Claims Specialist Jobs in Orange, CA

Pioneer clinical excellence as you conduct outpatient authorization reviews, ensuring members receive appropriate care by utilizing evidence-based criteria and navigating complex guidelines. Your insi...

Unlock potential by leveraging your extensive Medicaid policy experience to guide agencies in program implementation and compliance, fostering healthier communities through innovative strategies and c...

Join us to provide legal counsel and solutions to enhance operations for local radiology practices, manage client relationships, handle contracts and legal documents, and ensure exceptional service de...

Shape the future of clinical research by independently monitoring trials, ensuring compliance with regulatory standards, and building relationships with site staff in dermatology and rheumatology sett...

Grow your career with a hands-on EHS Compliance Project Manager role, where you'll manage key client relationships, oversee diverse projects, and apply your technical knowledge for impactful regulator...

Drive strategic customer relationships to enhance revenue growth and retention. Develop account plans and targeted solutions that ensure customer satisfaction while identifying new business opportunit...

Lead the charge in optimizing patient care through advanced Nurse Case Management, assessing high acuity cases and implementing effective programs to ensure quality and cost-efficient healthcare outco...

Lead the charge in enhancing dealership efficiency and profitability. Build professional relationships, diagnose challenges, and implement proven solutions, while delivering ongoing support and drivin...

Drive end-to-end Invoice-to-Cash performance and strategy, partnering with business leaders to ensure service delivery aligns with business outcomes and fosters continuous improvement across global ge...

Lead the charge in managing rehabilitation services, overseeing therapy programs, staffing, and quality improvement initiatives to ensure top-notch patient care across multiple healthcare facilities...

Drive impactful legal support for commercial matters, negotiating contracts and managing risks. Collaborate with cross-functional teams to deliver business-focused legal advice, ensuring compliance an...

Drive the strategy for sales operations, optimizing forecasting, compensation, and processes to empower growth in a dynamic B2B SaaS environment. Collaborate with executives to build efficient, scalab...

Join a team that's dedicated to enhancing the lives of children with developmental delays by providing high-quality ABA-based treatment, managing clinical programs, and leading a skilled team to ensur...

Drive strategic direction and innovation in Actuarial Science, leading teams in pricing, forecasting, and financial analysis while ensuring regulatory compliance and enhancing operational efficiency a...

Transform security operations as a Senior Industrial Security Specialist, driving compliance and supporting classified programs through effective collaboration, training, and procedural development in...

Empower a dedicated nursing team by leading quality care initiatives and compliance efforts. Drive resident satisfaction and mentor staff while fostering an environment of continuous improvement in me...

Oversee clinical research operations, ensuring compliance with regulations while managing study activities from design to closeout, liaising with stakeholders to support all aspects of research projec...

Oversee clinical research operations and ensure compliance with regulations, managing study coordination, liaising with stakeholders, and leading project teams to maintain high standards in protocol a...

Optimize compliance impact by leading analytics in transaction monitoring and blockchain validation. Leverage expertise in fraud prevention across traditional finance and crypto sectors while ensuring...

Lead clinical monitoring and management for cardiac studies, ensuring protocol adherence and data integrity. Drive project execution, conduct site visits, and coordinate investigator interactions, all...

Champion project planning and execution for HCI initiatives, coordinating deliverables, timelines, and stakeholder communication while tracking project progress and mitigating risks across cross-funct...

Drive legal strategy in a fast-growing environment, transforming regulatory challenges into opportunities, shaping comprehensive legal frameworks, commercial agreements, compliance, and corporate gove...

Accelerate business growth by developing strategic sales initiatives, fostering executive relationships, and exceeding quotas through proactive prospecting and tailored solutions that enhance client p...

Join a team that drives strategic initiatives within the Veterans Health Administration. As a Project Manager, you'll thrive in a collaborative environment ensuring compliance with VA standards while...

Advance your career by overseeing medication management in the Investigational Drug Section. Provide pharmaceutical care, ensure compliance with protocols, and guide a team to support patient treatmen...