Strategic Claims Director - Health Plan
Contra Costa County
Contra Costa Health Plan seeks a Health Plan Division Director – Exempt (Claims Director) to lead its claims operations with a focus on accuracy, compliance, and timely payments across Medi-Cal, Medicare, and commercial lines. You will work with executive leadership to set strategic direction, oversee adjudication, payment integrity, and vendor relationships, and drive continuous improvement in a large public health plan. #J-18808-Ljbffr Contra Costa County
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Strategic Claims Director - Health Plan in Martinez, CA vacancy
- Contra Costa Health Plan seeks a Health Plan Division Director - Exempt (Claims Director) to lead and optimize our claims operations across Medi-Cal, Medicare, and commercial lines. You will guide executives and staff, ensure payment integrity, and maintain strong provider...Health Insurance
- Why Join the Contra Costa Health Plan (CCHP)? Contra Costa Health is offering an excellent... ...for a Health Plan Division Director - Exempt (Claims Director) within Contra Costa Health... ...leadership function within CCHP, providing strategic and operational oversight of the claims...Health InsuranceContract workWork at officeLocal area
- Why Join Contra Costa County Health Services? The Contra Costa Health Department is seeking... ...Manager positions in Contra Costa Health Plan, in the Utilization Management Department... ...requirements. We are seeking a strategic, experienced, and collaborative Utilization...Health InsuranceFull timeWork at officeLocal areaShift work
- 21st Century Home Health Services in Martinez, CA seeks a Full Time Physical Therapist Case Manager, Level 2 to evaluate and treat patients in home settings, supervising PTAs and coordinating with physicians. You will work in a field-based role with flexible scheduling...Health InsuranceFull timeFlexible hours
$73k - $88k
...Reports To: Regional Services Director – East BayPositions... ...design and delivery, project planning, staff development and training... ...service records support every claim: date, start and end times, service... ...care organization licensing (Health & Safety Code §1796.17(b)(6))...SuggestedFull timeTemporary workPart timeWork at officeLocal areaImmediate startWork from homeMonday to FridayWeekend workAfternoon shiftThrive Support Services, Inc.
Martinez, CA17 days ago$80k - $110k
Geary Veterinary Hospital | Walnut Creek, CA At Geary Veterinary Hospital, we believe pets and people deserve better care. We’re looking for a Hospital Manager to lead our experienced, collaborative team in Walnut Creek. You’ll have the opportunity to shape day-to-day ...Health InsuranceLocal areaMonday to FridayRippling
Walnut Creek, CA1 day ago$41 - $50 per hour
...Boat 5R5’s, DDG-51 STAR’s, Boeing APS, etc.). For both, Program Management is the primary interface. Program Coordinators assist in planning and organizing programs and activities, as well as carry out associated operational and administrative duties. PC’s may be...Full timeRemote workWorldwideShift workRIX INDUSTRIES
Benicia, CA9 days ago$41 - $50 per hour
...Boat 5R5’s, DDG-51 STAR’s, Boeing APS, etc.). For both, Program Management is the primary interface. Program Coordinators assist in planning and organizing programs and activities, as well as carry out associated operational and administrative duties. PC’s may be...Full timeRemote workWorldwideShift workRIX INDUSTRIES
Benicia, CA8 days ago- ...Claims Specialist (Direct Hire) Bay Area, CA | Full-Time, In Office | Salary: $ DOE Agility Recruiting is hiring a Claims Specialist for a growing, family-owned construction contractor. This is a new role for someone who can manage smaller claims from start to...Full timeFor contractorsWork at office
Agility Recruiting
Concord, CA1 day ago - ...comprehensive benefits package. From health and wellness benefits to retirement plans, we ensure that our team members... ...empowered.POSITION OVERVIEW: The Director of Financial Planning & Analysis... ...will serve as the CFO's key strategic partner on budgeting and financial...Contract workCasual workWork at officeLocal areaVisa sponsorshipWork visaRelocation packageAfternoon shift
First Place
Benicia, CA1 day ago - At 21st Century Home Health Services (21HHS) , we treat every patient with the same empathy, compassion, and understanding we would show... ..., Level 2 Perform an evaluation in the home and develop a care plan and work with PTA's to follow the care plan. Help patients with...Health InsuranceFull timeLocal areaFlexible hours
- ...from 11:00 am to 8:00 pm. The Role As the Associate Program Director, you play a pivotal role in ensuring the fidelity of... ...Oversee psychotherapeutic interventions for OCD and other mental health disorders. Plan, organize, and implement evidence-based protocols for group...Work at officeLocal areaMonday to FridayAfternoon shift
- ...Medical & Dental Insurance ~ Vision Discount Program ~401K Plan + Match ~ Paid time off and vacation ~ Life insurance w/AD&D... ...Program ~ Worldwide Travel Assistance ~ Commuter Benefit ~ Health Reimbursement Account ~ Discounts on products and services ~...Health InsuranceHourly payLocal areaWorldwide
California Automotive Retailing Group, Inc
Concord, CA1 day ago - ...value chain. They help clients move from strategic ambition to measurable outcomes by translating... ..., policy administration, servicing, claims, distribution, and operations. Help clients... ...into actionable transformation plans, solution approaches, and delivery strategies...Live inWork at officeLocal area
Accenture
Walnut Creek, CA2 days ago $113k - $200k
...management strategies, including investments, trust, financial planning, and other services. Partner across business lines to deliver full... ...life insurance disability insurance tuition assistance mental health resources identity theft protection legal support auto and home...Health InsuranceFull timeWork at officeLocal areaColumbia Bank (WA, OR & ID)
Walnut Creek, CA4 days ago$90k - $115k
...a highly self-sufficient and results-driven Programs Manager, Strategic Initiatives, to develop, manage, and continuously enhance a portfolio... ...type who is comfortable with managing marketing/communications plans, not afraid of generating reports, doing research, building...Full timeWork at officeFlexible hoursAsset Mark
Concord, CA1 day ago$23 per hour
...Health Information Coordinator (Medical Records) Pleasant Hill, California, United States Are you looking for a meaningful role... ...reports to the Administrator or designee and works closely with the Director of Nursing, Program Director/Clinical Director, and other...Health InsuranceHourly payFull timePart timeWork at officeLocal area- ...RIX Industries in Benicia, CA, is seeking a Program Coordinator to support planning and coordination of programs across internal and external initiatives. You will assist in budgeting, documentation, and reporting while managing communications through external portals...
