Claims Specialist Jobs in Brea, CA

Unlock potential by leading complex Epic and Meditech revenue cycle projects, driving implementation and optimization for healthcare clients. Collaborate with teams to enhance workflows, support go-li...

Optimize risk and litigation support by managing claims, collaborating with stakeholders, and enhancing compliance initiatives, all while driving continuous improvement across claims and risk manageme...

Join a team that's passionate about customer success and driving value. As a key partner, you will build relationships, guide priorities, and ensure the adoption of innovative solutions in the life sc...

Champion innovative financial modeling and analysis for healthcare plans, providing insights on utilization, pricing, and performance management. Collaborate cross-functionally to ensure data integrit...

Champion the execution and oversight of diverse clinical studies, ensuring efficient project management across oncology and hematology trials while collaborating with vendors and research teams to del...

Transform patient access and reimbursement initiatives nationally by leading a dynamic team of Patient Access Liaisons. Drive collaboration across stakeholders to ensure timely therapy access and opti...

Champion financial reporting solutions while driving customer engagement and growth. Collaborate with sales teams to deliver value and support migration strategies, ensuring seamless integration and e...

Accelerate progress at coding for surgical and interventional radiology services. Utilize your expertise in ICD and CPT coding to optimize revenue cycle efficiency, ensuring compliance with establishe...

Take ownership of training initiatives that enhance the technical skills of audit teams. Collaborate with experts to develop impactful training programs, mentor new members, and improve audit processe...

Elevate business efficiency by analyzing and designing robust application systems. As a key player in a major IT transformation, collaborate across teams to implement Oracle’s OIPA policy administrati...

Engage in strategic Community Health initiatives to improve managed care for vulnerable populations. Lead project planning, stakeholder collaboration, and data analysis to enhance healthcare outcomes...

Transform administrative support for legal teams by prioritizing tasks, managing documents, and facilitating workflow. Collaborate with attorneys in a fast-paced environment to ensure excellence in le...

Empower our legal strategy by owning the litigation portfolio, managing disputes and regulatory inquiries. Collaborate cross-functionally to translate legal risks into actionable guidance while buildi...

Join a strategic team to lead the third-party risk management program across a national bank. You will oversee vendor assessments and compliance, enhance frameworks, and ensure regulatory readiness wh...

Unlock your potential by optimizing clinical review processes to ensure quality medical care. Collaborate with teams to support effective member services and compliance while enhancing outcomes throug...

Tackle clinical member services reviews, ensuring medical necessity aligns with guidelines and regulations. Collaborate with teams to promote effective care delivery while maintaining compliance and c...

Join a team that's dedicated to ensuring smooth customs operations, overseeing compliance, and leading a skilled team. Empower your leadership skills while enhancing client relations and maintaining r...

Lead and optimize investment accounting strategies, ensuring governance and compliance while enhancing reporting and team performance. Drive innovations in processes and technology to support business...

Engineer robust data loss prevention strategies to safeguard sensitive information across cloud, endpoints, and networks. Collaborate with teams to enhance cybersecurity defenses while ensuring compli...

Contribute to enhancing member care by assessing services for medical necessity, compliance, and cost-effectiveness. Collaborate with multidisciplinary teams to optimize outcomes and adhere to clinica...

Reimagine healthcare solutions by leveraging your analytical skills and regulatory insights to optimize claims editing and payment integrity processes while collaborating with cross-functional teams...

Grow your career with a pivotal role overseeing remote clinical operations, coaching your team to excellence while collaborating with care providers. Manage performance and ensure quality client care...

Unlock effective care management as you lead interdisciplinary teams to engage high-risk populations, coordinate resources, and ensure holistic health solutions for individuals and families with compl...

Drive impactful decision-making by developing robust analytical tools and frameworks. Collaborate with senior leaders to address business needs through innovative solutions, while enhancing your exper...

Lead and manage complex commercial insurance programs, ensuring profitability and strategic alignment. Oversee underwriting, client relationships, and operational performance while driving growth and...