Director, Configuration & Claims Governance
L.A. Care Health Plan
A leading health care agency in California is seeking a Director, Configuration. This role develops and oversees the configuration strategy for administrative platforms, ensuring effective governance and operational excellence. Candidates should have extensive experience in managed care operations and robust leadership skills. The position offers a hybrid schedule, competitive salary, and benefit programs including paid medical and retirement plans. #J-18808-Ljbffr
- A leading health plan provider in Los Angeles seeks a Director of Configuration to oversee the strategy and execution of configuration processes. This role requires expertise in system management, staff leadership, and collaboration across departments to enhance operational...Claims
$135.14k
...Health Plan to conduct the search for a Director, Configuration . This position is based in Los... ...reliability, and performance across the claims ecosystem. This role is central to repositioning... ..., IT, and compliance to elevate governance, standardization, and execution,...ClaimsWork at office$250k - $300k
...Executive oversight of group health plan operations, including claims, member services, utilization management, case management, IT,... ...scalability Technology Lead IT and Data functions, including data governance, enterprise data warehousing, predictive analytics, master data...ClaimsHourly payTemporary workRemote workFlexible hours- ...Compose correspondence for the COO. Assist with any projects that may arise from other departments ( i.e., Pension, Eligibility, Claims, Accounting and Contributions & Compliance) as assigned by the COO. Perform other duties involved with the administration of the...ClaimsWork at office
$142.6k - $261.5k
...programs. A number of solution “hot spots” exist today, such as in claims, underwriting, policy and billing. Our ambition is to be the C... ...Designer, Authentication/Authorization, FIGMA, APIs, and configuration Develop and operationalize Guidewire Digital assets and...ClaimsWork experience placementSummer holidayFlexible hours- ...CRC management protocols, sponsor reporting, CTMS configuration, regulatory tracking, and the eReg platform • Work... ...distribution waterfall mechanics Cross-Functional & Governance • Reports into the CEO and Managing Director • Contribute to strategic planning including...Local areaRemote work
- ...Associate Director, Payroll Design & Controls Be the First to Apply Job Description The Associate Director, Payroll Design & Controls provides enterprise-level governance over payroll system design, configuration integrity, and preventive control frameworks within the...Remote work
$206.31k
...Medical Director, Clinical Policy Job Category: Clinical Department... ..., implementation, governance, and evaluation of clinical... ...coding structures, and system configuration through partnership with internal... ...the organization. Analyze claims data, utilization trends, and...ClaimsFull timeLocal area$132.29k - $155.86k
...Director, Claims Triage Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a... ...Intellectual curiosity. Consistently considers all options and is not governed by conventional thinking. Ability to build commitment both...ClaimsWork at office$163k - $203.8k
...parental leave, and Employee Assistance Program (EAP). Care Navigation & Support: Access to Health Advocate services for help with claims, provider searches, and care decisions. Flexible Care Options: Telehealth services for convenient, low‑cost access to care. Growth...ClaimsHome officeFlexible hours$170.45k - $278.91k
...Senior Director, US Medical & Pharmacy Comcast brings together the best in media and... ...leadership discussions as part of ongoing plan governance (Benefits Fiduciary and Benefits... ...partners on annual accrual rate setting, claims reforecasting, Incurred but Not Paid (IBNP...ClaimsContract workLocal area- ...medical and promotional review committees. • Ensure medical and scientific accuracy of the US and global materials. • Ensure all claims and statements are supported by adequate scientific references and are cited appropriately. • Perform all medical reviews in a...ClaimsRemote work
$169k - $281k
...training plan required for STEM OPT. Position Summary: The Director, R&D Optimization, has responsibility for owning, identifying,... ...of scams from individuals, organizations, and internet sites claiming to represent Pharmavite in recruitment activities in return for...ClaimsHourly payWork at officeLocal areaWork from home$70k - $150k
...Chapter Director, Los Angeles Type: Independent Partner / Commission-Based Leadership Role, Part Time Only Local Candidates in... ...who partner with us now aren't just joining a company — they're claiming territory in a movement. Four Specialized Leadership Paths...ClaimsPart timeLocal areaRemote work$135.14k
