- LA Care Health Plan (Los Angeles, CA)
- Director , Claims Administration Job Category: Management/Executive Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full ... the safety net required to achieve that purpose. Job Summary The Director , Claims Administration , governs enterprise outcomes and risk controls, introducing… more
- TEKsystems (Martinez, CA)
- …efficiency. Job Description: Contra Costa Health is offering an excellent opportunity for a Claims Director . The Claims Director plays a leadership ... and the financial integrity of the health plan. The Claims Director works closely with executive leadership...accredited college or university with a major in business administration , finance, accounting or a closely related field. *… more
- 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 ... considered if candidate resides within a commutable distance from an office._ The ** Director II, Digital Claims Operations** oversees a combined digital and… more
- The County of Los Angeles (Los Angeles, CA)
- NURSING DIRECTOR , ADMINISTRATION ( Director , Workforce Management and Operations) Print ... (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3110377) Apply NURSING DIRECTOR , ADMINISTRATION ( Director , Workforce Management and… more
- LA Care Health Plan (Los Angeles, CA)
- Senior Manager, Electronic Data Interchange and Claims Data Operations Job Category: Management/Executive Department: Claims Data and Support Services Location: ... This position ensures that all electronic and paper-to-electronic data supporting claims and administrative operations is accurate, timely, and compliant with… more
- LA Care Health Plan (Los Angeles, CA)
- …accuracy, reduces defects, and ensures consistent, predictable outcomes across Claims Administration , Configuration, Payment Integrity, and related operational ... areas. The Director oversees enterprise claims quality auditing, ...by validating impacts on quality. Partners with Configuration and Claims Administration to ensure system logic and… more
- Travelers Insurance Company (Diamond Bar, CA)
- …include the selection, training, development, performance management and compensation administration of staff. **What Will You Do?** + Attract, Retain ... implement strategies and plans to address staff professional development up through Director level positions. Ensure training needs are identified and addressed on… more
- LA Care Health Plan (Los Angeles, CA)
- …leading and optimizing LA Care's core administrative functions, including Claims Administration , Payment Integrity, Configuration, Electronic Dara Interchange ... Senior Director , Core Administrative Operations Job Category: Management/Executive Department:...teams and multi-functional departments in managed care operations, including Claims Administration , Payment Integrity, Configuration, or similar… more
- University of Southern California (Los Angeles, CA)
- … Director will be responsible for the day-to-day operations alongside the Director of Health Plans Administration of USC's self-funded and fully-insured ... of SVP for Health Affairs is seeking an Associate Director to join its Health Plans team! The Work...AVP of Health Plans. Main responsibilities will include plan administration , oversight of operations and strategy of wellness and… more
- LA Care Health Plan (Los Angeles, CA)
- …of Payment Integrity findings, recoveries, and interventions. Collaborates with Claims Administration , Configuration, Provider Network Management, EDI, ... Director , Payment Integrity Job Category: Management/Executive Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time… more