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Senior Claims Analyst - Health Plan Adjudication & Insights

Prosper-Services-LL

myPlace Health in California is seeking a skilled Claims Analyst to review and adjudicate professional, institutional, and ancillary claims in alignment with provider contracts and CMS/DHCS requirements. You will analyze claim data, identify trends, and collaborate with vendors and internal teams to improve payment accuracy and efficiency. The role requires 5+ years in health plan claims administration, proficiency in Excel/Power BI, and experience with Athena or VisibilEDI. #J-18808-Ljbffr Prosper-Services-LL

Vacancy posted 16 hours ago
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