Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Provider Disputes Operations Lead

Blue Shield of CA

Blue Shield of CA is seeking an experienced Provider Dispute Resolution (PDR) Operations Manager to lead both onshore and offshore teams, ensuring PDR and NSB inventory stay compliant with regulatory guidelines. You will partner with the PDR Regulatory Audit Manager to drive efficiencies in procedures and systems and to develop strategic initiatives that strengthen the PDR function. This role emphasizes leadership, critical thinking, and cross-functional collaboration. #J-18808-Ljbffr Blue Shield of CA

Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Provider Disputes Operations Lead in Rancho Cordova, CA vacancy
  • Walmart in Rancho Cordova, CA is hiring a Pharmacy Associate to input and process prescriptions, assist customers with health needs, and provide product information in our store pharmacy. This full-time role offers competitive pay, health benefits, and a comprehensive... 
    Suggested
    Full time
    Shift work

    Walmart

    Rancho Cordova, CA
    7 hours ago
  • $102.9k - $154.3k

     ...The Provider Dispute Resolution (PDR) Operations team manages and processes provider disputes across the Commercial, Medi-Cal and Medicare lines of business...  ...area(s) through subordinate supervisors/team leads Establish operational objectives for department or functional... 
    Suggested
    Full time
    Part time
    Work at office
    Local area
    Immediate start
    Work from home
    Home office
    2 days per week

    Blue Shield Of California

    Rancho Cordova, CA
    19 hours ago
  •  ...location support staff for SP+. The role supports daily parking operations at the Sacramento site, ensuring compliance with location...  ...company policies. You will help maintain client relations and provide professional service to customers. The ideal candidate will have... 
    Suggested

    Metropolis Corp

    Sacramento, CA
    4 days ago
  •  ...Job Description Job Description Regional Operations Lead (Hybrid, with frequent travel to schools within region (minimum 1x/month) Overview...  .... In earlier-stage or less stable schools, this role may provide more hands-on partnership, at times working directly... 
    Suggested
    Local area
    Shift work

    Guidepost Montessori

    Sacramento, CA
    29 days ago
  •  ...seeking a Shift Manager to assist the Restaurant General Manager in daily operations. The role involves ensuring guest satisfaction, managing cash control, and maintaining inventory while providing leadership to team members. Candidates should have a high school diploma,... 
    Suggested
    Flexible hours
    Shift work

    Popeyes - 14693 - Rancho Cordova

    Rancho Cordova, CA
    2 days ago
  • $21.5 per hour

    Job Description: Inventory & Operations Lead Base hourly pay for this position is $21.50 . Company-wide, team members average approximately...  ...improvements. Ensure facilities issues are rectified to provide an excellent customer experience. Maintain organization and... 
    Hourly pay
    Full time
    Local area
    Shift work
    Weekend work
    Afternoon shift

    Embarc

    Sacramento, CA
    4 days ago
  •  ...Philippines is seeking a senior leader to join the Group Reinsurance Management Team to drive strategic planning, leadership, and operational direction for Reinsurance Operations. The role requires translating strategy into actionable plans, guiding growth, and fostering... 

    Actuarial Society of the Philippines

    Mather, CA
    7 hours ago
  •  ...Friday schedule and flexible hours. The BOM will focus on Medicare and Managed Care, with Medi-Cal and other payor billing support provided by the team. Training and ongoing support are offered to help you advance into a manager role, plus a $2,000 sign-on bonus and a... 
    Full time
    Work at office
    Relocation package
    Monday to Friday
    Flexible hours

    Sacramento Post Acute in

    Sacramento, CA
    7 hours ago
  • $21.6 - $32.4 per hour

    Chevron Corporation is seeking a Retail Operations Assistant to support the Station Manager in daily operations at their retail facility...  ...with station operations, maintaining safety compliance, and providing outstanding customer service. Candidates must be at least 21 years... 
    Hourly pay

    Chevron Corporation

    Sacramento, CA
    3 days ago
  •  ...administration, invoicing, and maintaining records and databases. You will coordinate onboarding through the ATS, badge processes with TSA, and provide front-desk reception. The ideal candidate has 3+ years in an office environment or an associate degree, strong MS Office skills,... 

    Daifuku

    Sacramento, CA
    2 days ago
  • Vituity seeks a Remote Practice Administrator to support medical directors, hospital partners and providers across multiple sites. You will manage operations, scheduling, billing workflows and data analysis to drive performance. The role requires 2-3 years in an office... 
    Remote job
    Flexible hours

    Vituity

    Sacramento, CA
    4 days ago
  • $20.65 - $26.85 per hour

    Position SummaryThe Store Operations Lead is a key operational role responsible for ensuring consistent execution of store operations that...  ...action through execution validation, efficiency, and compliance.Provide sales floor support during high‑traffic periods to maintain... 
    Hourly pay
    Full time
    Part time
    Work experience placement
    Work at office
    Local area

    FHLB Des Moines

    Roseville, CA
    2 days ago
  • Poppy Bank in Roseville, California is looking for a Treasury Management Operations Support III to lead the Treasury Management team. The ideal candidate will oversee the onboarding of clients, provide training, and ensure compliance with banking regulations while... 

    Poppy Bank

    Roseville, CA
    2 days ago
  •  ...those with chronic care diseases while providing solutions to our customers.' Looking...  ...Who We Are: SuperCare Health is the leading post-acute, in-home respiratory care provider...  ...continuity of care. Equipment, Telehealth & Operational Support Serves as an active... 
    Remote work
    Flexible hours

    Super Care, LLC

    Rancho Cordova, CA
    16 days ago
  • Temco Logistics in Rancho Cordova, CA is seeking an Operations Manager who will lead daily operations, support drivers, office teams, and customers, and partner with the General Manager to ensure service excellence and compliance. You will optimize routes, monitor performance... 
    Work at office

    Temco Logistics

    Rancho Cordova, CA
    1 day ago
  • Dignity Health is seeking a Market Vice President of Radiology and Imaging Operations in Rancho Cordova, California. The successful candidate will lead initiatives that optimize efficiency and enhance patient care through effective imaging services. Ideal candidates will... 