...Director, Claims Administration Job Category: Management/Executive Department: Claims Integrity Location: Los Angeles, CA, US,... ...purpose. Job Summary The Director, Claims Administration, governs enterprise outcomes and risk controls, introducing a...ClaimsPermanent employmentFull timeContract workWork at office- ...What will you be doing: The Director, HR Legal supports and promotes the successful achievement... ...and new employment‑related legislation, government reporting, review and updating of HR... ...and guidance for employment‑related claims and litigation. May include oversight of...Claims
$113.1k - $276.9k
...seeking an Umbrella Executive Underwriter or AVP underwriting Director to join our Los Angeles team. Executive Underwriter or AVP underwriting... ...or Equivalent and 10 or more years of experience in the claims or underwriting support area. Zurich Certified Insurance Apprentice...ClaimsContract workTemporary workApprenticeshipWork at officeLocal area$113.1k - $276.9k
...to receive an alert: Executive Underwriter or AVP underwriting Director-Excess Casualty 129444 Zurich is seeking an Umbrella Executive... ...Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support area OR Zurich Certified Insurance Apprentice...ClaimsContract workTemporary workApprenticeshipWork at officeLocal area$171.5k - $244.5k
...Description: As an Excess Workers' Compensation Underwriting Director, you will play a critical leadership role in driving the... ...market presence. Collaborating closely with Business Development, Claims, and other underwriting teams, you will contribute to cross-selling...ClaimsWork at officeWork from homeFlexible hours2 days per week$90k - $140k
...leaves of absence, including tracking, documentation, and employee communications. ~ Oversee and coordinate workers' compensation claims and ensure compliance with Cal/OSHA and state requirements. ~ Serve as a trusted resource for employees and management, providing...ClaimsLocal area- ...reporting, and policy documentation Support OSHA compliance, safety initiatives, and training programs Manage workers’ compensation claims and return-to-work processes Promote a proactive culture of workplace safety What We’re Looking For Required...ClaimsHourly payFull time
$115k - $125k
...care, consistency, and professionalism. Position Overview: The Director of Human Resources, Employee Relations & Benefits will serve as... ...budget planning Oversee workers’ compensation and on-the-job injury claims Support staff engagement initiatives and employee recognition...ClaimsFull time$112.9k - $256.9k
...and coordinating the following major functions: Pre-service Authorizations/Denial Letters Concurrent Review Continuity of Care Retro Claims Retrospective Review Referral Automation Business Rules/Configuration Salary Range: $112,900 - $256,900 Annually #J-18808-Ljbffr...Claims- ...Affairs Manager serves as a key partner to the Director of General Affairs, providing both strategic and administrative support across governance, compliance, office operations, and... ...Coordinate insurance operations such as claims submission, follow-up, tracking, and closure...ClaimsContract workWork at officeRemote workWorldwide
- ...to-day communication and on-site. This position reports to the Director of Technical Services. Proper and accurate use and dissemination... ...presented in drawn form (CAD or sketched/hand drawn). Warranty claim follow up. Special Projects that include but not limited to...ClaimsFor contractors
- ...administration and conduct new hire benefits orientations on a regular basis Manage vendor billing reviews and benefit reconciliations Support claims inquiries and serve as the primary point of contact for employee benefits questions Play an active role in vendor evaluations and...Claims
- ...Summit Consulting is seeking a Claims Technical Director to manage complex excess claims in Los Angeles. The ideal candidate must have at least 15 years of experience and a degree in Business Administration or a related field. This role involves managing claim strategies...ClaimsRemote work
- ...complex client issues. Role Overview We are seeking an eDiscovery Director to act as the client’s point of contact and Bright Labs’ day‑... ...of efficient work streams, batching strategy, and technology configuration for first‑, second‑, and third‑tier review, witness review,...Weekend workAfternoon shift
$180k - $215k
## Director of Compensation and Benefits**Summary**The Director of Compensation & Benefits is a strategic and hands-on leader responsible... ..., and Payroll, and the ability to independently manage and configure Workday without reliance on IT resources. This position...Work at officeLocal area$85k - $165k
...locations. Role Overview: We are seeking an eDiscovery Director to join our dynamic team. This role will s erve as the client... ...of efficient work streams, batching strategy, and technology configuration for 1st, 2nd, 3rd tier review; as well as witness review, exhibit...Weekend workAfternoon shift
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