translating data into actionable insights to improve access, reduce barriers, and optimize provider scheduling. Experience supporting initiatives to improve network adequacy and member access, including operational interventions and performance monitoring. Knowledge access measurement frameworks and regulatory requirements. Ability to evaluate member access metrics, network capacity, and operational performance. Domain Focus: Enterprise Support AnalyticsRequired: Experience supporting enterprise level KPI maintenance, cross domain dashboards, and measure ROI analyses. Ability to develop analytic tools and dashboards that consolidate insights across multiple domains. Experience translating data into actionable insights for strategic investments, operational decisions, and organizational performance monitoring. Knowledge of analytics frameworks, governance standards, and enterprise reporting processes.Preferred: Experience supporting talent development analytics or enterprise-wide strategic initiative evaluation.Domain Focus: Member Experience AnalyticsRequired: Experience analyzing call center operations, enrollment services, and appeals &amp; grievances. Experience translating data into actionable insights to improve member experience and member engagement operations. Knowledge of Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys or other member satisfaction measurement tools. Ability to assess member touchpoints, satisfaction metrics, and operational KPIs.Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.&nbsp; The range is subject to change.L.A. Care offers&nbsp;a wide range of benefits including<ul><li>Paid Time Off (PTO)</li><li>Tuition Reimbursement</li><li>Retirement Plans</li><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Volunteer Time Off (VTO)</li></ul> Nearest Major Market: Los Angeles Job Segment: Claims, Medicaid, Medical Coding, Medicare, Pharmacy, Insurance, Healthcare

Enterprise Data Analyst III

Castle Biosciences Earns "Top Workplaces USA Award" for Phoenix, Pittsburgh, and Friendswood! Learn more at <a href="http://www.CastleBiosciences.com" target="_blank">www.CastleBiosciences.com</a>Castle Biosciences Inc. is growing, and we are looking to hire a full-time Reimbursement RCM Trainer working from our Friendswood, TX office location, with a start date of February 9, 2026.Why Castle Biosciences?Exceptional Benefits Package:<ul><li>Excellent Annual Salary + 20% Bonus Potential</li><li>20 Accrued PTO Days Annually</li><li>10 Paid Holidays</li><li>401K with 100% Company Match up to 6%</li><li>3 Health Care Plan Options + Company HSA Contribution</li><li>Company Stock Grant Upon Hire</li></ul>A DAY IN THE LIFE OF A Reimbursement RCM TrainerA typical day for the RCM Trainer includes preparing and delivering engaging training sessions for revenue cycle staff in both virtual and onsite settings, covering topics such as billing, appeals, payer workflows, documentation, and system navigation. When not actively facilitating training, the RCM Trainer collaborates closely with leadership and subject matter experts to create, update, and refine training materials, curriculum, and standard operating procedures. Daily responsibilities also include assessing learner comprehension, reviewing trainee progress, answering questions, and providing coaching and ongoing support, particularly related to workflow enhancements or system updates. Additionally, the RCM Trainer manages training schedules, completes assigned projects, responds to ad hoc requests, and may travel occasionally for on-site training and team meetings.REQUIREMENTS<ul><li>Bachelor's degree in education, business, or related field, required and/or equivalent combination of experience and education.</li><li>A minimum of 5 years of proven experience as a trainer in healthcare billing, reimbursement, and payer workflows.</li><li>Strong ability to learn new processes quickly and convert them into effective training programs that can be delivered virtually and in person. </li><li>Experience training in a large group setting. </li><li>Proficient in delivering training in both virtual and in-person settings.</li><li>Typing speed of 35 or more words per minute, with 90% or greater accuracy.</li></ul>*Please see the full job description at the end of the job ad.SCHEDULE<ul><li>Monday-Friday, 8:00 AM - 5:00 PM, working from our Friendswood, Texas office location. May consider remote candidates.</li></ul>READY TO JOIN OUR BIOTECH TEAM?We truly appreciate your time. If this feels like the right opportunity for you, we'd love for you to complete our mobile-friendly application. We're excited to learn more about you and look forward to connecting soon!Castle Biosciences Awards and Research Developments!WORK AUTHORIZATIONAll candidates must be legally authorized to work in the United States. Currently, Castle Biosciences does not sponsor H-1B visas, OPT, or employment-related visas.ABOUT CASTLE BIOSCIENCES INC.At Castle, it all comes down to people. After all, disease doesn't just happen - it happens to people. We believe that disease management and treatment decisions can be better informed through a person's unique biology, which is revealed through the scientific rigor of our innovative, laboratory-developed tests. We are committed to empowering healthcare providers and patients with the goal of improved outcomes. Every employee at Castle has an impact on patient care, and we work to ensure that everyone finds their work to be both challenging and rewarding. We behave with integrity and treat our colleagues with respect and kindness. Our culture fosters an environment of trust, transparency, and collaboration. We prioritize and encourage internal growth and professional development.Castle Biosciences is an equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities. If you have a disability and you believe you need a reasonable accommodation in order to search for a job opening or to submit an online application, please e-mail <a href="mailto:ReasonableAccommodationsRequest@castlebiosciences.com" target="_blank">ReasonableAccommodationsRequest@castlebiosciences.com</a>.This email was created exclusively to assist disabled job seekers whose disability prevents them from being able to apply online. Only messages left for this purpose will be returned. Messages left for other purposes, such as following up on an application or technical issues not related to a disability, will not receive a response.** No third-party recruiters, please

