Medicare Advantage Claims Leader (Hybrid)
Academy of Managed Care Pharmacy
Academy of Managed Care Pharmacy in Los Angeles is seeking a Claims Manager for their Medicare Advantage Plan. This critical role involves leading a team toward operational excellence, managing claims adjudication processes, and enhancing workflow efficiency. The ideal candidate will have significant claims operations experience, strong leadership skills, and a deep understanding of coding practices. The position offers a flexible-hybrid work environment. #J-18808-Ljbffr Academy of Managed Care Pharmacy
$95.4k - $208.3k
Nahse seeks a Claims Manager in Los Angeles, CA, to lead the Claims leadership team for our Medicare Advantage Plan. In this flexible-hybrid role, you will enhance processes, manage substantial claims operations, and ensure quality service. Candidates should have significant...ClaimsFlexible hours$95.4k - $208.3k
Description Play a vital role on our Claims leadership team, you will manage a team of... ...excellence. The Claims Manager of the Medicare Advantage Plan will: Implement and maintain efficient... ...Note: This position is flexible-hybrid. #J-18808-Ljbffr UCLA Outpatient ClinicsClaimsFlexible hours$95.4k - $208.3k
Description Play a vital role on our Claims leadership team, you will... .... The Claims Manager of the Medicare Advantage Plan will: Implement and... ...: This position is flexible-hybrid. Qualifications We’re... ...self-motivated, service-driven leader with: Required Bachelor’s...ClaimsWork experience placementWork at officeFlexible hours$95.4k - $208.3k
...leading healthcare organization located in Los Angeles is seeking a Claims Manager to oversee the claims leadership team. This role... ...foster a supportive team culture. The position offers a flexible-hybrid work model and a salary range between $95,400 - $208,300 annually...ClaimsFlexible hours$95.4k - $208.3k
UCLA Outpatient Clinics is seeking a Claims Manager to lead the claims leadership team. In this role, you will manage auditors and examiners... ...on quality service. The position offers flexibility with a hybrid work model. The Claims Manager will be responsible for implementing...Claims- Westfield is seeking a Commercial And Financial Lines Claims Manager to handle and oversee D&O, E&O, and EPL claims. The ideal candidate... ..., and participating in mediations. This position offers a hybrid work environment, requiring 4 days onsite at the Los Angeles office...ClaimsWork at office
$95.4k - $208.3k
Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment... ...managed care experience Knowledge of Medicare Advantage billing/claims submission and other related actions Ability to work...ClaimsWork at office3 days per week$100k - $105k
Claims Team Lead - Workers Compensation (HYBRID - West Hills, CA) Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for... ...and to share your insights. Take advantage of a variety of professional...ClaimsWork at officeFlexible hours- A leading insurance services provider is seeking a Workers' Compensation Claims Supervisor to lead a team in Glendale, CA. This hybrid role involves guiding claims adjusters and assistants, ensuring compliance with regulations, and fostering a collaborative environment....Claims
- Sedgwick Claims Management Services Ltd. is seeking a Claims Team Lead for the Workers Compensation department in a hybrid role based in West Hills, CA. The successful candidate will oversee multiple teams of examiners, providing guidance on complex claims and ensuring...ClaimsFlexible hours
- ...to lead the Electronic Data Interchange processes for Medicaid claims in Los Angeles. This position involves operational leadership and... ...relevant transaction standards. The role offers the possibility of a hybrid work schedule, combining remote work with in-office...ClaimsWork at officeRemote work
- ...Services, LLC seeks a Billing Associate with Medicare billing experience to join their team in Los Angeles. The position combines hybrid work with on-site training, contributing... .... Responsibilities include reviewing claims, ensuring compliance, and maintaining proper...ClaimsRemote jobWork at office
- AVONRISK is seeking a Workers' Compensation Claims Supervisor to join our team in Glendale, California. This hybrid position involves leading a team of 7 professionals, providing guidance and mentorship while ensuring compliance with relevant regulations. We offer a competitive...Claims
$115.44k - $148.15k
...organization is seeking a Senior Manager for Claims Delegation Audit in Monterey Park, CA.... ...ensuring compliance with regulations for Medicare and Medicaid. Candidates should have a... ...claims administration. The position offers a hybrid work model and a competitive salary range...Claims$100k - $110k
