Senior Manager, Provider Appeals & Disputes
L.A. Care
L.A. Care Health Plan in Los Angeles, CA is seeking a Senior Manager for Provider Appeals and Dispute Resolution Management to oversee the full lifecycle of provider appeals, payment disputes, and complex reimbursement issues. You will establish standardized processes for intake, investigation, resolution, and closure while ensuring regulatory compliance. The role emphasizes reducing administrative friction, improving provider satisfaction, and leading a high-performing team. #J-18808-Ljbffr L.A. Care
$135.14k
Select how often (in days) to receive an alert: Senior Manager, Provider Appeals and Dispute Resolution Management Job Category: Management/Executive Department: Provider Network Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 1...SeniorFull timeContract work$185k - $250k
...Opportunity We are currently seeking a Senior Manager for our Construction Consulting... ...information management; change management; and dispute avoidanceRecruiting, developing, and... ...culture. Our diverse team allows us to provide better value to our clients and enjoy an...SeniorFull timeWork at officeFlexible hours$113.15k - $270.02k
...for as a firm.KPMG is currently seeking a Senior Manager to join our State and Local Tax (SALT) practice. Responsibilities:Provide tax compliance services to partnerships for... ...auditors, representing the client at hearings and appeal meetings, and preparing protests Research...SeniorLocal areaRemote work- Your Role The Model Contracts team is responsible for the development and management of provider contract templates and related language that support the Blue Shield of California and Blue Shield of California Promise Health Plan networks across all lines of business....SeniorContract workWork at office2 days per week
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We are the leading provider of professional services to the middle market globally, our... ...minimize their sales tax liabilities.The Senior Manager - Sales and Use Tax, for RSM will be... ...mitigation strategies, audit defense and appeals, reverse sales tax audits and other...SeniorFull timeWork experience placementInternshipLocal area- ...As a Senior Project Manager, you will play a crucial role in overseeing the planning and execution... ...related issues. You will play a key role in providing leadership and direction to Assistant... ..., and construction-related issues, disputes, and disagreements. Develop,...SeniorContract work
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...the Ambulatory CMO is seeking a Senior Project Lead to support the... ...stakeholder roles. Develop and manage project plans, timelines, and... ...with organizational priorities. Provide guidance to leadership and... ...misconduct; or have filed an appeal of a finding of substantiated...SeniorWork at officeMonday to Friday$128.07k - $146.36k
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...Senior Project Manager I Duties Resolves complex construction project related issues, disputes, and disagreements Develops, assigns, and monitors performance of OARs relative... ...of multiple construction projects Provides functional direction over areas of responsibility...SeniorFull timeContract workWork at officeLocal area- ...Description Job Description Integral Senior Living (ISL) proudly manages care and lifestyle-focused... ...The Care Giver's role includes providing hands on care and physical and emotional... ...direct impact on the lives of others is appealing to you, apply today and join our...SeniorFull timePart timeFlexible hours
$50 per hour
...leader in program, project and construction management (PMCM) and real estate development.... ...than three decades, our award-winning team provides a full range of services to public and... ...complex construction project related issues, disputes, and disagreements9.17 Develop, assign,...SeniorFull timeContract workWork at officeLocal areaFlexible hours$196.12k - $224.14k
STV is seeking a Senior Project Controls Manager to join our growing Project Controls team in multiple client... ...to project teams and clients, providing strategic leadership for all aspects... ...project changes.Support claims avoidance, dispute resolution, and change management...SeniorFull timeFor contractorsWork at officeFlexible hours$213k - $234k
...approves public school construction. As Senior Project Manager, you work above the project level,... ...resolving the program's most complex issues, disputes, and disagreements. You review... ...through an ESOP, a retirement benefit provided at no cost to you, on top of your salary...SeniorFull timeContract workWork at officeLocal area$229k - $266k
...Senior Project Manager – Los Angeles, CA Full-Time | On-Site | Los Angeles, CA Why CMTS? Every... ...foundation for continued success, providing project and construction management services... ...delivery, contract administration, dispute resolution, and stakeholder...SeniorFull timeContract workLocal area$193k - $222k
...Role We are seeking an experienced Senior Project Manager I to join our team and lead the successful... .... Resolve construction issues, disputes, and contract‑related challenges. Review... ...$222,000 a year Equal Opportunity Provider Avsar Construction is an Equal...SeniorContract workFor contractorsWork at office$196.12k - $224.14k