Castle Biosciences

Reimbursement, Reimbursement RCM Trainer (FWD)

Castle Biosciences Earns "Top Workplaces USA Award" for Phoenix, Pittsburgh, and Friendswood! Learn more at <a href="http://www.CastleBiosciences.com" target="_blank">www.CastleBiosciences.com</a>Castle Biosciences Inc. is growing, and we are looking to hire a full-time Reimbursement RCM Outsource Operations Lead working from our Friendswood, TX office location, with a start date of February 9, 2026.Why Castle Biosciences?Exceptional Benefits Package:<ul><li>Excellent Annual Salary + 20% Bonus Potential</li><li>20 Accrued PTO Days Annually</li><li>10 Paid Holidays</li><li>401K with 100% Company Match up to 6%</li><li>3 Health Care Plan Options + Company HSA Contribution</li><li>Company Stock Grant Upon Hire</li></ul>A DAY IN THE LIFE OF A Reimbursement RCM Outsource Operations LeadOversees work assigned to the outsource team by monitoring assigned work and working with outsource leadership to ensure tasks are completed accurately and on time. The Team Lead serves as the main escalation point-researching issues, answering questions, creating operating procedures, and partnering with Castle and outsource leadership to resolve complex scenarios and provide direction on how tasks are to be handled. The role also includes auditing completed work to ensure quality and identifying any trends or opportunities for improvement. The Team Lead is responsible for preparing and distributing status reports to keep leadership informed of progress, performance, and outstanding issues.REQUIREMENTS<ul><li>Bachelor's degree in education, business, or related field, required and/or equivalent combination of experience and education.</li><li>3+ years of revenue cycle leadership experience with a strong focus on payer follow‑up.</li><li>2+ years of experience managing or supporting outsourced vendors in a healthcare billing environment.</li><li>Solid understanding of healthcare compliance requirements (HIPAA, Medicare, Medicaid, and commercial payer policies).</li><li>Typing speed of 35 or more words per minute, with 90% or greater accuracy.</li></ul>*Please see the full job description at the end of the job ad.SCHEDULE<ul><li>Monday-Friday, 8:00 AM - 5:00 PM, working from our Friendswood, Texas office location. May consider remote candidates.</li></ul>READY TO JOIN OUR BIOTECH TEAM?We truly appreciate your time. If this feels like the right opportunity for you, we'd love for you to complete our mobile-friendly application. We're excited to learn more about you and look forward to connecting soon!Castle Biosciences Awards and Research Developments!WORK AUTHORIZATIONAll candidates must be legally authorized to work in the United States. Currently, Castle Biosciences does not sponsor H-1B visas, OPT, or employment-related visas.ABOUT CASTLE BIOSCIENCES INC.At Castle, it all comes down to people. After all, disease doesn't just happen - it happens to people. We believe that disease management and treatment decisions can be better informed through a person's unique biology, which is revealed through the scientific rigor of our innovative, laboratory-developed tests. We are committed to empowering healthcare providers and patients with the goal of improved outcomes. Every employee at Castle has an impact on patient care, and we work to ensure that everyone finds their work to be both challenging and rewarding. We behave with integrity and treat our colleagues with respect and kindness. Our culture fosters an environment of trust, transparency, and collaboration. We prioritize and encourage internal growth and professional development.Castle Biosciences is an equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities. If you have a disability and you believe you need a reasonable accommodation in order to search for a job opening or to submit an online application, please e-mail <a href="mailto:ReasonableAccommodationsRequest@castlebiosciences.com" target="_blank">ReasonableAccommodationsRequest@castlebiosciences.com</a>.This email was created exclusively to assist disabled job seekers whose disability prevents them from being able to apply online. Only messages left for this purpose will be returned. Messages left for other purposes, such as following up on an application or technical issues not related to a disability, will not receive a response.** No third-party recruiters, please

