Claims Operations Manager - Health Plans
Sharp HealthCare
Sharp HealthCare seeks a capable leader to manage its claims units for managed care contracts, ensuring prompt, accurate processing across Sharp Rees-Stealy, Sharp Community Medical Group, and other services. The role demands strong HMO operations knowledge, 3+ years in claims or related fields, and at least 2 years in leadership. The candidate will oversee daily operations, drive performance, train staff, and coordinate with health plans and providers to maintain high service standards while #J-18808-Ljbffr Sharp HealthCare
- Sharp HealthCare is seeking an experienced Claims Operations Manager to lead the claims unit for several programs, ensuring prompt, accurate... ...operations, training, system improvements, and collaboration with health plans, providers, and medical groups. The ideal candidate...Health Insurance
$123.1k - $184.8k
...Product Manager, ConsultantThe Product Manager, Consultant will be part of the Digital Member... ...in alignment with our mission to enhance health outcomes and reduce healthcare costs... ...Blue Shield of California Promise Health Plan; Altais, a clinical services company; and...Health InsuranceFull timePart timeWork at officeLocal areaWork from homeHome office2 days per week- United States Digital Space LLC is seeking a Sr. Business Operations Program Manager to drive our operating model, oversee planning cycles, OKRs, and key analyses that inform leadership decisions. You will partner with Product, GTM, Finance, and Ops to align priorities,...Suggested
$127.15k - $153.06k
...opening in our San Diego office for a Claims Manager to provide strategic and operational leadership for multiple indemnity... ...employee engagement, succession planning, and accountability for results.... ...Savings + Company MatchGroup Health Insurance (Medical, Dental, and Vision...Health InsuranceWork experience placementWork at officeWork from home$114k - $228k
...serve people in more than 160 countries.Manager, Environmental, Health and SafetyWorking at AbbottAt Abbott,... ...coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar... ...culture that enables innovation and operational excellence. As the site's EHS subject...Health InsuranceWorldwide- ...seeking a Sales Director in San Diego, CA to lead territory management and drive sales growth. The ideal candidate will have substantial... ...with clients. Competitive benefits package includes health plans, paid time off, and a 401(k) with company match. #J-18808-Ljbffr...Health Insurance
- ...solutions that enhance maritime operations through autonomous and... ...initiatives that encompass mission planning, ASV (Autonomous Surface... ...Strong organizational and time management skills, with the ability to handle... ...Insurance: Comprehensive health insurance plans covering a range...Health InsurancePermanent employmentTemporary workWork at officeNight shift
- ScionHealth in San Diego is seeking a Nurse Manager to coordinate and supervise the surgical area, ensuring safe, high-quality patient care. You will direct daily operations, schedule staff, and drive improvements in processes and outcomes. Requirements include an Associate...
- Cheer Home Care, LLC in San Diego is seeking an RN Care Case Manager who loves spending time with older adults and delivering high quality... ...-home care. You will develop and implement individualized care plans and collaborate with an interdisciplinary team to ensure...Health Insurance
- Mission Technologies, a division of HII, is looking for an Operations Conductor in Coronado, California. This role requires expertise... ...communication and control during exercises. Benefits include health plans, 401(k), and tuition reimbursement. #J-18808-Ljbffr Mission...Health InsuranceFlexible hours
$90k - $105k
...(IDT), one of Danaher’s 15+ operating companies, our work saves lives... ...possible. The Senior Project Manager - Operations is responsible... ...and will be responsible for planning, coordinating, and delivering... ...milestones, risks, and delivery health. The Essential Requirements...Health InsuranceRemote workWork from homeFlexible hours$76k - $92k
...Title: Special Operations Strength and Conditioning Specialist (Coronado... ...of the HP program manager and/or coordinator. Coordinate... ...accredited exercise science, health science, or physical education... ...developing long and short-range planning and coordination of sport/...Health InsuranceFull timeContract workTemporary workLocal areaRelocation packageFlexible hours- ...solutions that enhance maritime operations through autonomous and... ...How you support the mission: Planning: Work between internal and external... ...facilitating communication, managing expectations, and ensuring... ...Medical Insurance: Comprehensive health insurance plans covering a...Health InsurancePermanent employmentTemporary workWork at officeNight shift
$70k - $85k
...to make addiction and mental health treatment more effective and... ...Medical Group is seeking an Operations Specialist to work directly with... ...skills. Comfortable managing multiple projects simultaneously... ...,000 per year Health Care Plan (Medical, Dental & Vision)...Health InsuranceWork from home- ...Overview The Senior Director of Clinical Operations will provide global operational... ...This role is responsible for efficient planning, resourcing and execution of portfolio... ...alignment of programs and key stakeholder management in a fast-paced environment, while mentoring...Health InsuranceFull timeSummer workRemote workRelocation packageMonday to Friday
$75k - $78k
