Position Overview

We are seeking a highly technical, hands-on operational executive to serve as our Senior Director of MSO - Claims Operations & Provider Configuration. This position requires candidates to be based in Southern California.

This role requires a true Subject Matter Expert (SME) with deep, end-to-end expertise in claims operations within a fully delegated, full-risk Medicare Advantage environment. Direct, hands-on EZCAP experience is required.

This is not a high-level oversight position. The ideal candidate can speak in detail about adjudication logic, denial trends, provider configuration dependencies, and the operational issues they have personally resolved. This leader will own claims accuracy, configuration integrity, financial alignment, and measurable KPI performance across the MSO.

Key Responsibilities

End-to-End Cla...