- Prime Healthcare (Ontario, CA)
- …+ A minimum of seven (7) to ten (10) years prior work experience in Claims Operations and Health Plan Strategy, in a Managed Care, Self-Funded or hospital ... requires relocating to Ontario, California. TheVice President of Health Plan Operations and Claims is responsible for the development and execution of Claim … more
- Zurich NA (Gold River, CA)
- …Experience managing commercial general liability claims . + Leadership experience in claims or operations . + Strong negotiation and analytical skills. At ... Claims Team Manager, General Liability (National Accounts) 127498...fostering a collaborative and supportive workplace culture. + Optimize Operations : Monitor team resources, allocations, and expenditures to manage… more
- Providence (Mission Hills, CA)
- …years of experience of acquired in-depth technical knowledge of functional area ie, claims operations , + HMO products, industry claims processing procedures, ... **Description** Working under the general supervision of the Claims Director, provide an effective education program to...to advance the quality and production level of the Claims Department by developing and delivery claims … more
- Zurich NA (Gold River, CA)
- …Liability 126572 Zurich is currently seeking an AVP to direct and oversee the operations of our Claims General Liability leadership team. We're seeking an ... dynamic leader to guide and support a high-performing team of Managers and Claims Professionals within our General Liability Specialty Team. In this pivotal role,… more
- LA Care Health Plan (Los Angeles, CA)
- …to achieve that purpose. Job Summary The Claims Supervisor works with the Claims Manager to oversee the daily operations of the claims department. ... Supervisor, Claims Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 12722… more
- Ryder System (Sacramento, CA)
- …+ Primary backup for the Senior Director assisting with all aspects of the operations + Leads and directs claims managers, office manager, and supervisors as ... here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and Auto Liability… more
- Dignity Health (Bakersfield, CA)
- …The Claims Recovery Manager is responsible for leading the recovery operations within the MSO Claims department. This role oversees all efforts ... or GED + Minimum 5 years of progressive experience in healthcare claims recovery, payment integrity, or post-payment audit functions, preferably within a multi-plan… more
- LA Care Health Plan (Los Angeles, CA)
- …Experience Required: At least 5 years of experience in a Systems Configuration, Claims or other Operations department in a healthcare organization. Advanced ... management services organization. Skills Required: Advanced understanding of managed care operations (including but not limited to, claims processing; provider… more
- Alameda Health System (San Leandro, CA)
- …access (scheduling, registration, and referral coordination and revenue cycle operations (billing, claims , denials, authorizations, registration related edits, ... Director, Ambulatory Access & Revenue Operations + San Leandro, CA + Fairmont Hospital...- scheduling, registration, and referral coordination. Revenue - billing, claims , denials, authorization, and registration impact Determines access and… more
- Humana (Sacramento, CA)
- …They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... with Optum WebStrat or PSI applications + Experience reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing basic… more