Lead Claims Examiner - Hybrid, Healthcare Quality & Compliance
Astrana Health
Astrana Health in Monterey Park, CA is seeking a Lead - Claims Examiner to report to the Sr. Manager - Claims. This hybrid role combines in-office work at 1600 Corporate Center Dr. with home-based flexibility, supporting claims quality and process improvements. You will mentor staff, monitor audits, drive compliance with CMS and coding standards (ICD-10, CPT, HCPCS), and coordinate cross-functional efforts with Accounting and Network Management to minimize overpayments and optimize performance. #J-18808-Ljbffr Astrana Health
- Servicon in Los Angeles, CA is seeking a Lead for custodial services to oversee teams and ensure quality compliance with client standards. The role requires 2 years of custodial... ...company offering a supportive culture and a hybrid work environment. Responsibilities include...Suggested
$105k - $120k
...assist in scaling operations within the healthcare sector. This position involves maintaining... ...financial statements, and ensuring compliance with internal control policies. The ideal... ...in Microsoft Excel. This role offers a hybrid work model and a compensation range of $...Suggested- ...drive the identification, building, and scaling of transformative healthcare companies. You will engage with external partners and... ...leveraging your 5-7 years of experience in consulting or research. This hybrid opportunity blends strategic insight with operational...SuggestedWork at office
- A leading restaurant company is seeking a Manager, HR Compliance to oversee compliance with I-9/E-Verify and other HR policies. The role involves managing a team,... ...five years of HR experience. This position offers a hybrid work schedule and various benefits including 401K...Suggested
- Astrana Health is seeking a Talent Acquisition Lead to own full-cycle recruiting across... ...partnering with hiring managers to raise the bar on quality and speed. This role blends hands-on sourcing with strategic leadership in a hybrid in-office/remote environment. Based in...SuggestedWork at officeRemote work
$180k - $220k
HOK is seeking a Healthcare Practice Leader to join our team in Los Angeles, supporting project initiatives and managing staff. In this role, you'll oversee strategic planning, business development, and mentorship to project managers. An ideal candidate will have 15+ years...Remote workFlexible hours- ...invites you to join as an Employee Communications Senior Advisor to lead broad employee communications, campaigns, and events. You will... ...strengthen employee experience across the organization, with hybrid work and California-based operations. #J-18808-Ljbffr Nashville...
$31.5 - $32.75 per hour
Ro is a direct-to-patient healthcare company with a mission of helping... ...top 50 nationwide. As the Lead Fulfillment Technician , you... ...fostering a work culture centered on quality, safety, and efficiency. A... ...also plays a key role in compliance adherence and maintaining readiness...Hourly payFull timeWork at officeLocal areaFlexible hoursShift work- ...Edison (SCE) is seeking an Employee Communications Senior Advisor to lead a wide range of employee communications, campaigns and events.... ...best practices to elevate the employee experience. The role is Hybrid in California. #J-18808-Ljbffr Southern California Edison (SCE)Remote job
$180k - $220k
...Client Leadership Lead, you will combine... ...Glumac’s presence in healthcare, education,... ..., risk, schedule, quality, and financial issues... ...approvals, ASRs, and compliance with Glumac... ...contract negotiations, claims avoidance, risk management... ...position offers a hybrid work environment,...Full timeContract workFor contractorsWork at officeWorldwideVisa sponsorshipWork visa2 days per week- A prestigious healthcare company is seeking an experienced Claims Examiner to join their team. In this role, you will conduct claims analyses, adjudicate medical claims, and verify patient eligibility. The ideal candidate has 2-5 years of claims examining experience, a...
