Claims Specialist Jobs in Los Angeles, CA

Join a team that's dedicated to enhancing patient business services by coordinating workflows, resolving operational issues, and driving efficiency across billing and collections to ensure high-qualit...

Transform Medicare Stars operations by leading cross-departmental projects, ensuring compliance and quality improvement. Collaborate with leadership to drive strategic initiatives and manage program i...

Unlock your potential by leading business and functional requirements for Medicaid financial management. Collaborate with diverse teams to enhance payment operations and ensure compliance while drivin...

Drive team performance and enhance customer experience by overseeing policy administration and contact center operations. Collaborate on goals, manage staffing, and ensure compliance with regulations...

Lead the charge in operational excellence by overseeing performance across client accounts, ensuring effective communication and high-quality execution in revenue cycle management, while mentoring tea...

Lead the charge in building and scaling AI Data Operations, transforming emerging opportunities into commercially viable solutions. Drive strategy, partnerships, and operational excellence to support...

Lead the charge in developing and maintaining insurance policy forms and endorsements. Ensure compliance and quality assurance across multiple states while collaborating with cross-functional teams to...

Transform your career by joining a dynamic team focused on customs compliance and trade operations. Leverage your expertise to ensure regulatory adherence and support clients in navigating complex imp...

Drive patient access by leveraging your expertise in reimbursement and market access. Collaborate with healthcare providers to navigate complex payer landscapes, ensuring timely access to therapies wh...

Lead the charge in managing complex provider and vendor relationships, ensuring excellence in contract negotiations, performance management, and operational efficiency. Drive strategic alignment and f...

Take ownership of regulatory support for pharmaceutical programs, managing IND and NDA submissions, health authority interactions, and lifecycle maintenance. Collaborate with cross-functional teams to...

Join a dynamic HR team to implement programs and policies, manage recruitment, and ensure compliance with employment guidelines. This role offers a chance to develop your skills in employee relations...

Join the team to implement HR programs and policies, ensuring compliance and supporting staffing, employee relations, and training initiatives across various locations. Collaborate with management to...

Conduct inspections and ensure quality assurance across construction and maintenance projects while fostering strong client relationships and compliance with regulations. Manage documentation and repo...

Transform the insurance landscape by managing complex commercial placements, analyzing risks, and negotiating optimal coverage solutions. Collaborate with teams to deliver tailored proposals and maint...

Lead the charge in managing complex commercial insurance placements, overseeing timelines, conducting analyses, and negotiating terms. Collaborate with teams to deliver tailored risk solutions and mai...

Champion compliance excellence by leading innovative technology integration and regulatory strategies across Medicare Advantage and Part D channels, ensuring seamless operations and enhanced agent eff...

Unlock potential by driving risk adjustment initiatives through expert coding reviews, education, and performance tracking. Collaborate with providers to enhance documentation accuracy and improve hea...

Accelerate progress at the forefront of healthcare by driving commercial performance, building relationships with providers, and ensuring patient access to innovative therapies across a defined territ...

Lead the charge in complex testing operations, ensuring excellence in hardware development through hands-on execution and collaboration with engineering teams. Drive root cause investigations and main...

Lead the charge in property loss control by evaluating risks, managing accounts, and collaborating with underwriting teams to enhance safety measures and improve client outcomes across diverse technic...

Lead the charge in ensuring compliance and integrity within federal healthcare programs through rigorous investigations, data analysis, and collaboration with key stakeholders to produce actionable fi...

Transform regulatory insights into actionable strategies by analyzing national and state legislative activities. Collaborate with legal and business teams to ensure compliance and support effective de...

Shape the future of Life & Annuity transformation by analyzing business challenges, designing solutions, and delivering impactful results as a key contributor in complex programs across multiple clien...

Engage in critical conflict analysis to support new business and lateral hires. Collaborate with attorneys to identify, review, and resolve conflicts of interest while ensuring compliance and maintain...