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June 30, 2026
Prior Authorization Specialist
Mid • On-site
La Jolla, CA
Position Summary
We are seeking a detail-oriented and proactive Prior Authorization (Buy and Bill) Specialist to join our clinic team. In this role, you will handle scheduling, inventory management, and authorization processes, while collaborating on innovative tech solutions and supporting site expansions along the Prior Authorization Manager and/or Practice Manager. This position requires strong organizational skills, knowledge of healthcare billing practices (Buy & Bill), and the ability to work in a fast-paced medical environment.
This is a full-time, non-exempt (hourly) position, scheduled for 40 hours per week. Work hours may vary based on assigned clinic location, Monday through Friday.
Key Responsibilities
- Call insurance companies to verify coverage (PPO and HMO), obtain benefit details, and confirm authorization requirements.
- Submit, track, and manage prior authorizations in a timely manner, ensuring documentation meets payer and clinical requirements.
- Coordinate with clinics and Practice Managers to align on injection and medication timelines, patient scheduling, and clinical administration.
- Schedule appointments and times for patients to receive their medications, coordinating with clinical staff to ensure timely and appropriate administration.
- Track medication inventory levels, monitor stock to prevent shortages, and initiate purchasing orders as needed to maintain adequate supplies.
- Monitor reimbursement and billing success rates, analyze denials or discrepancies, and collaborate with billing teams to resolve issues and improve collection processes.
- Implement checks to prevent patients from receiving medications too early, adhering to prescribed intervals and regulatory guidelines.
- Verify that all necessary authorizations are in place prior to medication administration, minimizing risks of non-reimbursement or compliance violations.
A Typical Day May Include
- Calling payers, submitting new and renewal prior authorizations, and following up to ensure timely approvals.
- Updating patient notes and EHR records to reflect authorization status and next steps.
- Coordinating with clinics and patients to manage scheduling, follow-ups, and re-authorizations.
- Communicating with pharmacies to confirm shipments and ensure medications are delivered on time.
- Monitoring injection timelines to prevent care delays and authorization lapses.
Qualifications & Requirements
- Bachelor's degree in healthcare administration, business, or related field preferred.
- 2+ years of experience in healthcare administration, medical billing, or inventory management with familiarity in buy-and-bill processes for medications.
- Relevant certifications (e.g., Certified Medical Assistant or Billing Specialist) preferred.
- Medical or medical assistant background strongly preferred.
- Strong understanding of insurance prior authorizations, reimbursement policies, and healthcare compliance regulations (e.g., HIPAA, Medicare/Medicaid guidelines).
- Proficiency in medical software systems, inventory management tools, and Microsoft Office Suite; experience with automation or tech integration projects is a plus.
Compensation
The hourly range for this position is $22.00-30.00/hour. The actual compensation for this role will be determined by a variety of factors, including but not limited to the candidate's skills, education, and experience.
Physical Requirements
Ability to stand, walk, and move throughout the clinic for extended periods; occasionally lift objects up to 25 lbs., bend, stoop, or reach as needed. Frequent use of hands and fingers for patient care and equipment operation. Must have normal (or corrected) vision and hearing and be able to respond quickly in a fast-paced clinical environment.
What We Offer
- Competitive salary and benefits package, including medical, dental & vision insurance, 401(k) retirement plan with employer matching, and professional development opportunities.
- Paid Time Off (PTO), sick time, floating holiday, and holiday pay.
- Opportunity to shape the future of a thriving allergy and asthma practice.
- A supportive, mission-focused culture where your contributions directly impact patient outcomes and team growth.
