Director of Claims Operations & Compliance
$135.14k - $216.22kL.A. Care Health Plan
A leading health care provider in Los Angeles is seeking a Director of Claims Administration to oversee the claims ecosystem and ensure compliance with regulatory standards. The position requires managing a team, introducing preventive controls, and improving operational efficiency. The ideal candidate should possess extensive experience in healthcare claims and leadership skills. A Bachelor's degree is required, with a preference for a Master's degree in Business Administration. The role offers a salary range of $135,136 - $216,218. #J-18808-Ljbffr
- ...Director of Operations Multi-Specialty Medical Billing (ED, Anesthesia, Hospitalist, ICU) Location... ...including missed charges, under-coded claims, denial patterns, aging AR, and... ...matter experts (coding, billing, IT, compliance), and define a clear, actionable remediation...ClaimsFull timeLocal area
- ...Job Title Director of Operations, Employee Benefits Department Employee Benefits | Student Insurance... ..., wholesale broking, programs, and claims services. Venbrook and its brands provide... ...accuracy and leadership visibility. Compliance Oversight : Own compliance for all divisions...ClaimsWork at office
$150k - $175k
...Senior Director of Enterprise Risk & Legal Operations Are you passionate about giving back to your community and serving... ...translate legal, insurance, and compliance requirements into clear guidance... .... Support legal strategy for claims, regulatory issues, investigations...ClaimsFull timeContract workSummer workInternshipWork at officeWork from homeMonday to FridayWeekend workAfternoon shift$175k - $190k
...Job Description Job Description Director of HR Operations (Right hand person to SVP of HR)... ...leadership to drive HR initiatives across compliance, employee relations, performance... ...Administer workers’ compensation claims and coordinate return-to-work efforts...ClaimsRemote workMonday to FridayMonday to Thursday- ...L.A. Care Health Plan is seeking a Senior Manager for Claims Administration to oversee daily operations in claims adjudication. This individual will lead efforts to ensure compliance and efficiency across the claims process, coordinating closely with management to align...Claims
$270k
...Operations Manager Job Locations US-CA-Los Angeles Requisition ID... ...ensure Company and sub-contractor safety compliance. Reviews proposed project plans to ensure... ...Proven knowledge and ability to manage claims process and negotiate with Owner regarding...ClaimsFull timeContract workFor subcontractor- ...a highly organized and detail-oriented Operations Manager to support day-to-day agency-wide... ...initially be tasked with managing a high-volume claims environment and serving as a central... ...administration, risk coordination, compliance support, and including Workers' Compensation...ClaimsWork at office
$85k
...Overview We are looking for a Dental Practice Operations Manager to join our practice Santa... ...collections. Audit daily workflows for compliance and consistency with Imagen policies; retrain... .... Ensure patient credits, refunds, claims, and cash deposits are processed...ClaimsDaily paidWork at officeLocal areaRelocation package$125k - $150k
...Operations Manager Apollo Freight LAX - Los Angeles, CA 90045 Overview Salary Range... ...to warehouse management and cold-chain compliance. You will be on the ground, solving problems... ...on-time performance, shipment accuracy, claims rate, warehouse throughput, and cost per...ClaimsLocal area$70k - $75k
...proactively with clients on how to improve our operations. Hire, develop, train, and... ...standards. Monitor and review all damage claims. Recommend and implement plans or... ...Implement all policies and procedures to ensure compliance with all OSHA laws. Qualifications...ClaimsTemporary workWork at officeFlexible hours$90k - $105k
...Risk Manager - Operations, Property and Casualty The Skirball Cultural Center seeks a diligent... ...activities and exposures. Claims Management Serve as the primary point... ...and implement their recommendations. Compliance and Recordkeeping Ensure...ClaimsWork at office$85k
...of the equipment/vehicles and ensuring compliance of all transportation requirements and record... ...metrics for forecasting, productivity, claims, customer service, and turnover. Ensures... ...trip sheets; ability to perform these operations using units of American money and weight...ClaimsHourly payTemporary workWork experience placementLocal areaAll shiftsShift work$35.91 - $44.88 per hour
...day. Job Overview The AHN/AHNSSP Operations Specialist supports the AHN Operations... ...functions, including but not limited to Claims Operations, Provider Network Management,... ...readiness activities, tracking regulatory compliance, facilitating cross-functional...ClaimsHourly payFlexible hours$62.5k - $80k
...& Android. Summary: As a People Operations Specialist, you will run the day-to-day... ...support across HR operations, HR technology, compliance, and immigration. This is an early-... ...changes, promotions/demotions, unemployment claims, and offboarding. Tier 1 employee...ClaimsFull timeFor contractorsInternshipWork at officeRemote workFlexible hours3 days per week$36k - $52k
