PDR Operations Leader - Disputes & Compliance
Blue Shield of California
Blue Shield of California seeks a PDR Operations Manager to lead the provider dispute resolution team across Commercial, Medi-Cal, and Medicare lines, including No Surprise Billing. You will guide onshore and offshore teams, ensure regulatory compliance, and drive strategic initiatives to improve procedures and performance. Reporting to the Director of PDR, you will shape governance, audit readiness, and operational excellence while fostering leadership development and a culture of continuous #J-18808-Ljbffr Blue Shield of California
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Your Role The Provider Dispute Resolution (PDR) Operations team manages and processes provider disputes across... ...PDR and NSB inventory stays within compliance and regulatory guidelines, manage... ...model is about developing great leaders at all levels and creating opportunities...SuggestedFull timePart timeWork at officeLocal areaImmediate startWork from homeHome office2 days per week$157.3k - $262.7k
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MV Transportation is hiring an Operations and Safety Manager in California to lead and oversee transit operations. This role includes managing training programs, ensuring compliance with safety regulations, and supporting staff development. Candidates should have at least...- SpecialtyCare is seeking a Regional Director of Operations, Perfusion, to lead Area Clinical Managers and clinical staff across multi-state... ...hospital administration and surgeon clients, oversee contract compliance, and provide interim clinical services as needed. #J-18808-...Contract workInterim role
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$51.73 - $77.6 per hour
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...accommodation and are happy to discuss them as needed. The Head of Disputes Operations leads the day‑to‑day disputes function across Collectors’... ...The role manages a team and reports to the Head of Risk & Compliance, working hand‑in‑hand with Fraud Operations on the boundary...Full timeRemote workWorldwideFlexible hoursShift work
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