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🏢 Summary: Full-time Vice President of Finance role for a multi-entity healthcare practice, responsible for leading financial operations, owning GAAP-compliant reporting, and optimizing the end-to-end healthcare revenue cycle across multiple clinics. The position partners with executive and clinical leadership to improve revenue integrity, cash flow predictability, and scalable financial infrastructure. Offers competitive compensation, performance bonus, equity, and potential promotion to CFO. 🗂️ Requirements: Active CPA license, 7+ years progressive accounting/finance experience, Proven ownership of financial reporting and monthly close, Deep expertise in healthcare revenue cycle management, Strong knowledge of GAAP and technical accounting, Experience with internal controls and audit readiness, Experience in healthcare or multi-site medical practice environment, Experience with practice management, billing, and ERP systems 📃 Skills: GAAP, CPA, Accounting, FinancialReporting, RevenueCycle, Billing, Coding, Collections, AccountsReceivable, PayerReconciliation, Audit, InternalControls, ERP, Compliance, CashFlowForecasting 🏢 Description: Position Summary We are seeking a Vice President of Finance to lead financial operations for a rapidly growing, multi-entity medical practice and research organization across San Diego, Los Angeles, and Arizona. This role requires a hands-on, technically strong CPA with deep expertise in healthcare revenue cycle management, including billing, collections, payer reconciliation, and multi-site financial performance optimization. The ideal candidate brings a strong command of GAAP, internal controls, and audit readiness, combined with the ability to drive revenue integrity, cash flow predictability, and scalable financial infrastructure in a high-growth environment. You will partner directly with the CEO and physician leadership to build a best-in-class finance function, with particular focus on optimizing the end-to-end revenue cycle and ensuring financial accuracy, compliance, and scalability across all locations. This role is exempt (salary) and full-time, working 40 hours per week, Monday through Friday, onsite/hybrid in San Diego, CA. Key Responsibilities Financial Leadership & CPA Ownership - Serve as the lead CPA responsible for financial integrity, ensuring strict adherence to GAAP, tax regulations, and audit standards - Own the monthly close process, ensuring timely, accurate financial statements across multiple entities - Design and enforce robust internal controls, audit trails, and accounting policies - Oversee external audits and manage relationships with auditors, tax advisors, and CPA firms - Lead technical accounting decisions, including revenue recognition and entity structuring Revenue Cycle Leadership - Own the full healthcare revenue cycle, including: - Charge capture - Coding and billing accuracy - Claims submission and denial management - Collections and A/R optimization - Payer contract performance and reconciliation - Establish and track core revenue cycle KPIs, such as: - Days in A/R - Net collection rate - Denial rates and recovery rates - Payer mix and reimbursement trends - Partner with operations and clinical teams to identify leakage points and improve yield per visit/provider - Implement technology-driven automation and reporting tools to streamline billing and collections - Drive standardization of revenue cycle processes across all locations Multi-Clinic Financial Oversight - Ensure consistent revenue recognition and reporting practices across all entities - Analyze clinic-level profitability with a focus on revenue cycle efficiency and margin optimization - Identify operational and financial risks tied to billing inefficiencies or payer variability Compliance, Risk & Controls - Ensure compliance with healthcare billing regulations (e.g., payer requirements, coding compliance) - Maintain audit-ready financials and documentation at all times - Implement fraud prevention, billing compliance checks, and risk mitigation protocols - Oversee multi-entity tax strategy and regulatory filings Cash Flow & Working Capital - Drive improvements in cash flow through optimized collections and reduced A/R cycles - Forecast cash with revenue cycle visibility and payer timing considerations - Align capital planning with revenue predictability and reimbursement trends Qualifications - Active CPA license - 7+ years of progressive accounting/finance experience with significant ownership of financial reporting and close processes - Deep expertise in healthcare revenue cycle management (required) - Experience in multi-site medical practice or healthcare services environment strongly preferred - Proven ability to improve collections, reduce A/R days, and optimize payer performance - Strong knowledge of: - GAAP and technical accounting - Healthcare billing workflows and compliance - Internal controls and audit readiness - Experience working with practice management systems, billing platforms, and ERP systems Core Competencies - CPA-level technical excellence and financial rigor - Revenue cycle mastery with a data-driven mindset - Ability to translate revenue cycle data into actionable operational improvements - Strong partnership with clinical and operational leadership - High accountability and ability to scale systems in a growth environment Benefits - Performance-based bonus opportunity - Growth Opportunity: Promotion to CFO from this role is possible - Health benefits - 401k retirement plan with company match - Paid time off, including vacation, floating holidays, and sick leave - Equity participation included - Promotion to CFO and commensurate raises possible Compensation The annual salary range for this position is $180,000–200,000/year. The actual compensation for this role will be determined by a variety of factors, including but not limited to the candidate's skills, education, and experience. Physical Requirements Ability to stand, walk, and move throughout the clinic, if applicable, for extended periods; occasionally lift objects up to 25 lbs., bend, stoop, or reach as needed. Frequent use of hands and fingers for patient care and equipment operation. Must have normal (or corrected) vision and hearing and be able to respond quickly in a fast-paced clinical environment, if applicable. What We Offer - Competitive salary and benefits package, including medical, dental & vision insurance, 401(k) retirement plan with employer matching, and professional development opportunities - Paid time off (PTO), sick time, floating holiday and holiday pay - Opportunity to shape the future of a thriving allergy and asthma practice across an expanding network - A supportive, mission-focused culture where contributions directly impact patient outcomes and team growth California Consumer Privacy Act (CCPA) Notice Modena Health ("MH") and Modena Allergy & Asthma ("MAA") complies with the California Consumer Privacy Act ("CCPA"). Personal information provided in the job application process will be collected, used, and retained in accordance with applicable privacy laws. Candidates may request additional information regarding the categories of personal information collected and the purposes for which it is used during the hiring process.
