Claims Analyst Jobs in Costa Mesa, CA

Transform client benefits management by leading strategic design, execution, and compliance of large-scale benefit plans. Develop industry insights and foster strong partnerships to enhance organizati...

Manage strategic relationships with Third-Party Administrators, driving growth and retention while collaborating across teams to enhance service solutions. Connect with senior leadership and lead busi...

Join a vital role in managing care for high-risk outpatient members, ensuring effective treatment plans and support transitions of care. Collaborate with healthcare teams to optimize member health out...

Elevate mental health care for youth by conducting thorough diagnostic evaluations, collaborating with multidisciplinary teams, and shaping evidence-based recommendations to enhance treatment outcomes...

Empower your career by shaping data-driven pricing strategies that align with market changes and organizational goals. Collaborate with teams to refine pricing approaches, enhance revenue, and support...

Drive compliance excellence by leading a comprehensive enterprise Compliance Program across Medicare Advantage operations, enhancing adherence and promoting a culture of integrity while collaborating...

Join a team that's redefining compliance for a cutting-edge financial platform. As a key architect, you'll develop regulatory frameworks and operational systems, enabling diverse partners to thrive in...

Lead the charge in building a robust regulatory infrastructure that empowers multiple GPs to thrive in the complex US financial landscape, ensuring compliance and operational excellence across our inn...

Pioneer predictive modeling for short-term policyholder behavior. Drive analytics in collaboration with finance and actuarial teams while demonstrating technical expertise and mentoring others in an i...

Join a team that's dedicated to enhancing healthcare analytics by conducting complex analyses, developing strategies, and training analysts to support various clinical and operational programs within...

Transform fraud detection by leading investigations, analyzing data trends, and collaborating with legal and regulatory partners. Drive innovative strategies to safeguard against fraud, waste, and abu...

Elevate claims oversight by ensuring compliance and quality in handling P&C claims across MGAs. Collaborate with Program Managers, audit practices, and monitor performance while fostering strategic re...

Optimize client engagement by leading project workstreams and ensuring high-quality deliverables. Collaborate with teams to manage client relationships and enhance consulting practices while coaching...

Elevate your career by leading strategic negotiations in high-value rebate contracts for branded pharmaceuticals, collaborating with cross-functional teams, and fostering relationships with manufactur...

Champion the future of healthcare administration by driving initiatives and ensuring compliance through effective project management and collaboration with diverse stakeholders...

Champion effective claims management as you investigate and resolve property damage claims. Utilize your expertise in residential and commercial inspections while providing exceptional customer servic...

Unlock potential by leveraging your expertise to conduct inspections, assess property damages, and ensure smooth claims processing. Collaborate with clients and stakeholders while providing outstandin...

Take ownership of complex technology audits and advisory engagements. Leverage deep expertise in IT audit and cybersecurity to support organizations in risk assessment, improving controls, and enhanci...

Join us to own the DMEPOS credentialing lifecycle, ensuring compliance and driving operational excellence while collaborating cross-functionally to improve processes and customer experiences in a regu...

Contribute to impactful clinical trials by leveraging your monitoring expertise. Engage in comprehensive site management, ensuring participant safety and data integrity through attentive oversight and...

Unlock your potential in a pivotal role, overseeing regulatory requirements and fostering collaboration across teams. Support our mission through strategic analysis and timely communication that drive...

Accelerate your career by leading pricing strategies for innovative AI solutions. Collaborate cross-functionally to develop data-driven pricing models that boost profitability and enhance market compe...

Innovate pricing strategies for AI products by leveraging market insights and advanced analytics. Collaborate with cross-functional teams to drive revenue growth and profitability through effective, v...

Lead the charge in fraud prevention and investigation within P2P payments, leveraging data analytics to protect customers and mitigate risks. Analyze trends and optimize defenses against diverse fraud...

Unlock potential by leading payer contract strategies and advising health systems, driving optimal reimbursement outcomes through expert guidance and cross-functional collaboration with stakeholders a...