Reimbursement, RCM Outsource Operations Lead  (FWD)

Castle Biosciences Earns "Top Workplaces USA Award" for Phoenix, Pittsburgh, and Friendswood! Learn more: <a href="http://www.CastleBiosciences.com" target="_blank">www.CastleBiosciences.com</a>Castle Biosciences Inc. is growing, and we are looking to hire Molecular Technologists working from our laboratory in Pittsburgh, PA @ Nova Place location, with a start date of February 2, 2026.Why Castle Biosciences?Exceptional Benefits Package:<ul><li>Excellent Annual Salary + 20% Bonus Potential</li><li>20 Accrued PTO Days Annually</li><li>10 Paid Holidays</li><li>401K with 100% Company Match up to 6%</li><li>3 Health Care Plan Options + Company HSA Contribution</li><li>Company Stock Grant Upon Hire</li></ul>A DAY IN THE LIFE OF A Laboratory, Molecular TechnologistA typical day for the Molecular Technologist includes sample multiplexed immunofluorescent labeling/staining, digital imaging, quality control review of digital imaging, and test analysis output reviews. The technologist would be working with equipment setups for staining and imaging, as well as reagent preparations, specimen management, and assisting with inventory and quality management tasks as needed. This role will spend the most time on three main activities: histological staining and imaging, specimen management and preparation, and quality control review checks and documentation associated with high complexity clinical laboratory testing.REQUIREMENTS<ul><li>Bachelor of Science Degree in Chemistry, Biology, Clinical Laboratory Science, or Medical Technology from an accredited institution, plus 1-2 years of experience in a molecular biology testing environment, clinical, or equivalent laboratory environment. And/or have completion of military training for laboratory technicians as high complexity testing personnel. Completion of a 50-week U.S. military medical laboratory training program</li><li>Minimum coursework and training requirements:<ul><li>24 semester hours of medical laboratory technology courses or 24 semester hours of science courses, including 6 semester hours of both Chemistry &amp; Biology &amp; an additional 12 semester hours in any combination of Chemistry, Biology, or Medical Laboratory Science.</li><li>AND Completion of a clinical laboratory training program, OR at least 3 months of documented laboratory training in each specialty area where the individual will perform high-complexity testing.</li></ul></li><li>The Molecular Technologists in the clinical laboratory are placed on a track towards obtaining American Society of Clinical Pathology (ASCP) Technologist in Molecular Biology (MB) board certification if not already credentialed upon hire and expected to obtain such a certification within 2 years of employment. (Only applicable to PHX)</li></ul>SCHEDULE<ul><li>Monday-Friday, from 5:00 AM to 1:30 PM, exempt position, working from the Pittsburgh, PA @ Nova Place laboratory location.</li></ul>READY TO JOIN OUR BIOTECH TEAM?We truly appreciate your time. If this feels like the right opportunity for you, we'd love for you to complete our mobile-friendly application. We're excited to learn more about you and look forward to connecting soon!Castle Biosciences Awards and Research Developments!WORK AUTHORIZATIONAll candidates must be legally authorized to work in the United States. Currently, Castle Biosciences does not sponsor H-1B visas, OPT, or employment-related visas.ABOUT CASTLE BIOSCIENCES INC.At Castle, it all comes down to people. After all, disease doesn't just happen - it happens to people. We believe that disease management and treatment decisions can be better informed through a person's unique biology, which is revealed through the scientific rigor of our innovative, laboratory-developed tests. We are committed to empowering healthcare providers and patients with the goal of improved outcomes. Every employee at Castle has an impact on patient care, and we work to ensure that everyone finds their work to be both challenging and rewarding. We behave with integrity and treat our colleagues with respect and kindness. Our culture fosters an environment of trust, transparency, and collaboration. We prioritize and encourage internal growth and professional development.Castle Biosciences is an equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities. If you have a disability and you believe you need a reasonable accommodation in order to search for a job opening or to submit an online application, please e-mail <a href="mailto:ReasonableAccommodationsRequest@castlebiosciences.com" target="_blank">ReasonableAccommodationsRequest@castlebiosciences.com</a>.This email was created exclusively to assist disabled job seekers whose disability prevents them from being able to apply online. Only messages left for this purpose will be returned. Messages left for other purposes, such as following up on an application or technical issues not related to a disability, will not receive a response.** No third-party recruiters, please