Healthcare

Family HealthCare Network
Assistant Medical Director with Full Support Near Yosemite & Sequoia | Family-Friendly Community
Senior
On-site
Hanford, CA
271,463 - 434,342 USD/yr
🏢 Summary: Full-time Assistant Medical Director opportunity for a Family Medicine or Internal Medicine physician to provide clinical oversight and leadership within a Patient Centered Health Home model at a large FQHC in Central California. The role combines direct patient care with supervision of physicians and mid-level providers, operational workflow development, and budget and staffing support. Competitive compensation, loan repayment eligibility, sign-on bonus, and comprehensive benefits are offered. 🗂️ Requirements: MD or DO degree, Active California medical license, Board eligibility or certification in Family Medicine or Internal Medicine, Demonstrated leadership experience, Experience supervising physicians or mid-level providers, Ability to assist with budget planning and staffing ratios, Ability to develop and implement operational workflows, policies, and procedures, Familiarity with FQHC/HRSA model, Knowledge of Joint Commission standards 📃 Skills: FamilyMedicine, InternalMedicine, ClinicalLeadership, BudgetPlanning, Staffing, WorkflowDevelopment, PolicyDevelopment, FQHC, HRSA, JointCommission 🏢 Description: Opportunity Criteria Specialty: Family Medicine, Internal Medicine Candidate Type: MD, DO Visa Accepted: H-1B Salary Range: $271,463.00 to $434,342.00 / Year Loan Repayment: Yes Bonuses Offered: Sign-on Not-for-profit: 501(c)(3) Description: Family HealthCare Network is seeking an Assistant Medical Director to join its leadership team. The Assistant Medical Director is responsible for providing and overseeing the provision and supervision of professional care services of Doctoral level or Mid-Level Providers in a Patient Centered Health Home context, with a focus on access to care. This role combines clinical practice with leadership responsibilities within a large FQHC serving Tulare, Kings, and Fresno Counties in Central California. Community: Health centers are located in the heart of California within a couple of hours of the state’s foothills, lakes, national parks, and the Central Coast. The area offers a year-round mild climate, family-friendly and diverse community, modern housing, new schools and shopping centers, abundant outdoor activities, and an active downtown with cultural events. Visalia has been named one of The Best Places to Live in California by U.S. News & World Report. Position Highlights: - Team-based approach to care - Access to state-of-the-art facilities and equipment - Attractive compensation package with extensive professional benefits - Collaborative team environment - Full-time with alternative schedule options - Qualifying sites for loan repayment opportunities - Sign-on bonus and relocation assistance - Generous health and wellness benefits and retirement packages - Generous PTO package Licenses and Qualifications: Professional & Technical Knowledge: - Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree - License to practice medicine in the State of California - Demonstrated leadership skills - Ability to assist with budget planning and staffing ratios - Ability to develop and implement operational workflows, policies, and procedures - Familiarity with FQHC/HRSA model and Joint Commission standards
Healthcare

Heva Health
Medical Assistant
Mid
On-site
Mesa, AZ
🏢 Summary: Full-time onsite Medical Assistant role in a hormone and longevity clinic supporting providers with patient intake, clinical documentation, lab and prescription coordination, and telehealth preparation. The position focuses on delivering a high-quality, concierge-level patient experience in a fast-paced functional medicine environment. Ideal for candidates with clinical experience and EMR proficiency. 🗂️ Requirements: Certified Medical Assistant (CMA) or equivalent clinical experience, 1+ year experience in a medical clinic, Experience with EMR systems, Ability to record vitals and document medical history, Knowledge of HIPAA compliance, Strong organizational and multitasking skills, Ability to work independently and in a team 📃 Skills: EMR, Vitals, Phlebotomy, HIPAA, Telehealth, Documentation, Inventory 🏢 Description: Medical Assistant Hours: Onsite, M-F 8:00am - 5:00pm Position Type: Full Time Heva Health is seeking a motivated and detail-oriented Medical Assistant to join our growing Hormone & Longevity Center in Mesa. Our clinic focuses on helping patients address root causes of hormone imbalance, metabolic dysfunction, and chronic health concerns through a personalized, preventative approach to care. This is an exciting opportunity to work in a modern functional medicine and hormone optimization clinic where patient relationships and long-term outcomes are the priority. We are looking for someone who thrives in a fast-paced clinical environment, enjoys working closely with providers, and is passionate about helping patients improve their health. Position Overview The Medical Assistant plays a critical role in supporting providers and ensuring a smooth patient experience. This role includes patient intake, clinical support, lab coordination, and assisting with treatment plans. You will work closely with our clinicians and administrative team to deliver a high-quality, concierge-level patient experience. Key Responsibilities Patient Intake & Clinical Support - Room patients and record vitals (blood pressure, weight, temperature, etc.) - Document patient symptoms and medical history updates - Prepare patient charts and ensure documentation is complete prior to visits - Assist providers during patient visits as needed Telehealth Visit Preparation - Prepare charts and documentation for telehealth