...Operations Administration Specialist The Operations Administration Specialist performs... ...recommendations and/or directions. Ensures compliance with established Bank policies and... ...staff. 7. Conduct investigations into claims of fraudulent activity including contacting...Claims$85k
...supervising transportation associates, maintaining equipment, ensuring compliance with transportation requirements, record keeping, and providing... ...and drives business metrics for forecasting, productivity, claims, customer service, and turnover; ensures accurate revenue...ClaimsTemporary workWork at officeLocal areaAll shiftsShift work- ...experienced and detail-oriented International Operations Specialist / Import Air & Ocean Agent to... ...while being knowledgeable with TSA compliance, Customs aspects, FMC, AES, and other... ...accurate billing, invoicing, file costing, claims processing, and margin control Resolve...ClaimsFull timeRemote workOverseasFlexible hours
$35.91 - $44.88 per hour
# **We value your privacy**AHN/AHNSS Operations Specialist page is loaded## AHN/AHNSS Operations... ...functions, including but not limited to Claims Operations, Provider Network Management,... ...activities, tracking regulatory compliance, facilitating cross-functional submissions...ClaimsHourly payLocal areaRemote workFlexible hours$129.8k - $145k
...Manager, Payroll & Benefits Operations at Two Chairs, you will lead... ...driving the operational execution, compliance and day-to-day management of... .... Reporting to the Senior Director, People Partners & Programs,... ...and TPAs to resolve escalated claims issues and enrollment discrepancies...ClaimsHourly payWork at officeLocal areaImmediate startWork from homeWork visa$100k - $125k
...motivating colleagues involved in back office operations under the guidance of an Operations... ...adheres to policies, procedures, and in compliance with Regulations. Ensure all team... ...experience 10+ years of Back Office (REG E claims, Return Item Processing, Check Adjustments...ClaimsWork experience placementWork at office$55k - $65k
...0 Basic Assignment : The Operations and Grant Manager (OGM) will... ...for maintaining operational compliance as it pertains to policies and... ...and child abuse reporting and claims, and maintaining a 1:20 staff... ...the immediate supervisor or director. Job descriptions are reviewed...ClaimsContract workWork at officeImmediate start$105k - $120k
...Manager (Los Angeles Regional Operations) Los Angeles, CA, USA • Job... ...market conditions. Work with the Director of Marketing to implement the... ...workers' compensation claims in accordance with company policies... ..., maintenance, leasing, compliance, marketing, IT, HR, accounting...ClaimsFull timeContract workTemporary workWork at officeLocal areaImmediate startMonday to FridayFlexible hours- ...Customer Experience & Order Operations Specialist Location: Hawthorne, CA Company: The... ...satisfaction. Returns, Damages & Shipping Claims · Process customer returns, damage... ...discriminated against or have concerns about our compliance, please contact our Human Resources...ClaimsFull timeWork at officeLocal area
- ...management and communication of company-wide risks. This role involves managing insurance procurement, developing compliance policies, and handling claims and litigation. The ideal candidate will have experience in risk management, strong analytical skills, and expertise...Claims
$120k - $150k
Your Role: Manager, PAR Commercial Operations & Governance is a senior leadership role within... ...management and the PAR team’s local compliance and governance function. This person will... ...execution, payment tracking, incentive claims, and settlement procedures. Design and maintain...ClaimsContract workCasual workLocal area- ...procurement, develops and implements risk management and compliance policies/procedures, and manages claims and litigation. Manages relationships with third... ...Casualty, General Liability, Workers' Compensation, Directors and Officers, and Cyber-risk policies. Coordinates...Claims
$80k - $90k
...ensure effectiveness, high performance and compliance. Demonstrates the ability to improve... ...metrics for forecasting, productivity, claims, customer service, and turnover... ...Uses only equipment trained to use and operates all equipment in a safe manner Reports...ClaimsHourly payTemporary workSeasonal workLocal areaImmediate startAll shiftsShift workAfternoon shift- .... Reporting to the Head of Capital Projects, this role ensures compliance with institutional policies, California Public Contract Codes,... ...Management, oversees insurance and bonding requirements, and manages claims to protect Getty’s interests Process Improvement: Develops and...ClaimsFull timeContract workFor contractorsWork at office
- ...employees and enable business success. Ensures compliance with applicable laws and regulations as well as Standard Operating Procedures. CANDIDATE PROFILE... ...services provider to respond to unemployment claims. • Attends unemployment hearings and ensures...ClaimsFull timeWork experience placementLocal area
$138k - $172.5k
...goals. Your day‑to‑day may include: Review operational, financial, and technology processes to... ...fraud prevention, internal control, and compliance. Perform engagement management... ...patient access, revenue integrity, coding, claims processing, billing, and reimbursement,...ClaimsWork at office
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