Healthcare Consultant – Single Case Agreements (SCA) & Revenue Optimization
Location: Los Angeles, CA (Hybrid)
Schedule: Monday – Friday, 8:00 AM – 5:00 PM
Compensation: $135,000 – $150,000 annually
Assignment Length: 12-Month Contract
About the Opportunity
A large public health organization serving Los Angeles County is seeking an experienced Healthcare Consultant to develop and implement a sustainable Single Case Agreement (SCA) and revenue optimization program. This high-impact role will focus on improving reimbursement for out-of-network services while creating scalable processes that can be transitioned to internal teams for long-term success.
Key Responsibilities
- Design and implement standardized SCA workflows across multiple programs
- Develop systems to track, manage, and report SCA requests and approvals
- Partner with internal stakeholders to secure authorizations from private health plans
- Identify opportunities to increase reimbursement for currently unreimbursed services
- Collaborate with health plan representatives and Utilization Management (UM) teams
- Analyze operational gaps and recommend process improvements
- Create documentation, workflows, and training materials
- Support integration of SCA processes into revenue cycle operations
Qualifications
- 5+ years of experience in healthcare consulting, managed care, revenue cycle, or a related field
- Strong knowledge of private health plans, payer systems, and reimbursement processes
- Experience with Single Case Agreements (SCA), out-of-network authorizations, or Utilization Management (UM)
- Proven ability to build workflows and operational processes from the ground up
- Excellent project management, communication, and stakeholder engagement skills
- Bachelor's degree in Healthcare Administration, Public Health, Business, or a related field preferred
- Certifications such as CPC, CPHM, CHC, or similar are a plus
Benefits
Eligible for Medical and Dental benefits through Medica Talent Group after the initial eligibility period. Additional paid time off includes:
- 13 observed holidays
- 10 vacation days annually (accrued monthly)
- 12 sick days annually (accrued monthly)
If you're passionate about improving healthcare operations, maximizing reimbursement opportunities, and building sustainable systems that make a lasting impact, we'd love to hear from you.
Pay: $135,000.00 - $150,000.00 per year
Benefits:
- Dental insurance
- Health insurance
- Life insurance
- Retirement plan
- Vision insurance
Application Question(s):
- Do you have strong experience working with private health plans and payer systems?
- Are you comfortable with a one year temporary assignment?
Education:
Experience:
- Healthcare Consulting: 5 years (Preferred)
- Revenue cycle management: 5 years (Preferred)
Ability to Commute:
- Los Angeles, CA 90012 (Preferred)
Work Location: Hybrid remote in Los Angeles, CA 90012