Lab, Molecular Technologist (GI)(PIT) Schedule: 5:00 am - 1:30 pm

Castle Biosciences Earns "Top Workplaces USA Award" for Phoenix, Pittsburgh, and Friendswood! Learn more: <a href="http://www.CastleBiosciences.com" target="_blank">www.CastleBiosciences.com</a>Castle Biosciences Inc. is growing, and we are looking to hire Molecular Technologists working from our laboratory in Pittsburgh, PA @ Nova Place location, with a start date of February 2, 2026.Why Castle Biosciences?Exceptional Benefits Package:<ul><li>Excellent Annual Salary + 20% Bonus Potential</li><li>20 Accrued PTO Days Annually</li><li>10 Paid Holidays</li><li>401K with 100% Company Match up to 6%</li><li>3 Health Care Plan Options + Company HSA Contribution</li><li>Company Stock Grant Upon Hire</li></ul>A DAY IN THE LIFE OF A Laboratory, Molecular TechnologistA typical day for the Molecular Technologist includes sample multiplexed immunofluorescent labeling/staining, digital imaging, quality control review of digital imaging, and test analysis output reviews. The technologist would be working with equipment setups for staining and imaging, as well as reagent preparations, specimen management, and assisting with inventory and quality management tasks as needed. This role will spend the most time on three main activities: histological staining and imaging, specimen management and preparation, and quality control review checks and documentation associated with high complexity clinical laboratory testing.REQUIREMENTS<ul><li>Bachelor of Science Degree in Chemistry, Biology, Clinical Laboratory Science, or Medical Technology from an accredited institution, plus 1-2 years of experience in a molecular biology testing environment, clinical, or equivalent laboratory environment. And/or have completion of military training for laboratory technicians as high complexity testing personnel. Completion of a 50-week U.S. military medical laboratory training program</li><li>Minimum coursework and training requirements:<ul><li>24 semester hours of medical laboratory technology courses or 24 semester hours of science courses, including 6 semester hours of both Chemistry &amp; Biology &amp; an additional 12 semester hours in any combination of Chemistry, Biology, or Medical Laboratory Science.</li><li>AND Completion of a clinical laboratory training program, OR at least 3 months of documented laboratory training in each specialty area where the individual will perform high-complexity testing.</li></ul></li><li>The Molecular Technologists in the clinical laboratory are placed on a track towards obtaining American Society of Clinical Pathology (ASCP) Technologist in Molecular Biology (MB) board certification if not already credentialed upon hire and expected to obtain such a certification within 2 years of employment. (Only applicable to PHX)</li></ul>SCHEDULE<ul><li>Monday-Friday, from 6:30 AM to 3:00 PM, exempt position, working from the Pittsburgh, PA @ Nova Place laboratory location.</li></ul>READY TO JOIN OUR BIOTECH TEAM?We truly appreciate your time. If this feels like the right opportunity for you, we'd love for you to complete our mobile-friendly application. We're excited to learn more about you and look forward to connecting soon!Castle Biosciences Awards and Research Developments!WORK AUTHORIZATIONAll candidates must be legally authorized to work in the United States. Currently, Castle Biosciences does not sponsor H-1B visas, OPT, or employment-related visas.ABOUT CASTLE BIOSCIENCES INC.At Castle, it all comes down to people. After all, disease doesn't just happen - it happens to people. We believe that disease management and treatment decisions can be better informed through a person's unique biology, which is revealed through the scientific rigor of our innovative, laboratory-developed tests. We are committed to empowering healthcare providers and patients with the goal of improved outcomes. Every employee at Castle has an impact on patient care, and we work to ensure that everyone finds their work to be both challenging and rewarding. We behave with integrity and treat our colleagues with respect and kindness. Our culture fosters an environment of trust, transparency, and collaboration. We prioritize and encourage internal growth and professional development.Castle Biosciences is an equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities. If you have a disability and you believe you need a reasonable accommodation in order to search for a job opening or to submit an online application, please e-mail <a href="mailto:ReasonableAccommodationsRequest@castlebiosciences.com" target="_blank">ReasonableAccommodationsRequest@castlebiosciences.com</a>.This email was created exclusively to assist disabled job seekers whose disability prevents them from being able to apply online. Only messages left for this purpose will be returned. Messages left for other purposes, such as following up on an application or technical issues not related to a disability, will not receive a response.** No third-party recruiters, please

