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
- ...for better? Job Description The Operations Coordinator, PB Coding reflects the mission... ...'s Code of Ethics and Corporate Compliance Program, and complies with all relevant... ...expertise; helps identify and resolve incorrect claim issues and is responsible for drafting...ClaimsRemote work
$98k
...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...ClaimsTemporary workWork at officeFlexible hours$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
...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$85k
...Shuttle Services Manager - Shuttle Operations - Westin LAX Apr 27, 2026 $85K At Towne Park... ...of the equipment/vehicles and ensuring compliance of all transportation requirements and record... ...metrics for forecasting, productivity, claims, customer service, and turnover. Ensures...ClaimsHourly payTemporary workWork experience placementLocal areaAll shiftsShift work$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- ...Requirements 0-2 years of experience in HR operations, HR administration, data entry, or a... ...where accuracy directly impacts payroll, compliance, and employee experience High level of integrity... ..., promotions/demotions, unemployment claims, and offboarding Tier 1 employee support...ClaimsFor contractorsInternshipWork at office3 days per week
$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
- 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$99k - $232k
...Operations Consulting Generalist Manager At PwC, our people in operations consulting specialise in providing consulting services on optimising... ...in payer back office operations Specialization in claims, enrollment, billing, and membership Familiarity with technology...Claims$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- ...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
$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$36k - $52k
...Operations Administration Specialist The Operations Administration Specialist performs... ...recommendations and/or directions. Ensures compliance with established Bank policies and... ...staff. # Conduct investigations into claims of fraudulent activity including contacting...Claims$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$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
$90k - $105k
...knowledge of insurance principles. Responsibilities include managing insurance renewals, serving as a point of contact for claims, and ensuring compliance with regulatory requirements. Salary is between $90,000 and $105,000 per year. #J-18808-Ljbffr Vaco Recruiter ServicesClaimsFull time$120k - $150k
Manager, PAR Commercial Operations & Governance The Company: Faraday Future is a California... ...management and the PAR team’s local compliance and governance function. This person will... ...execution, payment tracking, incentive claims, and settlement procedures. Design and...ClaimsContract workCasual workLocal area$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- ...aesthetics — a multi-brand, multi-site operating company spanning MedSpas and Functional... ...durable, growing businesses. We are hiring a Director of Operations to serve as a true... ...functional health) across the portfolio Vendor & Compliance Management Manage third-party vendor...Remote work
- ...-profile platform that is acquiring and operating best-in-class medical aesthetics businesses... ...collaboration. Role Overview The Director of Operations will play a critical role... ...dependencies. Vendor Management & Compliance Partner with Clinic Managers and the...Live inLocal areaRemote workRelocationFlexible hours3 days per week
- ...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
$4,000 per month
...back. We're searching for a visionary and results-driven Director of Operations to lead our restaurants to new heights. If you thrive in a... ...strategies that align with company objectives. Compliance: Ensure all locations comply with health, safety, and company...Local areaWeekend workAfternoon shift$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...
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