- UCLA Health (Los Angeles, CA)
- Description As a Claims Compliance Lead , you will play a critical role in in ensuring the timely, accurate, and compliant processing of health insurance ... claims workflows, coordinating with internal departments, and maintaining compliance with organizational and regulatory standards. You will: + Coordinate and… more
- LA Care Health Plan (Los Angeles, CA)
- Financial Compliance Auditor III Claims Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: ... required to achieve that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for...Care. This role works closely with the Supervisor and/or Lead Auditor on identification and resolution of issues in… more
- Sedgwick (Riverside, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead (Supervisor) Workers Compensation **PRIMARY PURPOSE:** To supervise ... and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards.… more
- ICW Group (Sacramento, CA)
- …This position exists to oversee, lead , and guide a unit of Claims staff while working in compliance with Company philosophies, practices, and procedures. ... responsibilities. + Develops, mentors and guides a unit of Claims staff while working in compliance with...unit of Claims staff while working in compliance with company philosophies, practices, and procedures. + Provides… more
- Zurich NA (Gold River, CA)
- Claims Team Manager, General Liability 116047 Zurich North America is hiring a Team Manager - General Liability to join our team! We are open to hiring talent in one ... Park KS With moderate oversight, leads and directs a team of technical Claims Professionals in Commercial General Liability claims . Coordinates the work… more
- AIG (San Francisco, CA)
- Claims Complex Director - Healthcare Professional Liability (HPL) Join us as a Claims Complex Director to take on key responsibilities within a world-class ... claims function. Make your mark in Claims ...relevant current events and case law. + Maintains full compliance with NPDB and state medical malpractice reporting requirements.… more
- ICW Group (San Diego, CA)
- …Claims Officer (CCO) is responsible for designing, overseeing, and directing the company's claims management strategy. Positioned to lead the Claims team, ... analysis across all product lines. + Develops and implements claims policies and procedures to ensure compliance ...implements claims policies and procedures to ensure compliance with regulatory requirements and industry standards. + Leads… more
- MGE Underground, Inc. (Paso Robles, CA)
- …ensures compliance with safety laws and environmental regulations. As the lead ISN Administrator, they coordinate compliance efforts and support the creation ... Trust | Fun How You Can Make an Impact The Safety, Health & Claims (SH&C) Coordinator is responsible for managing self-insurance and Workers' Compensation claims… more
- Dignity Health (Bakersfield, CA)
- …of complex healthcare claims . This position requires expert knowledge of claims processing, coding, and regulatory compliance . The Claims Examiner ... **Responsibilities** The Claims Examiner III is an advanced-level role responsible...of scale across provider types and geographies and will lead the effort in developing Dignity Health's Medicaid population… more
- Guidehouse (San Marcos, CA)
- …**:** None **What You Will Do** **:** The **Billing Supervisor - Healthcare Claims ** is responsible for the daily operations of billing and works closely with ... Records, Patient Access and all Ancillary Departments to ensure compliance / regulatory and accuracy of all billings. Responsible for...to departments daily. + Maintain logs by department for claims issues in hold status. + Daily electronic and… more
- Cognizant (Sacramento, CA)
- …into functional specifications for the Configuration and IT organization and lead changes to such specifications (with senior business analyst oversight through ... customers, etc.; Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies;… more
- Sedgwick (Sacramento, CA)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Remote Team Lead - Bilingual French, Hindi, Bengali or more **We are looking for Remote… more
- Cognizant (Sacramento, CA)
- …+ Ensure compliance with industry standards and regulations related to Claims and Payer domains. + Conduct regular team meetings to discuss progress address ... **Team Lead Configuration Healthcare** This position is Hybrid. **Job...candidate will have mandatory technical skills in Facets - Claims and Facets with a preference for domain experience… more
- Wells Fargo (Concord, CA)
- **About this role:** Wells Fargo is seeking a Lead Product Manager within Fraud & Claims Management. Learn more about the career areas and business divisions at ... wellsfargojobs.com. **In this role, you will:** + Lead complex initiatives including establishing marketing programs for new products or enhancements + Conduct… more
- Wells Fargo (San Francisco, CA)
- **About this role:** Wells Fargo is seeking a Lead Systems Architect. The Lead Systems Architect will design the target state architecture across Fraud ... Head of Architecture and Technology Strategy for Fraud & Claims Management. In this role, you will consult with...the Fraud business. **In this role, you will:** + Lead the implementation of complex projects and initiatives that… more
- Humana (Sacramento, CA)
- …caring community and help us put health first** The Market Entry Capture Strategy Lead will lead initiatives to develop and execute strategy to successfully ... assess, and translate state requirements into actionable go-to-market strategy. The Lead will consult with growth partners to design and optimize operating… more
- WSP USA (Los Angeles, CA)
- …have a technical design background with knowledge of construction. The ** Lead Professional, Project Engineer** position is **full-time** at the **Metro Project ... requests for change (RFCs) with respect to technical merit and contract compliance . + Perform engineering analyses and prepare design plans, specifications, cost… more
- Turner & Townsend (Mission Viejo, CA)
- …Townsend** is looking for an **Associate Director of Project Controls** to lead our team on a large, new-build healthcare construction project. **Duties:** ... risks, establish likelihood/severity, mitigation actions and Owners. + Take the lead for project controls deliverables that require cross-functional input. +… more
- United Therapeutics (Sacramento, CA)
- …+ Lead the strategy, development and execution of the Compliance Department's training, policy and communications initiatives + Promote a proactive approach ... of principles-based Compliance policies and procedures in partnership with Compliance Business Partners, Legal and stakeholders + Lead the creation… more
- Snap Inc. (Los Angeles, CA)
- …(AD&D) 3rd party vendor, including policies, enrollment of employees into coverage, managing claims , and ensuring compliance with relevant laws and regulations + ... tasks such as managing the overall Leave of Absence program, ensuring compliance with relevant laws and regulations, and overseeing the day-to-day operations of… more