This candidate offers over five years of experience in healthcare operations and claims management, with a strong focus on audit coordination, team leadership, and regulatory compliance. Most recently served as a Manager overseeing a team responsible for processing complex health plan audits, including those involving specialized providers and outsourced networks. Regularly engaged with high-profile clients to manage timelines, coordinate internal stakeholder responses, and ensure thorough documentation and timely delivery. Also provided training and daily support to team members. Previous experience includes managing a caseload of 70–80 workers’ compensation claims, handling initial investigations, setting reserves, and ensuring claims were resolved in compliance with legal requirements. Skilled in cross-functional communication, problem-solving, and driving operational efficiency, this candidate is well-prepared for roles that require both strategic oversight and hands-on execution. Immediately available. Seeking $25-$30 per hour. Located in San Diego, CA. Ideally seeking a hybrid work environment.