Claims Specialist Jobs in Costa Mesa, CA

Lead the SIU team in detecting and preventing healthcare fraud, ensure compliance with laws, and enhance investigative outcomes through collaboration and oversight. Manage case investigations and driv...

Champion compliance and risk management by leading a dedicated team focused on the prevention and detection of fraudulent practices in the healthcare environment, ensuring adherence to relevant laws a...

Help us streamline legal operations by managing contracts, tracking matters, and supporting the legal team in diverse administrative tasks for efficient and organized workflows that ensure compliance...

Analyze and interpret complex healthcare datasets to deliver insights and support research design. Collaborate with a team of experts to enhance healthcare quality, costs, and access through rigorous...

Drive the future of clinical laboratory testing by performing complex analyses and ensuring adherence to standards. Collaborate with teams to train staff and improve processes while maintaining high a...

Join a team that's at the forefront of oncology clinical trials, leveraging your monitoring expertise to ensure high standards of patient care and data integrity across multiple sites and studies. Be...

Empower healthcare organizations by leading Revenue Cycle transformations. Drive measurable improvements in AR reduction and cash flow, leveraging Epic expertise to enhance operational efficiency and...

Elevate your career by enabling data-driven choices through skilled analysis and cutting-edge data processing systems. Join a collaborative team to drive advancements in ETL tools while ensuring data...

Lead the charge in cultivating relationships and driving sales within the ophthalmology sector, ensuring a high level of customer satisfaction while achieving revenue and product goals through expert...

Unlock potential by leading OneStream AR/TXM implementations to enhance financial processes. You will manage projects, mentor teams, drive business development, and innovate AI solutions to deliver co...

Empower security by ensuring PCI DSS compliance, assessing risks, and developing policies. Collaborate across teams to maintain cardholder data protection, executing assessments, monitoring compliance...

Champion the verification and validation of innovative medical devices, ensuring compliance and quality while directing engineering teams through the product development lifecycle from prototype to cl...

Elevate compliance strategy by mastering California's Knox-Keene regulations. Partner across teams to align policies, enhance operations, and drive innovation, ensuring compliance while safeguarding h...

Shape the future of healthcare technology by developing essential components for the MetaVance platform, focusing on claims, benefits, and pricing enhancements while ensuring alignment with critical b...

Join us to analyze and optimize end-to-end supply chain processes using analytics and network modeling. You'll play a key role in improving performance, supporting strategic projects, and delivering d...

Champion AI-driven solutions by partnering with top-tier clients to unlock value through innovative go-to-market strategies. Collaborate seamlessly with account teams to drive adoption and navigate co...

Empower national security by analyzing trade compliance, enhancing risk management, and leading audits while facilitating clarity between businesses and regulators. Join a dynamic team dedicated to sa...

Join a team that drives innovation in voluntary benefits consulting, enhancing client relationships and shaping strategies for growth while leading product development and managing projects across mul...

Explore innovative data solutions by designing scalable data pipelines using Azure and Snowflake. Collaborate with cross-functional teams to deliver data-driven insights that support critical business...

Lead the charge in optimizing revenue cycle operations by supervising a team of Account Analysts focused on denial management, accounts receivable resolution, and trend analysis to enhance reimburseme...

Lead the charge in shaping operational excellence across multiple healthcare sites. Drive compliance, quality management, and process improvements while overseeing a dedicated team to deliver optimal...

Shape the future of digital marketing analytics by architecting a unified data infrastructure. Collaborate with teams to optimize performance metrics, ensure accurate tracking across channels, and dri...

Join a team that's leveraging emerging technologies to drive process improvement and automation in global tax operations, enhancing financial reporting and compliance while managing worldwide user tra...

Pioneer innovative actuarial modeling and analyses to support strategic pricing and benefit design for diverse clients, mentoring team members while addressing complex projects that impact senior lead...

Advance your career by influencing sales strategies and compensation structures. Collaborate with cross-functional teams to design and manage incentive plans effectively, ensuring compliance and marke...