Senior Claims Operations & Compliance Director

A healthcare services provider in California is seeking a Claims Director to oversee claims operations, ensuring compliance with regulatory standards while driving improvements in payment integrity and provider experience. The ideal candidate will have over five years of experience in claims administration, a Bachelor's degree, and certification as a CHFP or CCAM. This key role involves leading cross-functional initiatives and managing operational risks to maintain financial integrity across Medi-Cal, Medicare, and commercial lines of business.
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