Claims Manager Jobs in Irvine, CA

Unlock potential by collaborating with stakeholders to ensure patient access to vital therapies. As a key player in reimbursement processes, you'll drive strategic initiatives within healthcare enviro...

Unlock potential by analyzing market trends and designing innovative products, ensuring compliance with industry standards while enhancing existing offerings to drive growth and profitability...

Join a dynamic team leading community support initiatives. Oversee care coordination, enhance patient outcomes, and ensure compliance across various healthcare settings while supporting high-risk popu...

Lead the delivery of ERISA compliance services for retirement plans, advising clients on regulatory matters, plan design, and fiduciary responsibilities while managing a dynamic Legal Team and support...

Lead the charge in driving commercial deals from initiation to execution, ensuring seamless contract progression. Collaborate with cross-functional teams to streamline processes, resolve blockers, and...

Optimize revenue cycle analytics through data-driven insights and strategic recommendations. Collaborate with finance and operational teams to identify variances and drive performance improvement acro...

Drive outstanding customer experiences by securing tailored financing and leasing options. Collaborate with sales teams and financial institutions to facilitate transparent transactions while ensuring...

Drive growth and enhance market presence for Clinical Services programs by optimizing sales strategies, overseeing deliverables, and fostering partnerships with clients. Mentor teams and analyze trend...

Lead the charge in advising clients on transactional risk insurance, utilizing your legal and financial expertise to navigate complex commercial transactions and engage effectively with diverse stakeh...

Champion customer success by leading onboarding, engagement, and account health initiatives for new users of our technology platforms. Foster relationships through proactive management and collaborati...

Elevate provider quality initiatives through data-driven insights and operational excellence. Lead impactful projects across the network, partner cross-functionally, and drive key metrics with a stron...

Join a team that's pivotal in managing critical customer incidents and escalations. As a senior leader, you will drive operational strategy, influence cross-functional teams, and enhance service deliv...

Champion a dynamic legal defense team, managing insurance coverage litigation cases from inception to resolution while collaborating with attorneys on complex projects and client communication...

Tackle Medicare/Medicaid Program Integrity challenges by developing educational materials, ensuring compliance, and guiding stakeholders on fraud, waste, and abuse strategies to enhance the integrity...

Lead a high-performing underwriting team to assess risks, enhance strategic relationships, and drive portfolio management in a dynamic environment while ensuring compliance and fostering innovation fo...

Lead and optimize frontline operations to deliver exceptional service quality. Build and engage a high-performing team focused on member experience while analyzing metrics to foster continuous improve...

Champion the evolution of security operations by leading a dynamic team focused on detection, investigation, and response to security events. Foster collaboration across departments to enhance data pr...

Join a team that drives compliance and performance oversight for delegated health plan operations. Lead regulatory audits, manage oversight programs, and collaborate cross-functionally while ensuring...

Shape the future of the insurance industry by engaging clients with tailored solutions. Drive sales through proactive outreach and personalized consultation as a key member of a dynamic team committed...

Lead external communications strategy to enhance brand visibility and reputation. Collaborate with executives and teams to execute impactful PR programs across media channels, shaping narratives that...

Shape the future of delegation oversight by leading regulatory compliance and ensuring performance standards across delegated entities for optimal healthcare delivery and adherence to regulations...

Transform salvage processes by optimizing recoveries, managing vendor relationships, and enhancing claims efficiency. Collaborate with team members to drive performance and provide exceptional service...

Inspire analytical excellence by developing vital actuarial models for pricing, forecasting, and profitability. Engage with teams to refine strategies and enhance communication across all levels of th...

Shape the future of patient access by leading a dynamic team of Virtual Reimbursement Managers to achieve goals, enhance client satisfaction, and drive compliance across regional initiatives for optim...

Transform the claims management process by analyzing and adjudicating complex Workers Compensation claims, ensuring timely resolutions and exceptional client service while contributing to a supportive...