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
$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$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- ...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
$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$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$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- ...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
- Regal Medical Group is seeking a Claims Processor to evaluate and assist in the processing of all claims. You will maintain workflow, monitor claims, and support management while ensuring compliance with regulations. The ideal candidate will have experience in claims adjudication...ClaimsFull time
$90k - $105k
...a diligent and proactive Risk Manager - Operations, Property and Casualty to join our Finance... ...activities and exposures. Claims Management Serve as the primary point of... ...frequently and implement their recommendations. Compliance and Recordkeeping Ensure compliance with...ClaimsWork at office- 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
$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
...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$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$117.51k
...alert: Senior Manager, Payment Integrity Operations Job Category: Management/Executive... ...function. Strengthens the reliability of claims processing, increases automation and cost... ...and post-pay activities. Partners with Compliance and SIU on cases requiring heightened review...ClaimsDaily paidFull timeContract workWork 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$86.4k - $184.8k
...leadership and oversight for centralized clerical operations and correspondence services within a highly... ...responsible for the strategic direction, governance, compliance, and performance of complex programs supporting claims operations, mailroom services, billing...ClaimsWork at office- ...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- Vista Del Mar in Los Angeles is seeking a Claims Specialist for Quality Assurance and Compliance, focusing on client information and funding eligibility. This role requires managing submissions to the LA County Department of Mental Health, ensuring accurate data and claims...Claims
- ...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
- ...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
- ...quality, taste, and presentation promptly and work with Chefs and operation managers to take appropriate action. Provide culinary... ...ensure adherence to established recipes and standards. Ensure compliance with all local, state, and federal laws regarding food quality...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$35 - $37 per hour
...HCSG leadership to perform daily tasks. Compliance with COVID-19 vaccination policies... ...Manager, Nutrition Supervisor, Food Service Director, Diet Tech, Diet Technician, Dietetic... ...law requirements that govern nondiscrimination in every location where we operate....Local area$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$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$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...$50k
...IMAX, Netflix, NBCUniversal, Pluto TV, and Sony. The Role The Director, Operations is MACH27’s day‑to‑day operations leader — the person... ...operational needs without duplicating the VP, IT’s strategic and compliance accountabilities Communicate with the account services, A/V...Contract workWork at officeFlexible hours$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
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