• 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 ... considered if candidate resides within a commutable distance from an office._ The ** Director II Digital Claims Operations** oversees a combined digital and… more
    Elevance Health (09/23/25)
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  • Liability Claims Manager *Remote.…

    Providence (CA)
    …Risk Management (CPHRM) * 2 years of healthcare professional liability ( medical malpractice) claims processing or management experience * Insurance ... and to assist the SVP Chief Risk Officer, Executive Claims Director , and Senior Manager Claims...combination of education and experience In the insurance industry; claims management ; or legal handling of … more
    Providence (09/12/25)
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  • Workers' Compensation Claims Advocate

    HUB International (San Diego, CA)
    …aggressively for client interests + Monitor claim reserves, settlement negotiations, and medical management decisions + Coordinate with insurance carriers, TPAs, ... corporate risk managers + Collaborate closely with the dedicated claims director and account service teams to...interpret claim data and identify trends + Proficiency in claims management systems and Microsoft Office Suite… more
    HUB International (09/19/25)
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  • Senior Forensic Claims Analyst

    Fluor (Fresno, CA)
    …skills. * Required Knowledge of; analysis methodologies for complex construction projects'; claims management and support; construction contracts. * Ability to ... High-Speed Rail Authority, to provide program delivery and program management services for one of the largest planned infrastructure...general direction of the Director and Deputy Director of the PMO/forensics & Claims , this… more
    Fluor (08/30/25)
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  • Senior Medical Director - Sharp…

    Sharp HealthCare (San Diego, CA)
    …for the position, and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for ... Program and Quality Improvement Program, in conjunction with the Director of PHM/ Medical Management ...Improvement Director . + Assists in POS/PPO Case Management and high-cost review with CMO and Claims… more
    Sharp HealthCare (07/19/25)
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  • Medical Director , Global…

    Otsuka America Pharmaceutical Inc. (Sacramento, CA)
    …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible ... , Franchise Lead CNS Early Assets. **Position Summary:** The Medical Director , Global Medical Affairs,...for any assigned assets in development. + Support lifecycle management initiatives and planning for assigned assets as applicable.… more
    Otsuka America Pharmaceutical Inc. (07/16/25)
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  • Medical Director - Gulf South

    Humana (Sacramento, CA)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
    Humana (10/03/25)
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  • Nursing Director , Administration…

    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 Operations) Salary $163,996.80… more
    The County of Los Angeles (09/03/25)
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  • Associate Director , Commercial Data…

    Otsuka America Pharmaceutical Inc. (Sacramento, CA)
    **Job Summary** The Associate Director (AD), Commercial Data Management (CDM) within Data Enablement (DE) for Business Analysis (BA) is accountable for ... and utility of Otsuka's data assets. **Job Description** Reporting to the Director CDM, this role will be responsible for providing strategic insight and… more
    Otsuka America Pharmaceutical Inc. (08/13/25)
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  • Medical Director , Structural Heart

    J&J Family of Companies (Irvine, CA)
    …candidates from any location to apply. We are searching for the best talent for ** Medical Director , Structural Heart** . **Role Purpose** The Director will ... of evidence generation and dissemination activities that support product approvals, claims development, and product adoption and lifecycle management , and… more
    J&J Family of Companies (09/13/25)
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