What are the responsibilities and job description for the Claims Director position at TEKsystems?
About The Role
We’re looking for a Claims Director to lead claims operations for Contra Costa Health Plan (CCHP), a large public health plan serving over 250,000 residents. This is a contract-to-hire leadership role overseeing a team of about 20 (including managers, supervisors, and claims staff). You’ll drive strategy, optimize workflows, and ensure accurate, timely claims processing across Medi-Cal, Medicare, and commercial lines of business.
Key Responsibilities
You’ll shape the strategic direction of claims operations, ensure compliance, and support provider relationships—all while impacting healthcare access for Contra Costa County’s most vulnerable populations.
Schedule: Full-time, onsite/hybrid leadership role
Education: Bachelor’s degree in business, finance, or related field
Experience: 5 years in healthcare management, with at least 3 years in claims or patient financial services
Job Type & Location
This is a Contract to Hire position based out of Martinez, CA.
Pay And Benefits
The pay range for this position is $75.00 - $80.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
About TEKsystems And TEKsystems Global Services
We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
We’re looking for a Claims Director to lead claims operations for Contra Costa Health Plan (CCHP), a large public health plan serving over 250,000 residents. This is a contract-to-hire leadership role overseeing a team of about 20 (including managers, supervisors, and claims staff). You’ll drive strategy, optimize workflows, and ensure accurate, timely claims processing across Medi-Cal, Medicare, and commercial lines of business.
Key Responsibilities
- Lead and manage all claims operations, including adjudication, adjustments, and payment integrity.
- Oversee and coach managers and supervisors; ensure team performance and development.
- Optimize workflows and implement process improvements for efficiency.
- Manage vendor relationships and Epic Tapestry system enhancements (training provided).
- Ensure compliance with Medi-Cal, Medicare, and regulatory requirements.
- Monitor KPIs for timeliness, accuracy, and compliance.
- Collaborate with Provider Relations, Finance, Compliance, IT, and other departments.
- Address provider disputes and billing questions; support positive provider relationships.
- Lead initiatives for backlog reduction, performance improvement, and system optimization.
- Reduce a large backlog of pending claims.
- Implement performance improvement initiatives.
- Optimize department workflows for greater efficiency.
- Managed Care Leadership: Experience leading claims operations in a health plan environment.
- Regulatory Knowledge: Strong understanding of Medi-Cal and Medicare requirements.
- Strategic & Analytical: Ability to translate regulations into operational strategies.
- Communication Skills: Comfortable presenting complex issues to leadership and external partners.
- Technology Savvy: Familiarity with claims systems (Epic Tapestry experience is a plus).
You’ll shape the strategic direction of claims operations, ensure compliance, and support provider relationships—all while impacting healthcare access for Contra Costa County’s most vulnerable populations.
Schedule: Full-time, onsite/hybrid leadership role
Education: Bachelor’s degree in business, finance, or related field
Experience: 5 years in healthcare management, with at least 3 years in claims or patient financial services
Job Type & Location
This is a Contract to Hire position based out of Martinez, CA.
Pay And Benefits
The pay range for this position is $75.00 - $80.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a hybrid position in Martinez,CA. Application Deadline This position is anticipated to close on Mar 30, 2026. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
About TEKsystems And TEKsystems Global Services
We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Salary : $75 - $80