- LA Care Health Plan (Los Angeles, CA)
- Manager , Claims Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11625 ... support the safety net required to achieve that purpose. Job Summary The Manager , Claims directs the efforts of others in the achievement of the strategic,… more
- Providence (Mission Hills, CA)
- **Description** Working under the direction of the Manager , Claims , this position has direct responsible for the supervision of staff and for overseeing the ... day-to-day operations of the Claims Processing and UM Denial Letter Units. Additional responsibilities...3 years experience in a leadership role within medical claims related field. + 5 years experience in medical/institutional… more
- LA Care Health Plan (Los Angeles, CA)
- …purpose. Job Summary The Claims Quality Auditor II works closely with the Claims Quality Auditing Manager . The Claims Quality Auditor II maintains ... Claims Quality Auditor II Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time… more
- Deloitte (Los Angeles, CA)
- Manager , Operations and Technology Transformation, Insurance Transformation, Advise What we do Operations and Technology Transformation delivers market leading ... real estate companies. Work you'll do As an OTT Insurance Transformation Manager , you will bring industry expertise and project leadership capabilities to deliver… more
- Elevance Health (Los Angeles, CA)
- ** Manager II Grievance/Appeals - Claims Support** This position will work in a hybrid model (remote and office). Ideal candidates will live within 50 miles of ... one of our PulsePoint locations. The ** Manager II Grievance/Appeals** is responsible for management oversight of...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Sedgwick (Los Angeles, CA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Director - Dedicated (MUST RESIDE IN CA) **PRIMARY PURPOSE** : To be ... including direct operational responsibility of an office in the location where the manager resides; to be responsible for staffing and training needs; and to be… more
- HNTB (Los Angeles, CA)
- …needed including but not limited to; assists change manager and project manager in contractor claims and disputes. Tracks, reviews and processed RFIs and ... and coordinates staff schedules. **What We Prefer:** + Certified Construction Manager (CCM), Professional Engineer (PE), or Project Management Professional (PMP). +… more
- Jacobs (Los Angeles, CA)
- … claims and support to the project and the legal department on defense of claims . * Assist the Project Manager and the Procurement Manager in subcontract ... Jacobs is seeking a Commercial Manager for our Design-Build group to oversee large...Prepare Prime Agreement Change Orders and assists the Project Manager in negotiations. * Review all contract documents to… more
- Marriott (Los Angeles, CA)
- …* Works with the unemployment services provider to respond to unemployment claims ; reviews provider reports for accuracy and corrects errors. * Prepares, audits ... * Ensures employee issues are referred to the Department Manager for resolution or escalated to the Director of...orientation, property meetings, bulletin boards, etc. * Conducts periodic claims reviews with Regional Claims office to… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Shared Services Program Manager II Job Category: Administrative, HR, Business Professionals Department: Claims Data and Support Services Location: Los ... required to achieve that purpose. Job Summary The Enterprise Shared Services Program Manager II is responsible for leading and managing a portfolio of strategic and… more
- Crawford & Company (Los Angeles, CA)
- …require you to be fully vaccinated for COVID-19. If required, the hiring manager will discuss with you during your interview process. Responsibilities * Reviews case ... employer and physicians. * Maintains contact and communicates with claims adjusters to apprise them of case activity, case...one of the below: * Certification as a case manager from the URAC-approved list of certifications (preferred); *… more
- American Heart Association (Los Angeles, CA)
- …The American Heart Association has an excellent opportunity for a **Clinical Data Manager ** in our **National Center** office. Location of the selected candidate is ... for you to be able to integrate data from different sources (clinical, claims , patient-reported survey data, food vendors). The Database Designer is responsible for… more
- LA Care Health Plan (Los Angeles, CA)
- Community Health Program Manager II (ALD) Job Category: Clinical Department: Community Health Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... net required to achieve that purpose. Job Summary The Community Health Program Manager II is responsible for supporting Community Health projects designed to improve… more
- Deloitte (Los Angeles, CA)
- Manager /Specialist Master, Operations & Technology Transformation, Insurance, Guidewire Integration & Configuration What we do Operations and Technology ... contributing to the development of junior staff. Your role As a Manager /Specialist Master you will bring considerable technical expertise to deliver effective… more
- Sony Pictures Entertainment (Culver City, CA)
- …as mandated by the company's E&O insurance policy and to prevent legal claims and litigation. The Script Clearance Manager (" Manager ") independently ... of publicity, right of privacy and product use. The Manager will also directly supervise two Clearance Analysts and...potential defamation, privacy, false association and right of publicity claims associated with a project and present such issues… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Business Insights Job Category: Management/Executive Department: Advanced Analytics Lab Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... to support the safety net required to achieve that purpose. Job Summary The Manager of Business Insights for Advanced Analytics Lab (AAL) is responsible for the… more
- Ducommun (Gardena, CA)
- Program Manager The following describes in general terms the purpose and scope of the position. The Program Manager I is responsible for the execution of all ... in accordance with technical and contractual requirements, schedules and budgets. The Program Manager I is the focal point for the company for communications with… more
- Robert Half Management Resources (Los Angeles, CA)
- …offering a contract to hire employment opportunity for a Credit & Collections Manager in the healthcare and social assistance industry, located in Los Angeles, ... California. As the Credit & Collections Manager , you will play a key role in managing...underpayments. * Interact with patients regarding their bills, insurance claims and payments to provide clarity and resolve inquiries.… more
- Zurich NA (Los Angeles, CA)
- Associate Underwriting Manager , Middle Markets 114358 Zurich is currently looking for a Middle Markets Associate Underwriting Manager to support our Southern ... and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...and 8 or more years of experience in the Claims or Underwriting Support areaAND + Experience with Microsoft… more
- LA Care Health Plan (Los Angeles, CA)
- Vendor Relationship Manager III Job Category: Administrative, HR, Business Professionals Department: Claims Data and Support Services Location: Los Angeles, CA, ... safety net required to achieve that purpose. Job Summary The Vendor Relationship Manager III is responsible for building and managing relationships with all vendors… more