Director, Claims Jobs in Los Angeles, CA

Champion quality member outcomes by managing a team of clinicians, optimizing benefits, and ensuring adherence to medical policies while promoting effective resource use in a dynamic healthcare enviro...

Join our team to lead a group of clinicians in enhancing member outcomes, optimizing benefits, and ensuring effective resource use. This managerial role combines clinical expertise with strategic over...

Lead strategic epidemiological initiatives in oncology and neurology, driving evidence generation and operational execution for non-interventional studies. Collaborate cross-functionally to support cl...

Elevate your legal career by delivering strategic counsel and effective services to Managed Services Organizations and physician practices, while managing complex legal projects and mentoring a team i...

Unlock your potential by leading the Medicare Advantage business in Orange County. Drive strategic initiatives, enhance operational performance, and achieve financial targets while fostering collabora...

Join a team that's driving strategic initiatives and enhancing operational efficiency. As a key advisor to Executive Leadership, you'll align departments, manage projects, and foster relationships to...

Drive excellence in nursing leadership by overseeing clinical operations, enhancing resident care, and ensuring compliance with healthcare standards while fostering a collaborative environment for sta...

Transform healthcare delivery by leading clinical practices, enhancing patient care, and driving operational excellence in a dynamic health center environment. Collaborate with teams to achieve health...

Shape the future of Medical Communications by leading strategic initiatives, driving innovation, and fostering cross-functional partnerships to enhance organizational impact and scientific excellence...

Elevate client experiences by leading production strategy and execution across multi-million-dollar programs. Drive operational excellence, manage cross-functional teams, and ensure client satisfactio...

Join a team that's dedicated to promoting compliance while leading project initiatives. Collaborate across departments as a functional expert to establish policies and monitor compliance with regulato...

Shape the future of compliance by leading a dynamic team, enhancing policies, and driving process improvements in a fast-paced insurance environment. Collaborate cross-functionally to ensure regulator...

Join a dynamic team to evaluate and underwrite complex environmental risks, delivering tailored insurance solutions while collaborating with brokers and clients. This role combines technical expertise...

Drive the charge in advancing Anaplan strategies, leading diverse teams to optimize solutions that align with business objectives. Collaborate with stakeholders to enhance the Anaplan ecosystem and en...

Transform client relationships by driving business growth, securing profitable projects, and leveraging market access expertise. Lead teams to exceed expectations while identifying industry trends and...

Elevate research operations by managing a dynamic portfolio, guiding faculty, and implementing effective administrative strategies to foster collaboration and excellence in a high-performing environme...

Transform the SAP order-to-cash landscape by leading architecture design, governance, and integration across multiple domains, ensuring alignment with business strategy and compliance while driving in...

Drive the success of inpatient Payment Integrity programs by overseeing audits, ensuring compliance, and enhancing quality across teams and vendors. Collaborate with stakeholders to optimize processes...

Lead the charge in healthcare fraud investigations, overseeing a team while conducting in-depth analyses, interviews, and reporting. Drive compliance training and collaborate with law enforcement to e...

Drive compliance and contractor support in contracting standards, regulatory adherence, and policy execution. Work collaboratively across departments to provide strategic guidance, ensuring alignment...

Drive provider network excellence by managing data integrity, overseeing contract configurations, and leading cross-functional teams to enhance operational efficiency and compliance in a dynamic TPA e...

Shape the future of pharmacy network operations by leading a team of attorneys, providing strategic legal counsel on regulatory, operational, and transactional matters within the PBM landscape, while...

Join a team that's committed to transparency in clinical trials, ensuring compliance with global disclosure regulations. This role blends operational and strategic tasks, fostering collaboration and q...

Engage with a multidisciplinary team to enhance care for complex members, ensuring compliance with clinical standards and regulatory requirements while fostering a supportive environment for staff and...

Grow your leadership skills by directing inventory control operations across multiple sites, implementing strategic inventory management practices, driving process improvements, and fostering collabor...