Lab, Molecular Technologist (GI)(PIT) Schedule: 6:30 am - 3:00 pm

Castle Biosciences Earns "Top Workplaces USA Award" for Phoenix, Pittsburgh, and Friendswood! Learn more at <a href="http://www.CastleBiosciences.com" target="_blank">www.CastleBiosciences.com</a>Castle Biosciences Inc. is growing, and we are looking to hire a full-time Reimbursement Payer Configuration Specialist working from our Friendswood, TX&nbsp;office location, with a start date of February 9, 2026.Why Castle Biosciences?Exceptional Benefits Package:<ul><li>Excellent Annual Salary + 20% Bonus Potential</li><li>20 Accrued PTO Days Annually</li><li>10 Paid Holidays</li><li>401K with 100% Company Match up to 6%</li><li>3 Health Care Plan Options + Company HSA Contribution</li><li>Company Stock Grant Upon Hire</li></ul>A DAY IN THE LIFE OF A Reimbursement Payer Configuration Specialist&nbsp;configures and maintains insurance plan information within the Telcor billing system. The Payer Configuration Specialist is responsible for researching payer requirements and accurately setting up insurance plans within the billing system. This role ensures compliance with payer guidelines and supports clean claim submission by maintaining up-to-date payer information and maintaining the integrity of the insurance plans within the Telcor system.REQUIREMENTS<ul><li>Bachelor's degree in education, business, or related field, required and/or equivalent combination of experience and education</li><li>3 years + experience in application configuration, business systems analysis, or workflow automation. </li><li>Strong understanding of system configuration, business process automation and integration best practices.</li><li>Working knowledge and experience researching insurance plan requirements for prior authorization, claims, and appeals.</li><li>Moderate to advanced excel skills (Pivot tables; v-look up)</li><li>Typing speed of 35 or more words per minute, with 90% or greater accuracy.</li></ul>*Please see the full job description at the end of the job ad.SCHEDULE<ul><li>Monday-Friday, 8:00 AM – 5:00 PM, working from our Friendswood, Texas office location. May consider remote candidates.</li></ul>READY TO JOIN OUR BIOTECH TEAM?We truly appreciate your time. If this feels like the right opportunity for you, we'd love for you to complete our mobile-friendly application. We're excited to learn more about you and look forward to connecting soon!Castle Biosciences Awards and Research Developments!WORK AUTHORIZATIONAll candidates must be legally authorized to work in the United States. Currently, Castle Biosciences does not sponsor H-1B visas, OPT, or employment-related visas.ABOUT CASTLE BIOSCIENCES INC.At Castle, it all comes down to people. After all, disease doesn't just happen - it happens to people. We believe that disease management and treatment decisions can be better informed through a person's unique biology, which is revealed through the scientific rigor of our innovative, laboratory-developed tests. We are committed to empowering healthcare providers and patients with the goal of improved outcomes. Every employee at Castle has an impact on patient care, and we work to ensure that everyone finds their work to be both challenging and rewarding. We behave with integrity and treat our colleagues with respect and kindness. Our culture fosters an environment of trust, transparency, and collaboration. We prioritize and encourage internal growth and professional development.Castle Biosciences is an equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities. If you have a disability and you believe you need a reasonable accommodation in order to search for a job opening or to submit an online application, please e-mail <a href="mailto:ReasonableAccommodationsRequest@castlebiosciences.com" target="_blank">ReasonableAccommodationsRequest@castlebiosciences.com</a>.This email was created exclusively to assist disabled job seekers whose disability prevents them from being able to apply online. Only messages left for this purpose will be returned. Messages left for other purposes, such as following up on an application or technical issues not related to a disability, will not receive a response.** No third-party recruiters, please

