- LA Care Health Plan (Los Angeles, CA)
- Director , Payment Integrity Job Category: Management/Executive Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... to support the safety net required to achieve that purpose. Job Summary The Director , Payment Integrity defines the payment integrity operating… more
- 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
- TEKsystems (Martinez, CA)
- …partners to align claims operations, with accountability for claims adjudication, payment integrity , regulatory compliance, and vendor oversight across Medi-Cal, ... oversight of all CCHP claims operations, including claims adjudication, adjustments, payment integrity , and recovery activities * Setting departmental strategy,… more
- 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 Time ... the safety net required to achieve that purpose. Job Summary The Director , Claims Administration, governs enterprise outcomes and risk controls, introducing a… more
- LA Care Health Plan (Los Angeles, CA)
- …consistent, predictable outcomes across Claims Administration, Configuration, Payment Integrity , and related operational areas. The Director oversees ... Director , Center of Excellence and Quality Assurance Job...adopt compliant practices. Directs compliance monitoring of claims processing, Payment Integrity interventions, configuration changes, and related… more
- LA Care Health Plan (Los Angeles, CA)
- …and optimizing LA Care's core administrative functions, including Claims Administration, Payment Integrity , Configuration, Electronic Dara Interchange (EDI) and ... and multi-functional departments in managed care operations, including Claims Administration, Payment Integrity , Configuration, or similar functions At least 8… more
- Mastercard (San Francisco, CA)
- …and governments realize their greatest potential._ **Title and Summary** Director , Agentic Commerce Solution Engineering Director , Solution Engineering, ... providers, startups, large issuers, digital wallets, merchants, acquirers, and payment service providers to execute Mastercard's digital strategy, while identifying… more
- University of Southern California (Los Angeles, CA)
- …is seeking a strategic leader to serve as Senior Administrative Director , Student Financial Services. This senior-level position provides vision, leadership, and ... Financial Services, including University Collections and Student Account Services. The Director plays a critical role in supporting students while ensuring fiscal… more
- PayJunction (Santa Barbara, CA)
- PayJunction is seeking a Director of Strategic Partnerships to lead, expand, and inspire a high-performing team while scaling our No-code Payment Integration ... For PayJunction, it represents a massive, untapped market. As Director , you will build and scale these partnerships into...transact with others. We just happen to make great payment systems. If you love helping others succeed, in… more
- Evolent (Sacramento, CA)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Director , Client Value** **About Evolent** Evolent Health partners with health plans and ... We are committed to transforming healthcare for the better. **Role Overview** The ** Director , Client Value** will serve as a key member of the Client Value… more