Claims Manager Jobs in Ladera Ranch, CA

Champion regulatory reporting excellence by leading the preparation and filing of bank-specific reports. Collaborate with cross-functional teams to establish scalable processes and ensure compliance i...

Transform your career by joining a dynamic Clinical team, driving product adoption and implementation while enhancing client relationships and clinical workflows in healthcare through innovative data...

Lead the charge in managing multi-disciplinary IT contracts, serving as the main contact for client communications, project execution, and risk management across diverse task orders in infrastructure...

Lead key Quality Management System activities to enhance compliance and product quality, fostering collaboration across teams while managing training, audits, and supplier communications to drive cont...

Lead the charge in building strategic partnerships that drive growth and retention. Collaborate with internal teams and partners to develop business plans, enhance operational efficiency, and foster s...

Lead the Operations Training function, enhancing onboarding, building trainer capabilities, and designing impactful learning experiences to elevate performance across teams and support operational exc...

Join a collaborative team and lead initiatives in Utilization Management, ensuring quality medical service delivery while mentoring staff and enhancing efficiency within a fast-growing health plan org...

Join a dynamic team to manage accounts, drive retention, and support new business initiatives. Leverage your expertise in customer service, policy management, and team leadership to enhance client sat...

Shape the future of healthcare reimbursement by leveraging clinical knowledge and coding expertise to resolve DRG-related payer denials, ensuring compliance and enhancing revenue integrity through pro...

Join our team to drive patient access by resolving reimbursement issues, educating providers, and collaborating with various stakeholders to enhance therapy access across healthcare settings...

Champion the growth of key academic accounts by managing sales activities, coordinating resources, and fostering collaboration across teams to achieve long-term revenue success in the education techno...

Lead a large-scale autonomous vehicle testing program, overseeing multi-site operations, managing teams, ensuring safety compliance, and maintaining client relationships while driving innovation in tr...

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...

Contribute to collaborative healthcare initiatives by supporting access to vital products. Drive reimbursement strategies while engaging with providers across multiple payers, ensuring that patients r...

Champion the modernization of digital purchasing experiences by leading strategic initiatives and collaborating across departments to enhance workflows, leverage data insights, and drive customer-cent...

Join us to lead the analysis and improvement of denial prevention strategies within healthcare, employing data analytics and process improvement to enhance revenue cycle management and client relation...

Champion patient care by expertly managing transfers and discharges in acute settings, collaborating with healthcare teams to ensure seamless transitions and optimal outcomes throughout the care conti...

Engage with patients as an Inpatient Transfer Case Manager, overseeing assessments, developing treatments, and facilitating hospital transfers. Collaborate with healthcare teams to ensure timely care...

Shape organizational transformation by leading change initiatives, developing strategies, and collaborating with federal leaders. Drive success in program execution while implementing best practices i...

Unlock potential by coordinating patient transfers and post-stabilization care. Collaborate with healthcare teams to ensure timely admissions, optimally manage patient care plans, and guarantee seamle...

Analyze and enhance clinical documentation integrity while ensuring accurate coding in Medicare Advantage. Collaborate with medical staff, conduct audits, and provide targeted educational materials to...

Support hospitals and health systems in reimbursement processes, improving access to care through education on coding, billing, and compliance. Foster collaboration with stakeholders to identify barri...

Transform your career by delivering exceptional insurance services to members. As a key advisor, you'll analyze needs, provide tailored solutions, and retain valuable accounts through expert communica...

Elevate your career as you manage large-scale capital construction projects, ensuring timely delivery and compliance. You'll coordinate all project phases and engage with stakeholders across a dynamic...

Manage client relationships, optimize clinical programs, and drive healthcare strategy. Utilize expertise in Medicare Part D to ensure seamless service delivery and collaboration across departments, e...