Reimbursement, Payer Configuration Specialist  (FWD)

POSITION TITLE: Billing SpecialistLOCATION: This is a full-time, Remote position. Lexitas provides a fully equipped home office setup, including a company-issued laptop.PAY RATE: $20-$22/hrJoin a High-Growth Legal Services LeaderABOUT THE ROLE:You’ll prepare and transmit client invoices for a busy legal services business unit, supporting the full billing cycle and day‑to‑day AR/AP processing. You’ll consolidate service data, apply rate tables and prior billing guidelines, answer invoice questions, and collaborate closely with Finance and Accounting to improve processes. This role also assists Collections (including updates in Salesforce) and adheres to HIPAA and all applicable confidentiality requirements.Lexitas is a rapidly growing national provider of legal and corporate support services, including court reporting, medical record retrieval, process service, and legal talent. Built on a foundation of trust, professionalism, and innovation, Lexitas delivers customized solutions with unmatched personal service to clients across the U.S. and internationally.KEY RESPONSIBILITIES:<ul><li>Create accurate client invoices from billing sheets; consolidate service details with correct prices, amounts, and descriptions.</li><li>Apply structured rate tables and established billing guidelines; produce consolidated invoice summaries when required.</li><li>Transmit invoices electronically or by mail; respond promptly to customer inquiries on invoices and pricing.</li><li>Perform daily AP processing; verify transactions align with company financial policies and procedures.</li><li>Maintain updated vendor files, file numbers, and AP listings.</li><li>Support AR by assisting Collections and documenting outcomes in Salesforce.</li><li>Partner with Accounting to identify and implement process improvements.</li><li>Safeguard confidentiality of medical records; ensure compliance with HIPAA and all federal, state, and local regulations.</li><li>Perform other related duties as assigned.</li></ul>WHAT YOU’LL BRING:<ul><li>Extreme attention to detail and accuracy under deadlines.</li><li>Working knowledge of Microsoft Office; familiarity with Salesforce (or similar CRM/ERP).</li><li>Clear, professional communication and a positive, solutions‑focused mindset—especially with difficult or time‑sensitive client situations.</li><li>Strong multi‑tasking, time management, and organizational skills; accepts direction well and follows through.</li><li>Reliability: consistent attendance and punctuality; flexible to occasional overtime.</li><li>Team orientation, professionalism, and a willingness to learn—plus a dash of creativity and initiative.</li></ul>QUALIFICATIONS:<ul><li>Education: High school diploma or equivalent required; Bachelor’s degree preferred.</li><li>Experience: 1–2 years in billing, AR/AP, or related accounting support; legal services, court reporting, litigation support, or law firm experience is a plus.</li><li>Experience working across multiple functions and/or geographies preferred.</li><li>Lexitas expects employees’ to model and conduct themselves according to the Lexitas Core Values. Employees are expected to deliver Service Excellence with a spirit of Positivity and Integrity. We embrace Innovation and an Entrepreneurial mindset to keep improving, while always treating others with Respect. We thrive on Teamwork, while celebrating Diversity and the unique strengths each person brings. These values shape our culture and fuel our commitment to exceptional service.</li><li>Excellent verbal and written communication skills</li></ul>SUPERVISORY RESPONSIBILITIES:&nbsp; The Billing Specialist has no supervisory responsibilities.LANGUAGE SKILLSAbility to effectively present information and respond to questions from internal and external customers whose first language is English.CERTIFICATES, LICENSES, REGISTRATIONSNonePHYSICAL DEMANDSThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle or feel objects, type and use mouse; reach with hands and arms; and talk and/or hear. The employee is required to sit for extended periods of time.WORK ENVIRONMENTThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.While performing the duties of this job, the employee regularly works in an office environment in a clerical environment. This role routinely uses standard office equipment such as computers, phones, photocopiers and filing cabinets.TRAVEL REQUIREMENTSThis position does not require travel.OTHER DUTIESPlease note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to the job at any time with or without notice.AAP/EEO STATEMENTLexitas prohibits discrimination based on race, religion, gender, national origin, age, disability, veteran status, marital status, pregnancy, gender identity, sexual orientation or any other legally protected status.EOE Employer/Vet/Disabled.&nbsp;&nbsp;If you require reasonable accommodation in the application process, please contact Human Resources at&nbsp;<a href="mailto:HRDept@lexitaslegal.com" target="_blank">HRDept@lexitaslegal.com</a> for assistance.&nbsp; All other applications must be submitted online.PayTypeHourlyHiringMinRate20HiringMaxRate22

