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

Senior Provider Disputes & Resolution Lead

Gold Coast Health Plan

Gold Coast Health Plan is seeking a dedicated individual to manage complex provider disputes and claims adjustments. This role requires a minimum of 5 years' experience in claims processing and a strong understanding of provider dispute resolution regulations. The successful candidate will work alongside a committed team in California, helping to enhance operational efficiency and improve provider experience through quality reviews and problem-solving. #J-18808-Ljbffr Gold Coast Health Plan

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Senior Provider Disputes & Resolution Lead in California, MO vacancy
  • $91.67k - $128.33k

     ...care industry by creating and applying leading-edge solutions to its many challenges....  ...subject matter expert for complex provider disputes, claims adjustments, reimbursement methodologies...  ..., contract interpretation, and resolution activities. Assists with daily workflow... 
    Suggested
    Contract work
    Work experience placement
    Remote work

    Gold Coast Health Plan

    California, MO
    2 days ago
  • $250k

     ...Group is seeking an experienced Senior Counsel - Patent Litigation...  ...K+). The ideal candidate will lead complex IP cases, contribute to...  ...fuel their growth, and resolve disputes efficiently and effectively....  ...practice, and trial preparation. Provide strategic counsel to clients... 
    Senior
    Flexible hours

    ADLI Law Group

    California, MO
    4 days ago
  • Blue Shield of California is seeking a Provider Contracting Specialist, Principal to manage contract negotiations with providers in Southern California. This role involves comprehensive management of Medical Group and Hospital networks, driving strategic initiatives to... 
    Senior
    Full time
    Contract work
    Work at office

    Blue Shield of California

    California, MO
    5 days ago
  • $141k - $243.8k

    Job Summary Senior Manager - CAR‑T Cell Therapy Experience Lead (West) - responsible for leading the CAR‑T Experience...  ...logistics, and growth opportunities. Provide subject‑matter expertise on CAR‑T...  ...written communication, conflict resolution, and relationship‑building skills... 
    Senior
    Temporary work
    Local area

    Johnson & Johnson Innovative Medicine

    California, MO
    1 day ago
  • $110k - $240k

    Senior Director, Construction Disputes & Advisory (PLDC): Architect page is loaded## Senior...  ...capabilities to provide independent professional...  ...projects.**Role Overview:**Lead and serve as the primary...  ...multi-million-dollar dispute resolutions by providing objective, credible... 
    Senior
    For contractors
    Work at office
    Remote work

    Ankura

    California, MO
    3 days ago
  • $110k - $150k

    An innovative energy solutions provider is seeking a Senior Business Development Manager to generate new business and develop client relationships in the public sector. The role requires strong sales skills, with a focus on aligning stakeholders to achieve results. Ideal... 
    Senior

    Energy Systems

    California, MO
    5 days ago
  • Caremore Health is seeking an experienced Financial Planning & Analysis Lead to provide critical finance support and insights. This role will lead budgeting, forecasting, and financial analysis, partnering with stakeholders to improve decision-making in a healthcare environment... 
    Senior

    Caremore Health

    California, MO
    2 days ago
  • Camp EDMO in California is looking for a Senior Program Assistant to support program delivery and oversee daily operations. You will step in for the Senior Program Manager as needed and provide guidance to staff while ensuring a positive experience for all participants... 
    Senior

    Camp EDMO

    California, MO
    4 days ago
  • Viejas in California seeks a Lead HVAC Technician to develop and maintain the HVAC team’s schedule and training. Responsibilities include...  ...experience, effective leadership skills, and a commitment to providing excellent service. Must maintain knowledge of industry trends... 
    Senior

    Viejas

    California, MO
    5 days ago
  • $168k - $258.75k

    NVIDIA is seeking a Senior Technical Program Manager to drive the end-to-end lifecycle for the Circuit Solutions Group, ensuring high...  ...skills. Expert-level proficiency in Smartsheet is required to provide real-time insights into program health. Competitive salary range... 
    Senior

    Dormont Manufacturing Co

    California, MO
    3 days ago
  • Eocene Environmental Group in California is seeking a Senior Aquatic Resources Specialist responsible for providing wetland related services including delineations, restorations, permitting, reporting, and design. The candidate should have a Bachelor’s degree in Environmental... 
    Senior

    Eocene Environmental Group

    California, MO
    4 days ago
  •  ...Bernardino County Fire Department is seeking a Senior Fire Hazard Abatement Officer to support...  ...ordinances, conducting inspections, and leading educational outreach for community fire...  ...to a comprehensive benefits package is provided, ensuring a supportive work environment.... 
    Senior

    San Bernardino County Fire Department

    California, MO
    2 days ago
  • A prestigious university is seeking a Principal Analyst to provide strategic leadership in financial planning and analysis. The role involves budget management, financial reporting, and advising on resource allocation. Responsibilities include developing financial models... 
    Senior
    Remote job

    University of California - Santa Cruz

    California, MO
    5 days ago
  • $8,231 per month

    A state university in California is seeking a Senior Financial Aid Systems Lead to oversee operations of the Financial Aid Office. Responsibilities include providing leadership, ensuring system functionality, and managing integration with compliance requirements. The ideal... 
    Senior
    Work at office