    Dignity Health

    Rancho Cordova, CA
    2 days ago
  •  ...PetSmart does Anything for Pets – JOIN OUR TEAM!   Retail Operations Lead About Life at PetSmart   Our associates are the heart of...  ...Support and guide sales associates in merchandise handling, providing training on product knowledge and presentation standards.... 
    Hourly pay
    Weekly pay
    Minimum wage
    Full time
    Seasonal work
    Local area
    Immediate start
    Weekend work
    Afternoon shift

    PetSmart

    Folsom, CA
    2 days ago
  • $111k - $118k

     ...HomeRiver is looking for an Operations Manager Come join our team...  ...Management Operations Manager to lead our Sacramento, CA office....  ...with all team members by providing the necessary checks and balances...  ...related legal/contractual disputes, keeping Broker advised and informed... 
    Work at office
    Local area

    PURE HomeRiver

    Rancho Cordova, CA
    2 days ago
  • Description: Position Summary: The Operations Supervisor is responsible for the day-to-day oversight of transportation operations...  ...operational environment Reasonable accommodation may be provided to enable individuals with disabilities to perform the essential... 
    Work at office
    Flexible hours

    Red Rock Transportation Inc

    Rancho Cordova, CA
    1 day ago
  •  ...from kilograms to multi-ton quantities. We are looking for an Operation Supervisor to join our team in Rancho Cordova, CA (greater Sacramento...  ....Work with outside emergency responders and other service providers as needed.8-12 hour shifts will be expected with night,... 
    Contract work
    Work at office
    Shift work
    Night shift
    Weekend work
    Day shift

    SK pharmteco

    Rancho Cordova, CA
    1 day ago
  • $120k - $202.5k

     ...Cyber Data & Analytics (CyberDNA) team is seeking a Global Operational Excellence Lead to establish world-class operational governance,...  ...obligations, and operational performance of strategic partners.Provide executive-level operational reporting and strategic recommendations... 
    Full time
    Temporary work
    Work at office
    Local area
    Flexible hours
    Shift work
    2 days per week

    State Street Bank

    Sacramento, CA
    1 day ago
  • The Project Management Manager is a working manager who leads and manages their project management team while continuing to personally...  ...& Leadership: Lead and manage their project management team, providing direction, coaching, and development. Set clear goals and... 

    Butcher Power Products

    Rancho Cordova, CA
    2 days ago
  • COPE Health Solutions seeks an ECM Supervisor to oversee daily Enhanced Care Management operations and provide leadership through staff training, mentoring, and care coordination oversight. The role emphasizes adherence to policies and documentation standards while supporting... 

    COPE Health Solutions

    Sacramento, CA
    3 days ago
  • Blue Shield of CA in Rancho Cordova is looking for a Senior Email Development Specialist to implement impactful email marketing journeys. This role focuses on optimizing campaigns to enhance member experiences while collaborating with various teams. The suitable candidate...
    Work at office

    Blue Shield of CA

    Rancho Cordova, CA
    3 days ago
  • A leading management firm in Sacramento is seeking a dedicated team leader to oversee daily operations and manage a dynamic workforce. Responsibilities include providing direction to employees, managing finances, and ensuring high-quality standards. The ideal candidate... 

    Flynn Group

    Sacramento, CA
    7 hours ago
  • California Department of Technology (CDT) seeks an experienced Assistant Human Resources Chief, Operations to provide strategic leadership across classification, compensation, recruitment, payroll, and HR service delivery. You will work with executives and managers to align... 
    Remote job

    California Department of Technology

    Rancho Cordova, CA
    2 days ago
  • $25 - $28 per hour

     ...determined attitude that inspires and rewards original ideas. AMC provides significant career advancement opportunities, competitive...  ...and incentive programs. We are currently seeking an Assistant Operations Manager! The Assistant Operations Manager is well-versed in internal... 
    Hourly pay
    Full time
    Temporary work
    Part time

    Live AMC

    Sacramento, CA
    1 day ago
  • $25 - $28 per hour

     ...Assistant Operations ManagerApartment Management Consultants (AMC) is a leader in the property management industry. Our passion for helping...  ...attitude that inspires and rewards original ideas. AMC provides significant career advancement opportunities, competitive compensation... 
    Full time
    Temporary work
    Part time

    Apartment Management Consultants

    Sacramento, CA
    1 day ago
  • $25.5 per hour

     ...5.50/hour Job Description The Assistant Operations Manager will be a part of our airport leadership...  ..., reporting to the General Manager and leading and driving the daily floor operations...  ...making them all feel like magic. CLEAR provides reasonable accommodation to qualified... 
    Shift work
    Weekend work
    Afternoon shift
    Early shift

    Fountain-Fort Carson School District 8

    Sacramento, CA
    2 days ago
  • $18.75 - $28.75 per hour

     ...leadership team who helps ensure smooth daily operations, exceptional customer service, and a...  ...role is ideal for someone who enjoys leading on the floor, solving problems in the moment...  ...behaviors and service expectations. Provide guidance and direction to partners during... 
    Hourly pay
    Minimum wage
    Local area
    Flexible hours
    Shift work
    Night shift
    Afternoon shift

    Petco

    Sacramento, CA
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Provider Disputes Operations Lead. Be the first to apply!