RIX Industries
Benicia, CA4 days ago $5,000 per month
...comprehensive benefits package. From health and wellness benefits to retirement plans, we ensure that our team members... ...Clinical Manager reports to the Director of Programs. This position... ...adherence to aggressive, measurable, and strategic operational and performance goals...Full timeCasual workWork at officeLocal areaTrial periodVisa sponsorshipWork visaRelocation packageFlexible hoursAfternoon shift2 days per week3 days per weekFirst Place
Pinole, CA2 days ago$23.6 - $24.07 per hour
...Are you looking for a meaningful role in behavioral health and have the desire to work with an organization that puts people first?... ...coordinates the interdisciplinary team meetings and discharge planning efforts among the multidisciplinary treatment team. In this capacity...Health InsuranceHourly payFull timePart timeWork experience placementLocal areaCrestwood Behavioral Health
Pleasant Hill, CA3 days ago$46.92k
...student wellness Driving students to activities, as well as planning and actively engaging in developmental and recreational activities... ...Comprehensive benefits: medical, dental, and vision insurance; health savings and flexible spending accounts; life insurance;...Health InsuranceFull timeRelocationRelocation packageFlexible hoursWeekday workMilton Hershey School
Martinez, CA1 day ago- ...We are seeking a Clinical Care Manager – CA to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing...Health Insurance
- Contra Costa County's Probation Department seeks a strategic, forward-thinking Probation Director to lead Probation Managers and guide field services, administrative operations, and juvenile facilities planning. You will shape policies, drive performance, and mentor staff...Trial period
- Contra Costa Probation Department seeks a Probation Director to lead field services, administration and juvenile programs. The role focuses on strategic planning, policy development, and staff leadership to improve safety and rehabilitation outcomes across Contra Costa...Trial period
$18 - $25 per hour
Agentsantiago is hiring a Telemarketer — State Farm Agent Team Member in California, Martinez. This part-time role involves making outbound calls to promote State Farm insurance products. The ideal candidate will have previous telemarketing or sales experience and possess...Hourly payPart timeFlexible hours- PBS Corp. seeks a Program Manager to oversee high-quality service delivery, maintain regulatory compliance, and foster team development. You will coordinate with regional teams, supervise staff, and ensure documentation is accurate and timely. The role requires active state...Flexible hours
$65 - $80 per hour
...At Muir Home Health , we believe that home healthcare is more than just a service - it's a commitment to enhancing the quality of life... ..., dental, vision, life, and disability insurance ~401(k) plan with generous company match ~ Critical illness benefit ~ Paid...Health InsuranceDaily paidFull timePart timeLocal areaRelocation packageMuir Home Health
Benicia, CA3 days ago$33 - $45 per hour
...- Earn up to 3 weeks of vacation based on your tenure - Paid Time Off for Birthdays - Comprehensive Health, Vision, and Dental Plans for you and your family - 401k Retirement Plan with up to 30% company up to 6% - Life and Accident Insurance...Health InsuranceHourly payFull timeFlexible hoursService Champions Heating & Air Conditioning
Martinez, CA3 days ago- ...Job Description Job Description A strategic and hands-on Clinical Operations Manager responsible for overseeing clinical trials for... ...of study-level regulatory documents Contribute to validation plans and clinical performance study plans. Perform periodic QC of...Flexible hours
ExThera Medical
Martinez, CAa month ago - ...seeks an experienced nursing professional to serve as the Interim Director, Clinical Service Hospice for an outpatient facility in CA.... ...experience. Minimum of three (3) years progressively responsible Home Health, Hospice or Palliative Care nursing experience which includes...Interim roleWork at office
HCTHealthcare
Martinez, CA3 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Strategic Claims Director - Health Plan. Be the first to apply!
Related searches
- mental health clinical supervisor Martinez, CA
- hospital supervisor Martinez, CA
- medical director neurology Martinez, CA
- healthcare supervisor Martinez, CA
- clinical manager Martinez, CA
- health manager Martinez, CA
- public health director Martinez, CA
- healthcare consulting manager Martinez, CA
- clinical nutrition manager Martinez, CA
- hospice medical director Martinez, CA