IT Systems & API Integration Manager Nutex Health IncIT Systems & API Integration ManagerCA$85,000–$125,000 / yearThis role oversees API development, healthcare data exchange, system optimization, and automation to improve operational efficiency while ensuring secure, HIPAA-compliant integration between internal applications, health plans, EMRs, clearinghouses, and third-party vendors. IT Systems & API Integration ManagerThe IT Systems & API Integration Manager is responsible for leading the organization's healthcare technology infrastructure, system integrations, and interoperability initiatives across the MSO and IPA operations.
Legal Counsel - Litigation Lennar CorpLegal Counsel - LitigationIrvine, CA$126,500–$158,100 / yearLennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity and growth for our Associates throughout their career. General Overview of Compensation & Benefits: We reasonably expect the base compensation offered for this position to range from an annual salary of $126,500.00 - $158,100, subject to adjustment based on business-related factors such as employee qualifications, geographic pay differentials (e.g., cost of labor/living, etc.), and operational considerations.
Blended Claims Specialist, Construction CNA Financial Corp.Blended Claims Specialist, ConstructionBrea, CA$54,000–$103,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
Non-Attorney Represented Bodily Injury Associate Manager Allstate Insurance CompanyNon-Attorney Represented Bodily Injury Associate ManagerCANational General is seeking an experienced and results-driven Non-Attorney Represented Bodily Injury Associate Manager to lead a team of Bodily Injury Claims Adjusters handling non-attorney represented auto casualty claims. The ideal candidate brings a strong background in bodily injury claims leadership, demonstrated success managing performance, and the ability to balance customer experience, claim quality, and financial stewardship.
Healthcare Network Manager Priority Family Care CenterHealthcare Network ManagerLos Angeles, California$25–$30Conducts and maintains office site visits to service providers with training and education, resolves issues, educates and interprets staff/providers on policies and procedures, collects credentialing information and reviews Healthcare Effectiveness Data and Information Set (HEDIS) information. Qualifications: Education and Experience: Bachelor’s degree in health care administration, business, or public relations preferred, or equivalent combination of education and experience; prior experience with physician offices or managed care, IPA or health insurance environment preferred.
Attorney-Represented Bodily Injury Associate Manager Allstate Insurance CompanyAttorney-Represented Bodily Injury Associate ManagerLos Angeles, CAKey responsibilities include developing and executing strategies to drive strong employee performance and consistent, expert claims handling; monitoring staffing levels and workloads; providing coaching and mentoring; and participating in performance management and reviews. The Team Leader is responsible for delivering exceptional claims and inquiry experiences for our Agents through chat‑based services, while effectively leading, motivating, and developing a team of 10-15 adjusters or vendor partners.
Finance Manager Selby Jennings LtdFinance ManagerPasadena, CAA growing healthcare organization is seeking a Finance Manager to lead a team of Financial Analysts and support the financial operations of multiple managed care and healthcare entities. The ideal candidate will bring deep experience within the Medicare Advantage (MAPD) space and a strong understanding of healthcare finance, risk adjustment, capitation models, and regulatory reporting.
Head of Risk Management Netflix IncHead of Risk ManagementLos Angeles, CA$442,000–$780,000 / yearOversee a high‑performing global team responsible for program design, placement, pricing, coverage terms, and claims resolution across a broad range of insurance lines, including Auto & General Liability, Aviation, Business Interruption, Errors & Omissions, Fiduciary, Property, Workers' Compensation, and others. You will lead a team that supports Netflix's corporate, production, and emerging businesses and oversees end‑to‑end risk and claims activities, while partnering closely with cross‑functional leaders around the world.
Sr. Benefits Analyst (Workers' Compensation) SpaceXSr. Benefits Analyst (Workers' Compensation)Hawthorne, CATo conform to U.S. Government export regulations, applicant must be a (i) U.S. citizen or national, (ii) U.S. lawful, permanent resident (aka green card holder), (iii) Refugee under 8 U.S.C. § 1157, or (iv) Asylee under 8 U.S.C. § 1158, or be eligible to obtain the required authorizations from the U.S. Department of State. Coordinate and facilitate claims process by acting as a liaison between the injured employee, employee’s leadership team, insurance third party administrator, medical provider, and consultant.
Epic Denials Manager DeloitteEpic Denials ManagerInglewood, CARemote$140,000–$160,000 / yearAs an Epic Denials Manager, you will help deliver back-end revenue cycle management (RCM) services, including denials and claims submission, denials management, payment posting, and credits and refunds, A/R follow-up for health care provider client. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities.
Consulting Manager, Healthcare Project Manager Cognizant Technology Solutions CorpConsulting Manager, Healthcare Project ManagerLong Beach, CARemote$81,450–$129,500 / yearAbout the role: As a Consulting Manager, Healthcare Business Transformation, you will make an impact by leading a comprehensive assessment of enterprise Long-Term Services and Supports (LTSS) operations, identifying opportunities to improve process efficiency, system interoperability, data integrity, and financial performance. You will be a valued member of the Healthcare Consulting team and work collaboratively with business stakeholders, LTSS operations teams, product owners, IT teams, architects, data analysts, finance leaders, and executive sponsors.
Regional Manager Avenue5 Residential, LLCRegional ManagerLos Angeles, CA$140,000–$150,000Full timeWe’re looking for a talented regional manager who will be responsible for the overall operations of several properties, ensuring the efficient operations, overseeing vendor contracts and maintenance, lease administration, monthly reporting and ensuring a positive experience for the residents, associates and property owners in conjunction with the property leadership team. Responds to escalated resident complaints and issues and serve as liaison to residents and corporate office regarding the administration of common area maintenance and the enforcement of landlord rules and regulations.
NewClient Manager VenbrookClient ManagerWoodland Hills, CaliforniaServe as the primary day-to-day contact for the working-level staff who run the program at each institution, typically athletic trainers, insurance office staff, student health center staff, and district and school business office staff, partnering with the Client Executive, who owns the decision-maker relationships. Active Accident & Health or Life & Health license in the state of residence, required within 90 days of hire, with willingness to obtain non-resident licenses as needed.
Workers Compensation - Team Lead | Long Beach, CA Sedgwick Claims Management Services, Inc.Workers Compensation - Team Lead | Long Beach, CALong Beach, CAMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Appeals and Grievances Specialist GTT, LLCAppeals and Grievances SpecialistLos angelas, CAThis position will provide resolution of complaints in compliance with Centers for Medicare and Medicaid Services (CMS), California Department of Health Care Services (DHCS), Department of Managed Health Care (DMHC), Managed Risk Medical Insurance Board (MRMIB), and National Committee for Quality Assurance (NCQA) regulatory requirements. The organization is committed to providing accessible, high-quality care and administrative services to its members, employing professionals across managed care, appeals and grievances, utilization management, claims processing, and member services functions.