Claims Specialist Jobs in Los Angeles, CA

Drive strategic growth by establishing and nurturing key partnerships with Enterprise Claims carriers, ensuring service excellence and collaboration across internal teams to enhance business outcomes...

Join us to lead the Professional Coding Operations team, ensuring accurate coding practices and compliance. Collaborate with stakeholders, mentor staff, and drive improvements in coding efficiency and...

Support clinical trial monitoring activities, ensuring protocol compliance and data integrity while collaborating with site staff to advance innovative treatments and therapies...

Accelerate progress at expanding customer accounts by driving annual recurring revenue and enhancing retention through structured sales strategies and digital engagement, while managing a high-volume...

Lead the development of predictive models to enhance pricing strategies and support data-driven decisions. Collaborate with cross-functional teams to ensure compliance and deliver high-quality actuari...

Join a dynamic team as you manage clinical research sites, ensuring compliance and quality throughout all study phases. Build strong relationships, oversee monitoring activities, and contribute to tea...

Champion regulatory strategies to accelerate product approvals and compliance. Lead a dynamic team in supporting innovative medical devices, ensuring alignment with global regulations while fostering...

Engage with state regulators to ensure compliance across health plans. Oversee regulatory initiatives, manage complex compliance issues, and foster strong relationships while optimizing operations in...

Drive compliance excellence by leading regulatory initiatives and fostering relationships with state regulators. Oversee critical processes for Commercial and Medicare lines, ensuring adherence to evo...

Drive impactful health and benefits consulting for large employers, managing client relationships and negotiating with vendors. Leverage data analytics and project management skills to deliver tailore...

Join a team that's dedicated to enhancing population health and well-being strategies. Collaborate with senior consultants to deliver innovative solutions and manage client engagements across diverse...

Join a dynamic team to support client engagements in population health and well-being strategy. Contribute to solution development, project delivery, and data analysis while collaborating with interna...

Lead the charge in enhancing supplier quality and reliability within a dynamic supply chain environment. Drive strategic initiatives, manage teams, and ensure compliance to optimize production efficie...

Shape the future of healthcare by leading the Organic Risk Adjustment program. Drive strategic initiatives, foster collaboration across teams, and implement innovative solutions to enhance performance...

Join a dynamic team to enhance healthcare compliance through audits, education, and process improvement. Leverage your coding expertise to support clinicians and stakeholders in achieving operational...

Analyze trends and develop strategic reports to enhance revenue cycle efficiency. Collaborate with management and key departments to identify opportunities and risks, presenting data-driven insights t...

Elevate patient care as a remote RN Case Manager, coordinating quality healthcare for ESKD and CKD patients across multiple states. Collaborate with healthcare teams to ensure effective care delivery...

Transform clinical review processes by conducting thorough prepayment and post-payment assessments of inpatient admissions. Leverage your expertise to ensure compliance, support appeals, and enhance q...

Engage in comprehensive risk adjustment audits and compliance reviews, ensuring accurate data submission to CMS. Collaborate with coding teams and management to uphold regulatory standards and improve...

Transform your career by leading material estimation efforts for diverse projects, ensuring accurate cost compilation and compliance with regulations while collaborating with internal teams and extern...

Champion financial examinations by leading teams to ensure quality, compliance, and timely delivery of regulatory services. Foster client relationships, manage complex projects, and drive growth in a...

Join a team that's dedicated to enhancing healthcare quality through thorough medical claims audits. Leverage your nursing expertise in a dynamic remote environment, collaborating with experienced aud...

Transform employee benefits programs by leading cross-functional initiatives that enhance competitiveness and compliance. Oversee program performance evaluations, vendor relationships, and continuous...

Optimize complex contractual actions and influence key decisions across multifunctional teams, enhancing institutional negotiation positions and ensuring compliance with policies while maintaining exc...

Drive impactful change by leading Medicaid initiatives that enhance community health. Collaborate with state agencies, utilize your expertise in Medicaid policies, and advance your career in a support...