...Cost Containment Services in Glendale, California, is seeking a Claims Manager responsible for overseeing a claims unit. This role involves... ...of $100,000 to $110,000, alongside comprehensive benefits and a hybrid work model. #J-18808-Ljbffr InterMed Cost Containment ServicesClaims$112.9k - $256.9k
...more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you’ll provide... ...Concurrent Review Continuity of Care Retro Claims Retrospective Review Referral... ...motivated, detail‑oriented, service‑driven leader with: Current unrestricted RN...Claims- ...will have a strong background in communication and graphic design, with experience in public sector HR being a significant advantage. This role offers opportunities for remote and hybrid work, along with a comprehensive benefits package. #J-18808-Ljbffr Pueblo-County,-CoRemote job
- A leading insurance provider in California seeks a Senior Claims Specialist to manage various insurance claims. The ideal candidate will possess 6-10 years of relevant experience, excellent communication skills, and a Juris Doctor degree. Responsibilities include handling...Claims
$180k - $270k
...We are currently looking for a Zonal Distribution Leader based in San Francisco or Los Angeles. This is a hybrid role. Responsibilities Identify key and growth accounts... ...interface between and among Zone Exec, LoBs, Claims and MM Develop balanced pipeline with target...ClaimsLocal areaOverseasVisa sponsorship- A leading claims management firm is seeking a Claims Examiner in Glendale, CA for a hybrid role. The successful candidate will analyze and adjudicate workers' compensation claims while ensuring timely resolution and excellent customer service. Required qualifications include...Claims
$92.5k - $197.1k
Hunt is seeking a California Workers’ Compensation Consultant to join its hybrid team based in California. This consultant will focus on evaluating and resolving complex workers’ compensation claims, utilizing in-depth knowledge of California laws to improve outcomes....Claims- ...provider communications, and supporting cross-functional teams in claims processes. Ideal candidates will have a minimum of 5 years in Accounts Payable/Receivable and experience in claims. This hybrid role balances in-office collaboration with flexibility, requiring office...ClaimsWork at office
$152.4k - $249.5k
...currently looking for a Strategic Relationship Leader to serve our Specialty Business Unit. The position is open for hybrid work in any of the following Zurich offices:... ...stewardship conversations that integrate Underwriting, Claims, Risk Engineering, and senior leadership for...ClaimsFull timeTemporary workFor contractorsFor subcontractorLocal areaRemote workWorldwideVisa sponsorship$230k - $280k
Job Information Job Title: Focus Group Leader - US Miscellaneous Medical & Life Sciences... ...existing. Monitor premiums, costs and claims ratios per contract and take corrective... ...overall Beazley product range and take advantages of opportunities to introduce other Beazley...ClaimsFull timeContract workTemporary workImmediate startHome officeFlexible hours$72k - $141k
CNA Insurance is seeking an experienced claims manager responsible for overseeing unsupported excess claims. The role involves managing... ...negotiation and analytical skills. This position offers a flexible hybrid work schedule and competitive compensation ranging from $72,000...ClaimsFlexible hours$125k - $185k
...Associate for its Los Angeles office. The successful candidate will manage and defend construction defect claims while collaborating with experienced attorneys. This hybrid role requires strong litigation experience, with an attractive salary range of $125,000 - $185,000...ClaimsWork at office- ...of relevant experience. The role involves managing a caseload of claims, representing clients at hearings, and drafting legal documents.... ...for professional growth in a supportive environment. A flexible hybrid schedule is also available. #J-18808-Ljbffr Levin-&-Nalbandyan,-...ClaimsFlexible hours
$150k - $180k
...candidates will have over 1 year of relevant experience, particularly in handling FEHA, wrongful termination, and wage claims. The position offers a hybrid work schedule, competitive salary ranging from $150,000 to $180,000, and a range of comprehensive benefits including...Claims$100k - $130k
...The role involves handling wage and hour matters, discrimination claims, and various employment-related litigation. Ideal candidates... ...health insurance and professional development opportunities. A hybrid work schedule may be considered after onboarding, depending on experience...Claims- ...includes developing defense strategies for catastrophic injury claims and overseeing junior attorneys. You will collaborate closely with... ...member of the California State Bar. This position offers a hybrid work model, incorporating both on-site and remote work. #J-1880...ClaimsRemote work
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