• Director Claims

    Ryder System (Sacramento, CA)
    …clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and ... third-party provider relationships (including consultants, legal counsel, insurers, and external claims administrators). The Director manages and oversees the… more
    Ryder System (11/22/25)
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  • Director II, Digital Claims

    Elevance Health (Los Angeles, CA)
    ** Director II, Digital Claims Operations (Dir II Digital Ops)** Location: This role requires associates to be in-office **3 days per week** , fostering ... resides within a commutable distance from an office._ The ** Director II, Digital Claims Operations** oversees a combined digital and operations unit(s); executes… more
    Elevance Health (10/10/25)
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  • Medical Director - OP Claims Mgmt

    Humana (Sacramento, CA)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (11/24/25)
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  • Claims Manager - Employment

    Stanford Health Care (Palo Alto, CA)
    …is a Stanford Health Care job.** **A Brief Overview** Under the direction of the Director , Claims & Litigation Strategy, the Claims Manager is primarily ... This position requires coordination with internal stakeholders and external partners. Assists Director , Claims & Litigation Strategy in other EPL claims more
    Stanford Health Care (11/26/25)
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  • Claims Manager - Workers Compensation

    Stanford Health Care (Palo Alto, CA)
    …is a Stanford Health Care job.** **A Brief Overview** Under the direction of the Director , Claims & Litigation Strategy, the Claims Manager oversees the ... Stanford Health Care Tri-Valley, and Stanford Children's Health. The Claims Manager acts as the primary liaison with the...liaison with the third-party administrator (TPA) to ensure proper claims handling and with internal partners to evaluate and… more
    Stanford Health Care (11/26/25)
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  • Education and Training Specialist - Claims

    Providence (Mission Hills, CA)
    **Description** Working under the general supervision of the Claims Director , provide an effective education program to advance the quality and production level ... of the Claims Department by developing and delivery claims training programs that continuously improves the Claims Department performance to meet the NSS… more
    Providence (11/11/25)
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  • Senior Forensic Claims Analyst

    Fluor (Fresno, CA)
    …Central Valley. Under the general direction of the Director and Deputy Director of the PMO/forensics & Claims , this role is responsible for developing ... also responsible for reviewing and analyzing Contractors' Time Impact Analyses and claims and assisting with the rebuttal responses. In addition to forensic analysis… more
    Fluor (08/30/25)
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  • PCO Medical Director - UM - Part Time…

    CenterWell (Sacramento, CA)
    Director , Primary Care relies on medical background and reviews health claims . The Medical Director , Primary Care work assignments involve moderately complex ... Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where the… more
    CenterWell (11/06/25)
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  • Medical Director - Medicaid N. Central

    Humana (Sacramento, CA)
    …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (10/25/25)
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  • Medical Director , Medicare Grievances

    Humana (Sacramento, CA)
    …The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director works on problems of diverse scope and ... complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of services… more
    Humana (11/19/25)
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