Senior Medicare Advantage Claims Specialist
Verda Healthcare
Verda Healthcare, Inc. in Huntington Beach, CA is seeking a Senior Claims Examiner to review, analyze, and adjudicate complex professional, institutional, inpatient, outpatient, and Medicare Advantage claims in accordance with CMS regulations, provider contracts, and benefit plans. This role serves as a subject‑matter expert in claims processing, payment integrity, and compliance activities, supporting departmental productivity, training, and occasional audits. #J-18808-Ljbffr Verda Healthcare
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Senior Medicare Advantage Claims Specialist in Huntington Beach, CA vacancy
$28 - $32 per hour
...Job Description Description: Verda Healthcare, Inc. is a Medicare Advantage Prescription Drug Plan (MAPD) organization committed to the... ..., free of worry and full of joy. We are looking for a Senior Claims Examiner to join our growing company with many internal opportunities...SeniorFull timeWork at officeRelocationMonday to FridayWeekend workVerda Healthcare Inc
Huntington Beach, CA23 days ago$70.3k - $80k
Verda Healthcare, Inc. Verda Healthcare, Inc. is a Medicare Advantage Prescriptions Drug Plan (MAPD) organization committed to the idea that... ...is free of worry and full of joy. We are looking for a Senior Claims Analyst to join our growing company with many internal opportunities...SeniorFull timeWork at officeRelocationMonday to FridayWeekend work$95k - $110k
...Job Description Description: Verda Healthcare, Inc. is a Medicare Advantage Prescriptions Drug Plan (MAPD) organization committed to the... ...that is free of worry and full of joy. We are looking for a Senior Financial Analyst – Medicare Advantage Finance to join our growing...SeniorFull timeRelocationMonday to FridayWeekend workVerda Healthcare Inc
Huntington Beach, CAa month ago- Clever Care Health Plan seeks a Senior Manager to lead Medicare Advantage RAF, Stars, HEDIS, and CAHPS operations, improving quality, coding accuracy, and member experience. You will oversee daily program operations, vendor oversight, and cross-functional collaboration...Senior
$27 - $32 per hour
...healthcare space? We are one of Southern California’s fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership... ...and innovation. Job Summary Under close supervision, Claims Examiner I process non-complex paper or electronic claims, handling...SuggestedHourly payRemote workHome office- First Bank in Newport Beach, CA is seeking an experienced Commercial Underwriter to evaluate and structure credit for complex transactions, with emphasis on commercial real estate. The role includes preparing approval offerings, collaborating with relationship managers,...Senior
$120k - $125k
...relentless focus on achieving sales goals. 9. Bachelor's degree in Business, Marketing, or a related field. An MBA will be considered an advantage. This is an exciting opportunity for a motivated sales leader to join a dynamic team and play a key role in driving our company...SeniorPermanent employmentLocal areaJobot
Newport Beach, CA3 days ago$84k - $167k
...team is trained across all of our products to give our customers insights into our entire portfolio.Job Title: Product Engineer - Senior/PrincipalWe are looking for a talented product engineer with high-speed IC test background. This role would be responsible for new...SeniorWork experience placementMACOM
Newport Beach, CA1 day ago$50k - $70k
...Job Description Job Description Property Damage Claims Specialist Elite Sourcing is seeking an experienced Property Damage Claim Specialist to join a well-known Law Firm in Costa Mesa, CA. You will be responsible for investigating and evaluating property damage...Work at officeElite Sourcing
Costa Mesa, CAa month ago$115k - $180k
The Senior Underwriter’s primary responsibility is to underwrite individual risks through a demonstration of the following skills and abilities... ...risk based on exposure and risk analysis. Ability to analyze claims and quantify losses.Financial proficiency. Understanding of...SeniorWork at officeLocal areaChubb
Irvine, CA4 days ago$84k - $166k
...experience designing and building analog semiconductor technology across the RF to Light spectrum.Job Title: Systems Design Engineer - Senior/PrincipalRole: Validation engineeringWe are looking for a talented experienced Validation Engineer to join our validation...SeniorLong term contractMACOM
Newport Beach, CA5 days ago$146k - $194k
...threats in space and ensure our Guardians maintain a decisive advantage in this contested warfighting domain.ABOUT THE JOBThis position... ...Should you encounter any questionable or fraudulent outreach claiming to be from Anduril, please report it immediately to ****@*****.***...SeniorFull timeWork experience placementImmediate startAnduril Industries
Costa Mesa, CA1 day ago$110k
...takes a holistic and tailored approach to insurance and risk management.We are seeking an experienced and client-focused Senior Workers' Compensation Claims Consultant to join our Risk Mitigation Service team. This role serves as a trusted consultant to our clients,...SeniorFull timeContract workThe Baldwin Group
Irvine, CA1 day ago$220k - $292k
...and beyond), delivering an overwhelming advantage through superior awareness and lethality.ABOUT THE JOBOverview:We are seeking a Senior Director of Business Development who is passionate... ...any questionable or fraudulent outreach claiming to be from Anduril, please report it...SeniorFull timeWork experience placementImmediate startAnduril Industries
Costa Mesa, CA4 days ago$166k - $220k
...threats in space and ensure our Guardians maintain a decisive advantage in this contested war-fighting domain.WHAT YOU’LL DO? Create opto... ...Should you encounter any questionable or fraudulent outreach claiming to be from Anduril, please report it immediately to contact@...SeniorFull timeWork experience placementImmediate startAnduril Industries
Costa Mesa, CA3 days ago$180k - $225k
