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 L.A. Care Health Plan
$85k
...We are looking for a Dental Practice Operations Manager to join our practice Santa Monica... .... ~ Audit daily workflows for compliance and consistency with Imagen policies; retrain... ...~ Ensure patient credits, refunds, claims, and cash deposits are processed accurately...ClaimsDaily paidWork at officeLocal areaRelocation package$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$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- ...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
$30 per hour
...proactively with clients on how to improve our operations. Hire, develop, train, and supervise... .... Monitor and review all damage claims. Recommend and implement plans or... ...Implement all policies and procedures to ensure compliance with all OSHA laws. Qualifications...ClaimsHourly payTemporary workWork at officeFlexible hours- ...collaboration. What you’ll do As Operations Manager, you will be... ...and scalability Compliance & risk management Ensure all... ...visibility ~ Reduced customer claims and improved service quality... ...experience, scope, and level (Director or VP). Our benefits include...ClaimsWorldwide
- ...Outbound Operations Coordinator Pixi Inc. - Los Angeles, California (On-site) Our Company... ...new shipping manuals and ensuring compliance to established requirements. Reconciling... ...Assisting with chargebacks and customer claim investigations, managing the log and...ClaimsWork at officeWorldwideNight shift
$117.51k
...Senior Manager, Payment Integrity Operations Job Category: Management/Executive Department... .... Strengthens the reliability of claims processing, increases automation and... ...and post-pay activities. Partners with Compliance and SIU on cases requiring heightened review...ClaimsDaily paidFull timeContract workWork at office$80k - $82k
...doing it. Position Summary: The Operations Manager will serve as the operational owner of the Pear Suite billing and claims workflow for CalAIM Community Supports. This... ...are billed accurately, timely, and in compliance with payer and regulatory requirements. This...ClaimsTemporary workFor subcontractor$115.44k - $148.15k
Astrana Health, Inc. seeks a Senior Manager - Claims in Monterey Park, CA to lead the claims operations team. This hybrid role involves ensuring quality metrics, compliance with regulations, and managing claims inventory for timely processes. The ideal candidate possesses...Claims$35.91 - $44.88 per hour
...Operations Specialist If you are as passionate about helping those in need as you are about... ...functions, including but not limited to Claims Operations, Provider Network Management,... ...activities, tracking regulatory compliance, facilitating cross-functional submissions...ClaimsHourly payFlexible hours$125k - $140k
Astrana Health Management is seeking a Sr. Manager - Claims to oversee daily claims processing and ensure quality and compliance. In this role, you will lead a team to drive operational execution and resolve escalations. The position requires a Bachelor's degree and management...Claims$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- Outbound Operations & EDI Manager Pixi Beauty - Los Angeles (On-site) Your Role We are looking... ...to ensure efficiency, accuracy, and compliance with company standards and customer... ...fulfillment and the transportation cycle. Manage claims processes with our freight forwarder,...Claims
$36k - $52k
...SUMMARY The Operations Administration Specialist performs a variety of routine daily tasks... ...and/or directions. Ensures compliance with established Bank policies and procedures... ...staff. 7. Conduct investigations into claims of fraudulent activity including...Claims- ...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$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$186.62k - $231.19k
Executive Director, Finance and Business Operations $186,624 to $231,192 Annually Under administrative direction... ...information, propositions, and claims Decision Making - Choosing optimal... ...Understanding, interpreting, and ensuring compliance with laws and regulations...ClaimsWork at officeLocal areaImmediate startRemote work- ...off Training & development The Intake Operations Manager is responsible for overseeing the... ...to improve ROI SOPs, Tracking & Compliance Own creation, implementation, and continuous... ...retained clients to admin, medical, and claims teams Collaborate with downstream...ClaimsFull time
$59.87k - $80.68k
...core values to ensure the public's trust, operate efficiently and cost effectively, and... ...quality to ensure accuracy, timeliness, and compliance with established performance... ...this position. LACERA will not consider claims of not viewing or receiving notification...ClaimsPermanent employmentFull timeTemporary workPart timeWork experience placementSecond jobSeasonal workWork at officeLocal areaRemote workMonday to FridayFlexible hours2 days per week$28 - $30 per hour
...Handle customer complaints and day-to-day operational issues. Act as liaison between... .... Act as point of contact for damage claims and ensure each incident is dealt with completely... ...of payroll for Propark staff. Ensure compliance of company and client policies and...ClaimsHourly payFull timeSeasonal workWork at officeFlexible hoursShift workWeekend workDay shiftAfternoon 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...ClaimsFull timeContract workFor contractorsWork at office
$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$90k - $105k
...someone who can navigate detailed claims analysis with finance... ...one hour and walk a department director through a facilities risk concern... ...coordinating with security, operations, HR, and outside counsel as... ...implement recommendations Ensure compliance with all insurance-related...ClaimsFull timeWork at office- ..., Defense and Industrial products company seeking a strong Director of Operations supporting their business growth. Ensure plant operations... ...legislation and standards. A keen focus on regulatory compliance a plus. Proven management experience in process plant....
- ...Our client is a fast-growing company operating within the renewable energy and electrification... .... Position Overview The Director of Operations will lead and scale the company... ...management, systems implementation, compliance, and process optimization across the organization...Contract work
$120k - $150k
...together with its controlled subsidiaries, operates across multiple technology-driven areas,... ...management and the PAR team’s local compliance and governance function. This person will... ...execution, payment tracking, incentive claims, and settlement procedures. Design and...ClaimsFull timeContract workCasual workLocal area$20 - $28 per hour
...that are essential to the success of our clients’ personal injury claims. The ideal candidate is experienced in handling confidential... ...all necessary medical records are on file Maintain strict compliance with HIPAA and firm confidentiality policies Qualifications:...ClaimsHourly payFull timeWork at officeImmediate startRelocationMonday to FridayShift workAfternoon shiftEarly shift$116.3k - $264.6k
The UCLA Outpatient Clinics is seeking a Director of Physicians' Billing Office to oversee customer service operations, guarantor billing, and collections while driving service excellence. This role ensures compliance and operational improvements through collaboration...Work at office
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