Lexitas

Billing Specialist

At American Express, our culture is built on a 175-year history of innovation, sharedvaluesand Leadership Behaviors, and an unwavering commitment to back our customers, communities, and colleagues. As part of Team Amex, you'll experience this powerful backing with comprehensive support for your holistic well-being and many opportunities to learn new skills, develop as a leader, and grow your career.Here, your voice and ideas matter, your work makes an impact, and together, you will help us define the future of American Express.Global Financial Crimes Surveillance Unit (GFCSU) and the US Investigations Unit (USIU) are part of the broader Global Risk &amp; Compliance organization, operating within Global Financial Crimes Compliance (GFCC). Together, they provide end-to-end oversight and support of global financial crimes investigations. In partnership with GFCC, GFCSU and USIU develop and implement transaction monitoring rules, reports, and other tools to detect potential criminal activity. They investigate suspicious financial behavior and, when necessary, file Suspicious Activity Reports (SARs) with the Financial Crimes Enforcement Network (FinCEN) or refer cases to internal compliance partners for global reporting. These teams also manage risk related to politically exposed persons (PEPs) through sanctions screening and enhanced due diligence processes, as well as improper payments that may signal bribery, corruption, or other illicit conduct. GFCSU and USIU play a vital role in ensuring compliance with key regulations, including the Bank Secrecy Act (BSA), USA PATRIOT Act, and the Foreign Corrupt Practices Act. They also support law enforcement by providing critical information to combat money laundering, terrorist financing, credit card fraud, identity theft, and other financial crimes.&nbsp;The Termination of Accounts (TA) team is responsible for evaluating customer relationships for termination and/or prevention of future accounts, due to money laundering, reputational risk, and/or other relevant factors.&nbsp;Job Responsibilities:<ul><li>The TA Analyst will be responsible for analyzing referrals to the TA team related to instances of potential money laundering activity and/or suspicious financial activity across multiple jurisdictions and countries, utilizing a wide variety of research and analytical tools.&nbsp;</li><li>Conduct time-sensitive and thorough account reviews to make recommendations regarding account terminations and the prohibition of customers from establishing new American Express relationships&nbsp;</li><li>Build strong relationships with strategic partners, internal GFCC colleagues and TA team members to ensure effective coordination of significant case reviews and TA reviews&nbsp;</li><li>Produce well-written reports detailing and analyzing potentially suspicious activity and, when appropriate, collaborate with GFCC leadership on account termination decisions&nbsp;</li><li>Demonstrate excellent verbal and written communication skills; a keen attention to detail in writing and analysis; proven analytical and problem-solving skills; and an ability to manage multiple varied projects simultaneously&nbsp;</li></ul>Minimum Qualifications:&nbsp;<ul><li>Minimum of two years of professional experience in the legal, audit, investigations, compliance, or financial services, with demonstrated responsibility in research, analysis, or risk related work.</li><li>Proficiency in Microsoft Excel, Microsoft Word, and internet-based research</li><li>Strong written and verbal communication skills, with proven ability to analyze and present complex information clearly</li><li>Strong analytical skillset with keen attention to detail while handling confidential and complex work.