The Digital/Editorial Operations Specialist is a detail-oriented, experienced metadata and... ...and sales ranking on Amazon, and managing key administrative tasks. What You Will... ...Benefits Include but Are Not Limited To Health Plans - Medical, Dental & Prescription Flexible...Health InsuranceWork at officeFlexible hours$190.99k - $231.43k
...Director, Clinical Supply Chain & Planning will be responsible for... ...Supply Chain & Planning will manage all clinical trial labeling,... ...market conditions.Ensure all operations comply with cGMP, GDP, FDA, and... ...enrollment. Our benefits include:Health Coverage: Medical, pharmacy,...Health InsuranceHourly payFull timeContract workTemporary workPart timeFor contractorsSummer workLive inWork at officeLocal areaImmediate startRemote workFlexible hours- ...Senior Manager, Strategy & Operations Hybrid - San Diego, California; Hybrid - San Francisco, California... ...people understand and improve their health by providing daily insights and... ...-term growth opportunities. Business Planning runs annual planning, OKRs, and the allocation...Health InsuranceWork at officeLocal areaRemote workFlexible hoursShift work
$31.25 - $38.56 per hour
...a highly organized, proactive Business Operations Associate to support day-to-day business... .... Key Responsibilities: Manage and maintain the company CRM, including... ...skills, and business needs. Benefits Health Care Plan (Medica, Dental, Vision) Retirement...Health InsuranceContract workWork at officeLocal areaShift work$77.45k - $102.23k
...Our mission is to improve the health of America's workforce, one... ...patients you serve. The Center Operations Director (COD) is responsible... ...customers. The COD leads and manages all center support staff and... ...the center's business plan. Maintain and cultivate relationships...Work experience placementLocal area- ...Job Description Seeking a Clinical Operations Manager to join a medical practice in El Cajon.... ...development and implementation of the clinic plan for provision of patient care... ...training needs Acts as an Electronic Health Records (EHR) Super User and trains staff...Work at officeLocal area
$113.15k - $141.42k
...an alternative application process. Manager of Clinical Operations Regular Full-Time San Diego, CA, US... ...stability, wellness, and hope. The Village Health Center, a Federally Qualified Health... ..., and vision coverage, retirement plan options, paid time off, and professional...Health InsuranceBi-weekly payFull timeWork at officeLocal areaMonday to Friday- Father Joe’s Villages’ Village Health Center seeks a seasoned leader to manage clinic administrative operations in San Diego. You will oversee patient access, scheduling, referrals, medical records, credentialing, quality improvement, EHR support, and reporting, ensuring...Full time
- Travere Therapeutics is seeking a Manager, Medical Writing Operations, in San Diego. This role requires expertise in document management and regulatory submissions, ensuring high-quality deliverables. You will lead document production efforts and work with cross-functional...Remote job
- UC San Diego Health's Clinical Lab Manager 1 role in La Jolla leads daily operations across staffing, quality, and service delivery. You will collaborate with laboratory leadership, medical directors, and clinical partners to translate priorities into efficient day-to-day...
$40 per hour
...Property Operations Coordinator (Full-Time) The iconic Hotel del Coronado is looking for a... ...practical support and emotional care Mental health resources Your wellbeing comes first.... ...glasses, we offer a variety of health plans that keep you and your family covered...Health InsuranceFull timeShift workNight shiftWeekend work$215.37k - $387.81k
Director, US Firm Operations & Strategy Help Shape the Future of a Global Law Firm Job Description... ...role supporting the firm's Co-US Managing Partners. This is a unique opportunity... ...Qualifications 10+ years of experience in strategic planning, business operations, executive...Health InsuranceWork at office$139.9k - $244.8k
...workflows, handoffs, data requirements, and operating rhythms that turn marketing activity... ...with technical, data, and change management teams — owning the business definition... ...competencies, and work location. We also offer health plans, including flexible spending accounts,...Health InsuranceWork at officeImmediate startRemote workFlexible hours$139.9k - $244.8k
...Practice tenured experience in category management and sourcing in areas: HR, Finance, Tax... ...risk for our business stakeholders in operations Manage, advise, and engage in the sourcing... ..., and work location. We also offer health plans, including flexible spending accounts,...Health InsuranceContract workWork at officeImmediate startRemote workFlexible hours$146.6k - $219.8k
...Manager 2, Program Planning RELOCATION ASSISTANCE: Relocation assistance may be availableCLEARANCE REQUIRED FOR START: YesCLEARANCE TYPE: SecretTRAVEL... ...Risk Analysis (SRA) Schedule Performance and Health Metrics and Analysis Ability to perform detailed...Health InsuranceFull timeRelocation packageFlexible hoursShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Operations Manager - Health Plans. Be the first to apply!
- director of operations and business development San Diego, CA
- night operations manager San Diego, CA
- associate director clinical operations San Diego, CA
- director operations support San Diego, CA
- director sr. director clinical operations San Diego, CA
- fixed operations manager San Diego, CA
- director of basketball operations San Diego, CA
- operations manager supervisor San Diego, CA
- network operations center manager San Diego, CA
- operation manager San Diego, CA