visits - Ensure patient intake forms and labs are available for provider review - Upload outside labs or records to the patient chart Lab Coordination - Enter lab orders into the EMR system - Coordinate laboratory testing with external labs and mobile phlebotomy services - Track lab results and notify providers when results are available - Provide patients with lab preparation instructions Prescription Coordination - Send prescriptions to pharmacies and compounding pharmacies - Manage refill requests - Communicate with pharmacies to ensure medications are processed correctly Patient Communication - Respond to patient portal messages and assist with patient inquiries - Provide follow-up instructions related to labs, medications, or treatment plans - Coordinate follow-up appointments when needed Clinic Operations - Maintain exam room readiness and clinical supplies - Assist with inventory of medications and medical supplies - Support front office staff during busy periods - Maintain patient confidentiality and HIPAA compliance Qualifications - Certified Medical Assistant (CMA) or equivalent clinical experience preferred - 1+ year experience working in a medical clinic environment preferred - Experience with EMR systems - Strong organizational and multitasking skills - Excellent communication and patient service skills - Ability to work both independently and as part of a team - Experience in functional medicine, hormone therapy, or preventative care is a plus but not required Hourly Pay Rate $20—$25 USD
Healthcare

Dose Wellness
Medical Assistant
Junior
On-site
Mesa, AZ
🏢 Summary: Full-time onsite Medical Assistant position in a hormone and functional medicine clinic, supporting providers with patient intake, lab coordination, prescription management, and telehealth preparation. The role focuses on delivering a high-quality patient experience in a fast-paced clinical environment. Monday–Friday schedule with competitive hourly pay. 🗂️ Requirements: Certified Medical Assistant (CMA) or equivalent clinical experience, Minimum 1 year experience in a medical clinic environment, Experience with EMR systems, Ability to record vitals and document patient medical information, Ability to coordinate labs, prescriptions, and patient communication, Knowledge of HIPAA compliance, Strong organizational and multitasking skills, Ability to work independently and in a team 📃 Skills: EMR, Phlebotomy, Vitals, Documentation, Telehealth, HIPAA, Laboratory, Pharmacy, Inventory 🏢 Description: Medical Assistant Hours: Onsite, M-F 8:00am - 5:00pm Position Type: Full Time Heva Health is seeking a motivated and detail-oriented Medical Assistant to join our growing Hormone & Longevity Center in Mesa. Our clinic focuses on helping patients address root causes of hormone imbalance, metabolic dysfunction, and chronic health concerns through a personalized, preventative approach to care. This is an exciting opportunity to work in a modern functional medicine and hormone optimization clinic where patient relationships and long-term outcomes are the priority. We are looking for someone who thrives in a fast-paced clinical environment, enjoys working closely with providers, and is passionate about helping patients improve their health. Position Overview The Medical Assistant plays a critical role in supporting providers and ensuring a smooth patient experience. This role includes patient intake, clinical support, lab coordination, and assisting with treatment plans. You will work closely with our clinicians and administrative team to deliver a high-quality, concierge-level patient experience. Key Responsibilities Patient Intake & Clinical Support - Room patients and record vitals (blood pressure, weight, temperature, etc.) - Document patient symptoms and medical history updates - Prepare patient charts and ensure documentation is complete prior to visits - Assist providers during patient visits as needed Telehealth Visit Preparation - Prepare charts and documentation for telehealth visits - Ensure patient intake forms and labs are available for provider review - Upload outside labs or records to the patient chart Lab Coordination - Enter lab orders into the EMR system - Coordinate laboratory testing with external labs and mobile phlebotomy services - Track lab results and notify providers when results are available - Provide patients with lab preparation instructions Prescription Coordination - Send prescriptions to pharmacies and compounding pharmacies - Manage refill requests - Communicate with pharmacies to ensure medications are processed correctly Patient Communication - Respond to patient portal messages and assist with patient inquiries - Provide follow-up instructions related to labs, medications, or treatment plans - Coordinate follow-up appointments when needed Clinic Operations - Maintain exam room readiness and clinical supplies - Assist with inventory of medications and medical supplies - Support front office staff during busy periods - Maintain patient confidentiality and HIPAA compliance Qualifications - Certified Medical Assistant (CMA) or equivalent clinical experience preferred - 1+ year experience working in a medical clinic environment preferred - Experience with EMR systems - Strong organizational and multitasking skills - Excellent communication and patient service skills - Ability to work both independently and as part of a team - Experience in functional medicine, hormone therapy, or preventative care is a plus but not required Work Environment This position is primarily based in an onsite work environment. The role requires regular periods of sitting, standing, and computer use, with occasional lifting as needed. Reasonable accommodations may be made for individuals with disabilities. Hourly Pay Rate $20—$25 USD