    Universityculture

    California, MO
    3 days ago
  • The State of California is seeking a Senior Emergency Services Coordinator to lead the Recovery Disaster Analysis and Coordination Unit. This role involves managing disaster recovery projects and providing technical expertise during activations. Ideal candidates will have... 
    Senior

    State of California

    California, MO
    3 days ago
  • A leading IT solutions company is hiring an EHR Connectivity Ops Interface Analyst in California. This role involves developing EHR integrations, leading projects, and providing technical support for healthcare data interoperability. Ideal candidates will have over 5 years... 
    Senior
    Remote job
    Hourly pay
    Flexible hours

    York Solutions, LLC

    California, MO
    5 days ago
  •  ...well-qualified IS Client Systems Specialist - Senior to join the Technology Services Department. In this role, you will lead and train a team, oversee technical support...  ...coordinating projects, managing inventories, and providing high-level customer support. #J-18808-Ljbffr... 
    Senior

    County of San Mateo

    California, MO
    3 days ago
  • Brunel is looking for an experienced SSHE Lead III to provide oversight and technical expertise for an Oil & Gas project at Kearl Lake. This role requires a Bachelor’s degree and the ability to thrive in dynamic, multicultural environments. Responsibilities include ensuring... 
    Senior

    Brunel

    California, MO
    1 day ago
  • Eocene Environmental Group, Inc. seeks a Senior Aquatic Resources Specialist to provide a variety of wetland services, including delineations and compliance monitoring. Ideal candidates should have a Bachelor’s degree and at least 9 years of relevant experience, particularly... 
    Senior

    Eocene Environmental Group, Inc.

    California, MO
    1 day ago
  • A public university is seeking a Business Systems Analyst IV to provide day-to-day leadership in the Financial Aid & Scholarships Office. The role involves system troubleshooting, data analysis, and coordination of financial aid processes. Ideal candidates will have a bachelor... 
    Senior
    Work at office

    Opt For Healthy Living

    California, MO
    7 days ago
  • Okane Consultants is looking for a Senior Consultant (Mine Water Management) with a strong...  ...to join their team. This role involves leading various mine water management projects from...  ..., ensuring strategic solutions are provided to clients. The ideal candidate will have... 
    Senior
    Remote job

    Okane Consultants

    California, MO
    5 days ago
  •  ...based in Southern California, is seeking a Senior Project Surveyor - Mapping Specialist...  ...Surveyor (PLS) license. This role involves leading survey mapping tasks for civil...  ...flexible work schedule. KWC is committed to providing a supportive environment for professional... 
    Senior
    Flexible hours

    KWC Engineers

    California, MO
    2 days ago
  • The State of California is looking for a Senior Compliance & Risk Officer to provide compliance advisory services and lead education efforts within Investments and Benefits Divisions. Ideal candidates will have at least five years in compliance or risk management in financial... 
    Senior
    Flexible hours

    State of California

    California, MO
    1 day ago
  •  ...and Implementation Unit Supervisor for the Department of Tax and Fee Administration. This role involves leading a team of Business Taxes Specialists and providing expert advice on tax and fee program implementation. The ideal candidate will have strong leadership and... 
    Senior
    Work at office
    Remote work

    State of California

    California, MO
    1 day ago
  • Federal Express Corporation is seeking a professional to lead the development of supply chain solutions that align with customer needs...  ...initiatives. This role involves mentoring team members and providing critical recommendations to enhance sales strategies. Ideal candidates... 
    Senior

    Federal Express Corporation

    California, MO
    2 days ago
  • $151k - $297k

    United States Digital Space LLC is seeking an experienced Senior Lead Software Engineer to drive architectural decisions and lead a talented...  ...-based solutions using Generative AI. The candidate will provide technical leadership, collaborate with product management, and... 
    Senior

    United States Digital Space LLC

    California, MO
    5 days ago
  • SHPCA SCAN Health Plan is seeking a Senior Program Manager for a temporary assignment focused on managing retention and member experience...  ..., executing, and evaluating programs, supervising staff, and providing readiness materials. Qualifications include a Bachelor's degree... 
    Senior
    Remote job
    Temporary work
    Work at office

    SHPCA SCAN Health Plan

    California, MO
    2 days ago
  • $125k - $175k

     ...Engineering Inc. is seeking a Hazardous Building Materials Practice Lead in California. The ideal candidate will have 15-20 years of...  ...in hazardous materials management. Responsibilities include providing strategic leadership, overseeing compliance, and mentoring junior... 
    Senior

    Terraphase Engineering Inc.

    California, MO
    2 days ago
  • Epic Games is seeking an experienced Character Outsource Lead to support initiatives with Disney. The role involves collaborating with...  ...external teams, reviewing outsourced assets for quality, and providing creative feedback. The ideal candidate has experience in real-... 
    Senior

    Epic Games

    California, MO
    1 day ago
  • A technology solutions provider in California is seeking a skilled MuleSoft Developer with extensive experience in API development and integration solutions. The ideal candidate will have 7+ years of hands-on experience and proven leadership in MuleSoft projects. Responsibilities... 
    Senior

    TechDigital Group

    California, MO
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Senior Provider Disputes & Resolution Lead. Be the first to apply!