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Payers Direct Jobs in California (NOW HIRING)

Pwc

Payer Quality Consultant, Director

San Francisco, CA

$155K - $410K/yr

In this role, you will collaborate with clients to modernize their payer operations, leveraging ... At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship ...

Pwc

Payer Quality Consultant, Director

Los Angeles, CA · On-site

$155K - $410K/yr

In this role, you will collaborate with clients to modernize their payer operations, leveraging ... At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship ...

Pwc

Payer Quality Consultant, Director

San Diego, CA · On-site

$155K - $410K/yr

In this role, you will collaborate with clients to modernize their payer operations, leveraging ... At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship ...

FOCUSPOINT

Manager, Payer Contracts

Valencia, CA · On-site

$107K - $172K/yr

Direct visibility with senior leadership. * Opportunity to shape payer relationships and drive operational improvements. * Stable, mission‑driven healthcare environment. Why Work with FocusPoint As ...

FOCUSPOINT

Manager, Payer Contracts

Valencia, CA · On-site

$107K - $172K/yr

Direct visibility with senior leadership. * Opportunity to shape payer relationships and drive operational improvements. * Stable, mission‑driven healthcare environment. Why Work with FocusPoint As ...

AbbVie

Director II, Eye Care Payer Strategy

Irvine, CA · On-site

$182K/yr

These analytics should be leveraged to drive access across all US Payers and to inform LRP, Plan ... Develop end of life cycle strategies for "drops" businesses inclusive of direct to patient. * The ...

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Payers Direct information

What is the difference between Payers Direct vs Payers Account Manager?

AspectPayers DirectPayers Account Manager
CredentialsTypically requires insurance or healthcare-related certifications, such as CPC or CPC-HOften requires similar certifications, with additional experience in client management
Work EnvironmentPrimarily office-based, handling claims processing and payer communicationsOffice setting with client interaction, focusing on account management and relationship building
Employer & IndustryHealth insurance companies, healthcare providers

While both roles involve working with payers in the healthcare industry, Payers Direct focuses on claims processing and payer communication, whereas Payers Account Managers emphasize maintaining client relationships and account oversight. Understanding these differences helps in choosing the right career path or job search focus within healthcare insurance roles.

What are popular job titles related to Payers Direct jobs in California? For Payers Direct jobs in California, the most frequently searched job titles are:
What job categories do people searching Payers Direct jobs in California look for? The top searched job categories for Payers Direct jobs in California are:
What cities in California are hiring for Payers Direct jobs? Cities in California with the most Payers Direct job openings:
Payers Direct jobs near you
Assistant Director of Patient Business Services

Assistant Director of Patient Business Services

UCLA Health

Los Angeles, CA • On-site

$116K - $264K/yr

Full-time

Re-posted 15 days ago

UCLA Health rating

8.7

Company rating: 8.7 out of 10

Based on 136 frontline employees who took The Breakroom Quiz

7th of 886 rated healthcare providers

Job description

General Information
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Work Location: Los Angeles, CA, USA
Onsite or Remote
Flexible Hybrid
Work Schedule
Monday - Friday, 8AM - 5PM
Posted Date
02/24/2026
Salary Range: $116300 - 264600 Annually
Employment Type
2 - Staff: Career
Duration
Indefinite
Job #
28629
Primary Duties and Responsibilities
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UCLA Health is seeking an Assistant Director of Patient Business Services to oversee hospital billing operations across commercial and government payers, including Medicare follow-up. Reporting to the PBS Director, this role is responsible for ensuring accurate and timely claims submission, regulatory compliance, and optimization of revenue cycle performance across the health system.
This position leads Managers, Supervisors, and billing teams while driving operational improvements that strengthen financial outcomes. The Assistant Director partners with clinical, operational, finance, contracting, IT, and revenue cycle leaders to remove barriers, improve workflows, and ensure high-quality billing performance aligned with organizational goals.
In this role, you will:
  • Manage end-to-end billing operations for inpatient, outpatient, and emergency services, ensuring accurate and timely submission of claims to Medicare, Medi-Cal, commercial, and managed care payers
  • Direct daily oversight of Medicare billing workflows, account resolution activities, and payer-specific requirements to maximize clean claim rates and reimbursement
  • Ensure compliance with CMS, HIPAA, federal and state regulations, coverage determinations, and coding guidelines while maintaining audit readiness and reducing compliance risk
  • Monitor key performance indicators including days in accounts receivable, discharged not final billed volume, denial trends, clean claim rates, and claim resolution times to drive measurable improvements
  • Implement workflow optimization initiatives, automation strategies, and technology enhancements that improve operational efficiency and financial performance
  • Recruit, develop, and mentor supervisors and staff while fostering accountability, performance management, and succession planning
  • Partner cross-functionally with clinical departments, IT, Finance, Managed Care, and Revenue Cycle leadership to address operational barriers and standardize processes
  • Coordinate with external vendors, consultants, and payer representatives to resolve billing issues and support system-wide revenue cycle initiatives

Salary Range: $116,300 - $264,600 annually
Job Qualifications
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Required
  • A bachelor's degree in business, healthcare administration, or a related field or equivalent combination of education and experience
  • A minimum of ten years of progressive experience in hospital billing operations
  • A minimum of five years in a senior leadership role overseeing hospital billing and Medicare collections
  • Expert knowledge of Medicare regulations, CMS billing guidelines, and claim submission requirements
  • Strong proficiency with Epic EHR billing systems and related modules
  • In-depth knowledge of CPT, HCPCS, ICD-10 coding, and National Correct Coding Initiative edits
  • Experience with delegated payment models and alternative reimbursement methodologies
  • Proficiency using claims clearinghouse platforms, payer portals, and billing system interfaces
  • Advanced analytical skills to interpret performance data and implement workflow improvements
  • Proven ability to lead operational change, automation initiatives, and performance improvement efforts across revenue cycle teams

Preferred
  • A master's degree in health administration, public health, business, or related discipline
  • Professional certification with AAHAM, HFMA, or ACHE
  • Lean Six Sigma or Project Management Professional certification
  • AAPC certification such as Certified Professional Coder, Certified Professional Biller, or Revenue Cycle Management Specialist

As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
Current/former UC employees are subject to a personnel file review.

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About UCLA Health

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UCLA Health, operating within the healthcare industry, is significantly recognized for its commitment to improving the health and wellbeing of people through the integration of patient care, research, and education. Located in Los Angeles, California, UCLA Health was founded and associated with the University of California, Los Angeles (UCLA) in 1955, entrenching its roots in quality healthcare service provision. Through a broad range of medical services, UCLA Health significantly stands as a cornerstone for comprehensive outpatient, inpatient, and emergency care services, specialized treatments, and wellness checks. Notable for pioneering an integrated, comprehensive medical approach, UCLA Health is consistently ranked among the top health systems in the US and world.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Los Angeles, CA, US

Year founded

1955

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