Equity Plan Administrator responsible for managing Forbright Bank’s employee equity program administration and compliance. Collaborating with teams to ensure an excellent employee experience in equity compensation.
About the role
- Director of Claims Administration leading claims adjudication and compliance processes for L.A. Care. Ensuring operational integrity and regulatory readiness for the healthcare claims ecosystem.
Responsibilities
- Govern enterprise outcomes and risk controls in claims administration
- Lead end-to-end claims ecosystem including adjudication and adjustments
- Ensure compliance and accuracy across all lines of business
- Monitor production performance to meet regulatory compliance
- Develop strategic plans and influence business outcomes
- Foster a culture of accountability and continuous improvement
Requirements
- Bachelor's Degree
- 7 years of healthcare claims experience
- 5 years of experience leading or managing staff
- Experience in Medicaid, Medicare, and Commercial managed care
- Leading claims adjudication, adjustments, disputes
- Interpreting provider contracts, payment methodologies
- Managing complex claim reviews and root-cause evaluations
- Experience with regulatory audits and inquiries
Benefits
- Medical, Dental and Vision
- Paid Time Off (PTO)
- Tuition Reimbursement
- Retirement Plans
- Wellness Program
- Volunteer Time Off (VTO)
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Senior Manager overseeing claims administration at L.A. Care Health Plan. Ensuring accurate and compliant claims processing through effective management and operational control.
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