The Senior Project Manager is expected to manage multiple Campus Projects simultaneously ranging in... ...requirements, monitoring, reporting and providing recommendations and solutions to the... ...schedule, costs, budget, staffing, delays, disputes, changes, and compliance with Standard...SeniorFull timeContract workFor contractorsRelocationFlexible hours$205k - $220k
...making a difference. Position Title Senior Project Manager II Location Los Angeles Unified... ...as necessary) Duties Manages and provides construction oversight to OARs... ...construction project related issues, disputes, and disagreements Develops, assigns...SeniorFull timeContract workTemporary workWork at officeLocal area$25 - $50 per hour
(Hiring)Senior Case Manager (Onsite) (Pay is $25-$50 + Benefits) (Pay Varies depending on experience... ...become a part of our team! You will provide overall support to attorneys' business... ...to help in the negotiation of legal disputes Monitor and ensure compliance withstate...Senior$82.6k - $162.8k
...Work You’ll Do As a Project - Senior Consultant, Forensics and... ...projects or workstreamsAbility to manage and prioritize multiple tasks... ...to meet deadlinesAbility to provide clear guidance to others The... ...laundering, discovery, business disputes and investigations. Protect...SeniorLocal area$173.08k - $276.47k
...responsible for the project’s contract and change management, workplan, project controls and... ..., encompassing contractual changes and dispute resolution processes. This position is also... ...Manager and Discipline Design Managers. Provides forecast data to OBM and DB Business....SeniorFull timeContract workFor contractors$218k - $223k
...construction projects to serve as a Senior Project Manager II for a large educational client within... ...the below duties: Manages and provides construction oversight to OARs... ...construction project related issues, disputes, and disagreements Develops, assigns...SeniorFull timeContract workWork at officeLocal areaImmediate start$160k - $220k
...than BNBuilders! Job Summary The Senior Project Manager is responsible for accomplishing... ...contributions (including BNB match). We provide both traditional (pre-tax) and Roth (post... ...and construction likely to give rise to disputes and claims. Responsible for...SeniorTemporary workFor contractorsFor subcontractorWork at officeImmediate start$200k - $228k
...Senior Project Manager Cordoba Corporation, a leading civil engineering firm based in California... ...construction project related issues, disputes, and disagreements. Develops, assigns... ...of multiple construction projects. Provides functional direction over areas of...SeniorFull timeContract workWork at officeLocal areaFlexible hours- ...Senior Human Resources ManagerArcadia Products, LLC is seeking an... ...experienced Senior Human Resources Manager to lead the Human Resources... .... The role will also provide leadership, direction, and accountability... ...administrators on complex, disputed, or litigated claims.Employee...SeniorLocal area
- ...family. About the Role PADCOM Design & Construction Management Services is seeking a Senior Project Manager II to provide advanced oversight and leadership for LAUSD... ...complex construction project issues and disputes. Assign and monitor OAR performance across multiple...SeniorFull timeContract workFor contractors
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...your ideas. Job Responsibilities Lead and manage fraud investigations, forensic accounting... ..., contract compliance matters, and dispute and litigation consulting engagements. Review... ..., deliverables, and presentations. Provide leadership to engagement teams by supervising...SeniorContract workWork at officeLocal areaFlexible hours$117.51k
Job Category: Management/Executive Department: Claims Integrity Location... ...the state of California to provide health coverage to low-income... ...purpose. Job Summary The Senior Manager, Claims Adjustments manages... ..., including provider disputes, escalated claim reviews, complex...SeniorFull timeContract work$150k - $200k
...Positions We're seeking Senior Schedulers to support large,... ...schedule analysis on disputed delays using as-planned versus... ...project, construction, and risk management software (e.g., Primavera P6,... .../year ($72-$96/hour). Luster provides the salary range that the company...SeniorContract workTemporary workWork at officeLocal areaRelocationFlexible hours- The Senior Project Manager plays a vital role in helping the organization execute its expansion and... ...Supports in resolving RFIs and field issues, providing timely guidance that keeps projects... ...change orders, quality issues, and disputes Solicits competitive bids from...SeniorFor contractorsLocal area
$185k - $225k
...in Project and Construction Management for major public-sector agencies. We are seeking a Senior Project/Construction Manager... ...About the Role: This role provides leadership and oversight for... ...construction-related issues and disputes, and maintain full accountability...SeniorFull timeContract workFor contractorsLocal area
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