Title: Payment Specialist Location: Fountain Valley Department: MCSS Patient Accounting Status: Fulltime Shift: Days (8hrs shifts) Predominately Remote Pay Range: $26.48/hr - $38.40/hr At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. Memorial Care stands for excellence in Healthcare. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation and teamwork. Position Summary The Patient Financial Services Payment Review position is responsible for debit and credit payment variance reviews. The Payment Specialist works independently and is responsible for the review of complex managed care contracts and reimbursement methodologies, ensuring accurate overpayment and underpayments are documented. Applies independent judgment and knowledge to audit third-party payer payment disputes. Documents and/or notifies management of preventive measures in response to payment trends identified through analysis of claims data. Works with management staff identifying corrective measures necessary to resolve problems. Understands and utilizes many complex and varying California and Federal Statutes and regulations, guidelines and systems to ensure appropriate billing and collections are in compliance. The Payment Specialist will manage resources responsibly. The position is essential to Patient Financial Services accurately capturing and recovering hospital revenue timely and efficiently. This position offers you the opportunity to work from home (WFH) after all training has been completed. Once completed you will need to be available to come into the office for additional training, meetings etc., as needed. Essential Functions and Responsibilities of the Job - Ability to research and use critical thinking skills in contract interpretation of third-party payers to determine the appropriate maximum reimbursement. - Ability to apply knowledge of state and federal regulations regarding correct payment practices. - Ability to utilize appropriate resources, both hard-copy and online, to facilitate correct payment. - Ability to research and follow-up on insurance and patient refunds to ensure accurate account balances. - Ability to document precise notes in the financial system of all transactions and correspondence. - Able to be at work and on time, follow organization rules and procedures and directions from a Coordinator/Lead or other member of the Management staff. - Able to adhere to all confidentiality policies and procedures and carries out all tasks in a pleasant and respectful manner. - Ability to make suggestions for enhancements throughout the department and continually seeks opportunities to improve current policies, procedures and practices. - Ability to use critical thinking while reviewing billing and collection notes in the financial computer system to ensure that the appropriate action is taken within the billing and collection process to ensure correct hospital reimbursement. - Follow company policies, procedures and directives - Interact in a positive and constructive manner - Prioritize and multitask Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more...Check out our MemorialCare Benefits for more information about our Benefits and Rewards. Qualifications Minimum Requirements - Candidate with a minimum of 3 years’ experience in Hospital Revenue Cycle including HMO, PPO, Medicare Advantage and Managed- Medi-Cal collections and payment review - Understanding of managed care hospital contracts including exclusions, lesser of and not to exceed, etc. and knowledge of hospital Commercial billing or collection processes - Current experience with Medicare IPPS and OPPS payment methodologies - EPIC experience required. - Microsoft Office (Excel, Outlook & Word) - Basic knowledge of medical terminology and familiar with CPT and ICD coding - Use of 10-key calculator by touch - Excellent written and verbal communication skills - Understand and follow oral and written instructions - Interact tactfully and courteously with the public and peers - Proficient organizational and prioritization skills - Adhere and apply specific departmental policies, rules and regulations Primary Location : United States-California-Fountain Valley Job : Patient Financial,Claims,Bill Organization : MemorialCare Health Services Schedule : Full-time Employee Status : Regular Job Level : Staff Work Schedule: 8/40 work shift hours Shift : Day Job Scheduled Shift Start Time: 7:00am - Scheduled Shift End Time: 3:30pm Department Name: MCSS Patient Accounting

Role Description The Director of Implementations leads new program launches, platform transitions, and change requests to ensure seamless onboarding of pharmaceutical client programs. Key Responsibilities - Manage full lifecycle of client implementations: requirements, documentation, launch - Lead development of BRDs, SOPs, and training materials - Coordinate cross-functional teams across IT, Ops, Legal, and Finance - Ensure platform readiness and data migration milestones are achieved - Communicate status and updates to clients throughout the pre-launch phase - Drive go-live success through detailed planning and internal alignment Accountabilities - On-time, validated program launches - Internal and external launch coordination - Client satisfaction with onboarding process Qualifications - 7+ years in healthcare implementations, preferably in pharma hub services - Expertise in functional platform readiness and IT integration - Excellent project management, documentation, and communication skills - Experience managing regulatory documentation (MSA, SOWs, BAA, HIPAA)