...internal M&S capabilities to give our analyses and asymmetric advantage over competitorsUse exceptional writing and verbal communication... ...Should you encounter any questionable or fraudulent outreach claiming to be from Anduril, please report it immediately to contact@...SeniorFull timeWork experience placementImmediate startAnduril Industries
Costa Mesa, CA5 days ago$116.2k - $229.1k
...Recruiting for this role ends on 11/1/2026. Work you'll do As a Senior Consultant on the Moveworks team, you will be responsible for:... ...significant cost savings, increased efficiency, a stronger competitive advantage, and improved employee experience through intelligent...SeniorLocal areaVisa sponsorshipDeloitte
Costa Mesa, CA4 days ago$110.7k - $218.3k
Position Summary Senior Consultant - Product Quality & Safety - Life Sciences & Healthcare Enterprise Operations & Risk Our Deloitte... ...enables clients to achieve profitable growth and competitive advantage by optimizing “heart of the business” operations. We leverage...SeniorLocal areaDeloitte
Costa Mesa, CA2 days ago- ...About This Job: Are you compassionate, reliable, and enjoy helping seniors? We are urgently seeking helpers and caregivers for private,... ...to apply with just one tap. Plus, be the first to take advantage of one-time tasks, a new way to make money helping others. Get...SeniorFull timeTemporary workPart timeStart working todayFlexible hours
$191k - $253k
...space and ensure our Guardians maintain a decisive advantage in this contested warfighting domain.ABOUT THE JOBAs a Senior Software Engineer on Space Ground Software, you... ...any questionable or fraudulent outreach claiming to be from Anduril, please report it immediately...SeniorFull timeWork experience placementImmediate startAnduril Industries
Costa Mesa, CA1 day ago- ...accurate, scalable, auditable, and operationally effective.The Senior Manager, AMI Grid Edge Analytics will define and execute the AMI... ...to inform departmental strategy and maintain competitive advantage in AI capabilities.Develops and tracks business cases for AI solutions...SeniorRemote workRelocation
Edison International
Westminster, CA3 days ago $48.79 - $75.74 per hour
...Description Senior Mammography Technologist at Mission Hospital Mission Viejo. This position is Part time and will work 8-hour Day Shifts. Performs screening, diagnostic and interventional mammography procedures. Operates mammography equipment. Develops films...SeniorMinimum wagePart timeLocal areaShift workDay shiftProvidence
Huntington Beach, CA11 days ago$193.73k - $322.88k
...infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to... ...Professional development From entry-level employees to senior leaders, we believe there’s always room to learn. We offer...SeniorLocal areaVisa sponsorshipDeloitte
Costa Mesa, CA18 hours ago$146k - $194k
...and ensure our Guardians maintain a decisive advantage in this contested warfighting domain.ABOUT THE JOBWe are seeking a Senior Security Network Engineer to serve as the... ...encounter any questionable or fraudulent outreach claiming to be from Anduril, please report it...SeniorPermanent employmentFull timeWork experience placementImmediate startAnduril Industries
Costa Mesa, CA3 days ago$48.79 - $75.74 per hour
...Description Senior Mammography Technologist at Providence Mission Hospital in Mission Viejo, CA. This position is FullTime and will work 8-hour, Day shifts. Providence Mission Hospital in Mission Viejo has received Magnet designation in 2012, 2017, 2021 and...SeniorMinimum wageFull timeLocal areaShift workDay shiftProvidence
Huntington Beach, CA15 days ago$191k - $253k
...space and ensure our Guardians maintain a decisive advantage in this contested warfighting domain.ABOUT THE JOBAs a Senior Orbital Software Engineer on Space, you will... ...any questionable or fraudulent outreach claiming to be from Anduril, please report it immediately...SeniorFull timeWork experience placementImmediate startAnduril Industries
Costa Mesa, CA1 day ago$166k - $222k
...and ensure our Guardians maintain a decisive advantage in this contested war-fighting domain.ABOUT THE JOBWe are looking for a Senior Systems Engineer, Space to join our rapidly... ...any questionable or fraudulent outreach claiming to be from Anduril, please report it immediately...SeniorFull timeContract workWork experience placementImmediate startAnduril Industries
Costa Mesa, CA4 days ago- ...individuals, partnerships, corporations, and trusts; also reviews related income tax workpapers. Supervises teams of staff accountants. Plans, organizes and implements income tax returns. Coaches Tax Accountant, Tax, Staff Accountant, Accountant, Senior, Staffing, Accounting...Senior
Regal Executive Search
Costa Mesa, CA14 hours ago $135k - $205k
Position Summary As a Senior GCP Architect (Lead Cloud Infrastructure Engineer II) at Deloitte, you will lead the architecture... ...platforms, improve mission-critical operations, and enable business advantage through scalable engineering solutions. We tailor our delivery...SeniorLocal areaRemote workDeloitte
Costa Mesa, CA18 hours ago$146k - $194k
...threats in space and ensure our Guardians maintain a decisive advantage in this contested war-fighting domain.WHAT YOU’LL DO• Own hardware... ...Should you encounter any questionable or fraudulent outreach claiming to be from Anduril, please report it immediately to contact@...SeniorFull timeWork experience placementImmediate startAnduril Industries
Costa Mesa, CA1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Medicare Advantage Claims Specialist. Be the first to apply!
Related searches
- medical insurance claims specialist Huntington Beach, CA
- remote medical claims processor Huntington Beach, CA
- senior mulesoft developer Huntington Beach, CA
- senior mainframe developer Huntington Beach, CA
- senior level Huntington Beach, CA
- senior network engineer remote Huntington Beach, CA
- senior implementation engineer Huntington Beach, CA
- senior manager creative operations Huntington Beach, CA
- senior medical science liaison Huntington Beach, CA
- senior manager m&a tax Huntington Beach, CA