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
- ...proactively with clients on how to improve our operations. Hire, develop, train, and supervise a... .... Monitor and review all damage claims. Recommend and implement plans or programs... ...Implement all policies and procedures to ensure compliance with all OSHA laws. Qualifications What...ClaimsWork at office
$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 to manage a high-volume claims environment and serve as a central point... ...administration, risk coordination, compliance support, and including Workers’ Compensation...ClaimsWork at office
$125k - $150k
...across five countries in Latin America, we operate at the intersection of speed, precision,... ...to warehouse management and cold-chain compliance. You will be on the ground, solving... ...on-time performance, shipment accuracy, claims rate, warehouse throughput, and cost per...ClaimsLocal area$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$90k
...Us We are looking for a Dental Practice Operations Manager to join our practice Santa Monica... ...collections. Audit daily workflows for compliance and consistency with Imagen policies;... ...needed. Ensure patient credits, refunds, claims, and cash deposits are processed accurately...ClaimsDaily paidWork at officeLocal areaRelocation package$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- ...drawback experiences. This role involves preparing duty drawback claims and handling import and export documents. The ideal candidate... ...skills, expertise in Microsoft Excel, and a proactive approach to compliance in a heavily regulated industry. Join a dynamic team at...Claims
- 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
$62.5k - $80k
...app on iOS & Android. Summary As a People Operations Specialist, you will run the day-to-day... ...across HR operations, HR technology, compliance, and immigration. This is an early-career... ...changes, promotions/demotions, unemployment claims, and offboarding. Tier 1 employee...ClaimsFull timeFor contractorsInternshipWork at officeRemote workFlexible hours3 days per week$90k - $105k
...diligent and proactive Risk Manager - Operations, Property and Casualty to join our Finance... ...activities and exposures. Claims Management Serve as the primary point... ...and implement their recommendations. Compliance and Recordkeeping Ensure compliance with...ClaimsWork at office$35.91 - $44.88 per hour
...every day. Job Overview The AHN/AHNSSP Operations Specialist supports the AHN Operations and... ...functions, including but not limited to Claims Operations, Provider Network Management,... ...activities, tracking regulatory compliance, facilitating cross-functional submissions...ClaimsHourly payFlexible 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- ...well as a working familiarity with local compliance obligations in a B2B commercial context... ...of professional experience in customer operations, account management, commercial operations... ...execution, payment tracking, incentive claims, and settlement procedures Design and maintain...ClaimsContract workLocal area
$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$70.3k - $72k
...This JobThe Commercial Deposit and Risk Operations Associate provides critical operational... ...and case management, ACH operations and compliance, Positive Pay administration, and ongoing... ...Authorization (POA) requests, and Late Return Claims in accordance with NACHA rules and...ClaimsWork at officeLocal area- ...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
- ...Description Job Description Oversees daily operations, managing staff (hiring, scheduling,... ..., complaints, communication), and compliance (OSHA, HIPAA) to ensure smooth practice... ...Oversight: Managing billing, insurance claims, collections, payroll, budgeting, and financial...Claims
$30 - $33 per hour
...HCSG leadership to perform daily tasks. Compliance with COVID-19 vaccination policies... ...Manager, Nutrition Supervisor, Food Service Director, Diet Tech, Diet Technician... ...federal law requirements that govern nondiscrimination in every location where we operate....Local area$38k - $63k
...billing, and payer audit follow-up for government and non-government claims. Must work with other departments to facilitate the meeting of... ...keeps management informed of patterns regarding billing edits, compliance issues, payments and or other issues with specific payers....ClaimsTemporary workImmediate startFlexible hours- ...SUMMARY OF POSITION Soffa Electric, Inc. is seeking a Director of Operations to lead and optimize the company’s operational departments,... ...panels, and field services on schedule, while maintaining compliance with UL panel shop standards and industry best practices....Work at officeRelocation
$99k - $130k
...is powered by Lattice OS, an AI-powered operating system that turns thousands of data streams... ...; audit for quality, consistency, and compliance Health & Safety: Ensure adherence to... ...any questionable or fraudulent outreach claiming to be from Anduril, please report it immediately...ClaimsFull timeWork experience placementWork at officeLocal areaImmediate startRemote work$250k - $350k
...prevent avoidable hospitalizations and transform senior-care operations. Our Circadia Intelligence Platform combines: Contactless sensing... ...insights directly into EHR, care-coordination, billing, and compliance systems Today our technology touches 40,000+ post-acute patients...Contract work$110k - $140k
...The People Concern is seeking a Senior Director of Operations for TPC Homes in Los Angeles. This role focuses on building operational systems and compliance while supporting a mission to provide stable housing for those in need. Ideal candidates will have 7-10 years in...$150k - $175k
...Director of Operations – El Segundo, CA Responsibilities Provide strategic and day-to-day leadership across property operations, including leasing... ..., performance management, and retention. Monitor compliance with Operations and Accounting policies and procedures. Collaborate...- ...everyday girl's ever-changing schedule. About the Role The Director of Operations will oversee all operational functions across logistics, fulfillment... ...updates, changes, and improvements to internal teams. 6. Compliance, Insurance & Risk Management Oversee company‑wide insurance...Weekend work
$110k - $140k
...Description Posted Tuesday, May 5, 2026 at 10:00 AM Role: Senior Director of Operations, TPC Homes Reports to: Executive Director, TPC Homes... ...You'll create the infrastructure, systems, processes, and compliance capabilities that enable our team to operate at best-in-class...Full timeTemporary workWork at officeLocal areaFlexible hoursShift work$80k - $85k
...Position Overview The central role of the Director of Finance & Operations (DFO) will be to provide direction,... ...so that the organization is in compliance. Ensure that any personnel contracted... ...leave. Manage all insurance claims, including worker’s compensation and...Full timeTemporary workFor contractorsWork at officeLocal areaRemote workWeekend workAfternoon shift- The Anti-Defamation League in Los Angeles is seeking a Director of Program and Operations. This role involves supporting operational initiatives and overseeing logistics while leading teams for maximum efficiency. The ideal candidate will possess significant strategic...Work at office3 days per week
- ...Position Title: Program Operations Supervisor I Department:... ...Detox Reports To: Program Director POSITION SUMMARY Responsible... ...credentialing registration, claims management, billing, collections... ...supervision of documentation compliance in medical records. Chart...ClaimsWork at officeFlexible hoursShift work
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