Title: District Planning Specialist - Job Family: Transmission & Distribution - Location: Santa Monica, CA, US - Pay: $41.92 – $62.84 Location: Santa Monica United States Job Description: Join the Clean Energy Revolution Become a District Planning Specialist at Southern California Edison (SCE) and build a better tomorrow. In this job you'll design and plan electrical distribution projects, developing construction plans, cost estimates, and engineering solutions that ensure safe, reliable power delivery. You'll manage multiple projects end-to-end while collaborating with customers, engineers, and agencies to bring complex residential, commercial, and industrial projects to life. This role is exciting because it blends technical design, fieldwork, and project management, giving you a direct hand in powering communities while advancing clean energy and a more sustainable future. As a District Planning Specialist, your work will help power our planet, reduce carbon emissions and create cleaner air for everyone. Are you ready to take on the challenge to help us build the future? Responsibilities - Develops and prepares construction plans, drawings, and/or circuit maps; develops and designs electrical distribution plans, identifying necessary resources and providing cost estimates and follow through on policies, procedures, rules, rates, completion dates, and ensuring compliance of electrical designs. Performs calculations relevant to design with latest SCE standards and/or requests studies through Engineering when necessary. - Interacts with a diverse customer base on meeting electrical design needs and is responsible for providing successful outcomes for the customer and SCE on assigned or requested projects. - Participates in small to medium-sized residential, commercial and industrial projects; assists in determining scope of work, method of service, and construction methods for Distribution overhead and underground facilities; manages work orders/projects and maintains current understanding of industry practices and standards. - Provides technical support to licensing and certification proceedings related to new distribution/transmission lines and substation sites. - Stays up to date of current industry practices, standards and customer needs. - Identifies environmental requirements and coordinates required project components with other departments, customers, governmental bodies, and various external sources. - Supports project drawings and budget by monitoring internal and external customer timelines and expectations. - Manages multiple projects with project management principles, tools, and techniques effectively under tight time constraints, shifting priorities, and making critical decisions with minimal supervision. Manages project risks, resolves issues, and resolves escalations impacting project scope, timeline, and budget (work order pricing). - Performs field inspections to gather data relevant to the planning and development review process and to verify that planning development projects comply with approved plans. - A material job duty of all positions within the Company is ensuring the protection of all its physical, financial and cybersecurity assets, and properly accessing and managing private customer data, proprietary information, confidential medical records, and other types of highly sensitive information and data with the highest standards of conduct and integrity. Minimum Qualifications - One or more years of experience in Electrical Utility Distribution/Transmission/Telecommunication Design, Distribution/Transmission/Telecommunication Line Construction, or Engineering discipline. - Possess a valid Class C Driver's License. Preferred Qualifications - Basic understanding of engineering principles, construction standards, and industry practices. - Experience with design tools such as CAD, GIS, or similar systems. - Experience using Microsoft Office (Word, Excel, Outlook). - Experience in customer service, project coordination, or similar support roles. - Training or education applying technical information (engineering, pole loading, drafting, construction, mapping, math, science, IT). - Ability to read or create simple distribution or technical drawings. - Ability to adapt to competing priorities while maintaining accuracy. - Ability to collaborate effectively across teams (clients, peers, management, agencies). - Completion of a Planner Utility Certification Program. - Experience managing customer or stakeholder interactions in a technical, construction, or utility environment, including providing clear information, addressing inquiries, and coordinating solutions. - Experience in UG utility design. - Experience in project management. - Experience in customer service resolution. Additional Information - This position's work mode is hybrid. The employee will report to an SCE facility for a set number of days with the option to work remotely on the remaining days.  Unless otherwise noted, employees are required to work and reside in the state of California.  Further details of this work mode will be discussed at the interview stage. The work mode can be changed based on business needs. - Visit our Candidate Resource page to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more! - The primary work location for this position is the Santa Monica Service Center. However, the successful candidate may also be asked to work for an extended amount of time at alternate work location. - Position will require up to 25% traveling and being out in the field throughout the SCE service territory. - This position has an option for a 9/80 Alternate Work Schedule or 40hrs/5 days a week. - Relocation does not apply to this position. - This position is eligible for a location-based incentive. Incentive is offered if commitment is made to work on-site and to remain in specified work location for an agreed-upon timeframe. - This position requires testing and applicants who are identified to continue through the selection process will be invited to test via email. Reference our Information Guides for the following tests: (EEI TECH (Test #5107)). Candidates who have previously passed these assessment(s), in some cases, may not need to retest again for this position. - Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. About Southern California Edison The people at SCE don't just keep the lights on. Our mission is so much bigger. We're fueling the kind of innovation that's changing an entire industry, and quite possibly the planet. Join us and create a future with cleaner energy, while providing our customers with the safety and reliability they demand. At SCE, you'll have a chance to grow personally and professionally, making a real impact in Southern California and around the world.

Manage and control construction project documentation, oversee the Document Management System, provide training on document control procedures, and ensure compliance with project-specific contractual terms.