Director of Insurance Claims Operations

7 days ago


Los Angeles, California, United States AIDS Healthcare Foundation Full time

AHFs National Chief of Claims Administration is responsible for leading the Claims Department in achieving regulatory compliance, grant contract requirements, and service goals. The ideal candidate will have experience in claims management, a strong understanding of federal and state regulations, and excellent leadership skills.

**Responsibilities:

  • Ensure the claims management system is compliant with various grant contracts, CA state MediCal and Department of Managed Care, and federal CMS/Medicare regulatory and contractual requirements.
  • Develop and maintain a best-in-class claims department that produces timely and accurate claim management results.
  • Collaborate with the Chief of Care Management and Division Executive Management to set the strategic direction of the Claims Department.

**Salary Range:** $150,000 - $220,000 per year



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