- ...seeking an Occupational Therapist to support the Rehabilitation Manager across staffing, training, administration, and regulatory compliance for our PACE centers. The OT will cover duties remotely or in-person as needed to support assessments, care planning, and IDT...Remote work
$124k - $199.8k
...will have over 5 years of underwriting experience in Auto Liability, Workers’ Compensation, and General Liability. This role offers a hybrid work arrangement, allowing flexibility in the workplace. You will engage with internal and external partners to ensure underwriting...$150.86k - $198.99k
...ICM Nurse Lead Work Location: Los Angeles, CA, USA Work Schedule Monday-Friday,... ...health, and improve coordination across the healthcare continuum. The Nurse Lead serves as a... ...contributing to improved patient engagement, quality outcomes, and overall program performance...Remote jobMonday to Friday- ...discipline. Ideal candidates bring 5+ years of underwriting experience, strong agency management skills, and the ability to price complex risks. This hybrid role offers travel, leadership opportunities, and a path to influence distribution strategy. #J-18808-Ljbffr ICW Group
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...Provider Growth And Relationship Lead Severe mental illness... ...are the conditions the rest of healthcare has systematically failed to... ...the [Market] region. This is a hybrid role: part territory-building... .... We hold a hard bar for quality while leaving room for humor...Full time$90k - $102k
...engagement. Ideal candidates should possess a BA degree, 3-5 years of program management experience, and excellent communication skills. A hybrid work model offers flexibility, along with comprehensive benefits including a competitive salary range of $90,000 - $102,000...- ...ensure ideas are market-ready, consumer-aligned, and business-fit, leading cross-functional workshops and stage-gate processes. The role... ...acumen, and expertise in consumer research methods. This hybrid position is based in Los Angeles with in-person work three days...Work at office
- DLR Group, an integrated design firm, seeks a Proposal Manager, Justice+Civic, to lead pursuits with the marketing team. Hybrid model combines office and remote work, with responsibilities spanning SOV, RFP responses, and interview prep. You will guide cross-functional...Work at officeRemote work
- Latham & Watkins LLP seeks an Enterprise Security Compliance Lead in downtown Los Angeles, with hybrid in-office options. You will coordinate client and vendor security audits, ISO 27001 assessments, and related responses, guiding reviews from intake through closure while...Work at office
- ...at the intersection of strategy, operations, and product and emphasizes rapid prototyping, user research mocks, and evolving AI-enabled workflows as the role evolves. It reports to a Senior Manager and includes hybrid in-person collaboration. #J-18808-Ljbffr DoorDash
$77.4k - $110.5k
...Tubi is seeking a Sr. Lead, Vertical Marketing to... ...platform. This is a hybrid role based out of our... ...brand guidelines, legal compliance, and cross‑functional... ...keeping a high standard of quality. Familiarity with... ...consistent with applicable law. #J-18808-Ljbffr 3M HEALTHCAREFull timeTemporary workWork at officeFlexible hours2 days per week- AECOM is seeking a Proposal Specialist III to lead water business line proposals. This hybrid role uses a mix of remote and in-office work across multiple... .... The candidate will supervise pursuit teams, ensure quality, and drive compliant, compelling proposals from pre-RFP...Work at officeRemote work
- React Native Lead - Relocation is workable Location: Woodland Hills, CA (Hybrid) Duration: 12+ Months Must have React Native Lead - React.js workflows (such as Flux... ...UI/UX designs and wireframes into high-quality, maintainable code Optimize components for maximum...Relocation
$70k - $80k
...partner. You’ll join an Emmy-winning team and report to the Social Content Director with a team of PMs, editors, and designers in a hybrid LA setting. The role emphasizes a strong POV on engaging audiences, content creation across video formats, and collaboration with...- Astrana Health, Inc. is seeking a Talent Acquisition Lead to own end-to-end recruiting for corporate and clinical roles, partnering with... ...hiring excellence. You will mentor recruiters, maintain a high-quality candidate experience, and drive process improvements across the...
- ...Motorola Solutions subsidiary, seeks a Principal Talent Acquisition Lead to partner with senior leadership, own critical searches across... ...on data-driven strategy and strong collaboration with hiring managers. Hybrid in West Los Angeles. #J-18808-Ljbffr Motorola Solutions
- ...Los Angeles office seeks a Health Studio Leader to guide project leadership, client relationships, and business development across healthcare design. The role pairs design excellence with strategic growth, mentoring staff, and ensuring project success from feasibility...Work at office
- ...emphasizes one-on-one consultations, guidance on philanthropic giving strategies, and creating value through aligned giving opportunities, with in-office work required for the first 100 days and hybrid arrangements after. #J-18808-Ljbffr California Community FoundationWork at office
- ...entertainment industry is looking for a skilled Social Media Manager to craft and execute innovative social media strategies. This hybrid position in Los Angeles offers a freelance opportunity with a strong possibility of transitioning to full-time. Candidates should have...Full timeFreelance
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