Lead a dynamic team in optimizing claims adjustments, ensuring compliance and operational efficiency while managing complex disputes and high-stakes reviews. Collaborate with executive management to drive strategic goals and enhance service delivery.

Drive clinical improvement initiatives to enhance Stars performance for D-SNP and Covered California. Collaborate cross-functionally, manage teams, and ensure compliance while fostering excellence in member outcomes and operational efficiency.

Lead the charge in managing a high-performing investigations team, driving process improvements and collaborating with law enforcement to combat health insurance fraud while ensuring operational excellence and staff development.

Transform enterprise operations by advising on IT strategy and improving organizational effectiveness. Collaborate with C-suite to drive compliance and performance initiatives, optimizing business processes and enhancing communication across units.

Empower your career by driving quality assurance and configuration improvements. Collaborate across teams to enhance business processes and ensure effective execution in health services management while maintaining industry best practices.