</li><li>Proven ability to manage multiple priorities, meet tight deadlines, and collaborate effectively in a team-oriented environment.</li></ul>Preferred Qualifications:<ul><li>Bachelor’s degree in a relevant field such as a Criminal Justice, Finance, Accounting, Statistics, Journalism, or a related discipline.</li><li>Detailed knowledge and understanding of American Express SAR filing requirements and AML investigations&nbsp;</li><li>Flexibility and adaptability in navigating evolving regulations and compliance requirements</li><li>Certified Anti-Money Laundering Specialist (CAMS) or similar industry recognized credentials</li></ul>Salary Range: $65,500.00 to $102,500.00 annually + bonus + benefitsThe above represents the expected salary range for this job requisition. Ultimately, in determining your pay, we’ll consider your location, experience, and other job-related factors.We back you with benefits that support your holistic well-being so you can be and deliver your best. This means caring for you and your loved ones' physical, financial, and mental health, as well as providing the flexibility you need to thrive personally and professionally:<ul><li>Competitive base salaries&nbsp;</li><li>Bonus incentives&nbsp;</li><li>6% Company Match on retirement savings plan&nbsp;</li><li>Free financial coaching and financial well-being support&nbsp;</li><li>Comprehensive medical, dental, vision, life insurance, and disability benefits&nbsp;</li><li>Flexible working model with hybrid, onsite or virtual arrangements depending on role and business need&nbsp;</li><li>20+ weeks paid parental leave for all parents, regardless of gender, offered for pregnancy, adoption or surrogacy&nbsp;</li><li>Free access to global on-site wellness centers staffed with nurses and doctors (depending on location)&nbsp;</li><li>Free and confidential counseling support through our Healthy Minds program&nbsp;</li><li>Career development and training opportunities</li></ul>For a full list of Team Amex benefits, visit our Colleague Benefits Site.American Express is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law. American Express will consider for employment all qualified applicants, including those with arrest or conviction records, in accordance with the requirements of applicable state and local laws, including, but not limited to, the California Fair Chance Act, the Los Angeles County Fair Chance Ordinance for Employers, and the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. For positions covered by federal and/or state banking regulations, American Express will comply with such regulations as it relates to the consideration of applicants with criminal convictions.We back our colleagues with the support they need to thrive, professionally and personally. That's why we have Amex Flex, our enterprise working model that provides greater flexibility to colleagues while ensuring we preserve the important aspects of our unique in-person culture. Depending on role and business needs, colleagues will either work onsite, in a hybrid model (combination of in-office and virtual days) or fully virtually.US Job Seekers - Click to view the “Know Your Rights” poster. If the link does not work, you may access the poster by copying and pasting the following URL in a new browser window:<a href="https://www.eeoc.gov/poster" target="_blank">https://www.eeoc.gov/poster</a>Employment eligibility to work with American Express in the United States is required as the company will not pursue visa sponsorship for these positions.

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