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
$102.18k - $163.49k
A leading health coverage provider in Los Angeles seeks an Authorizations and Claims Analytics Solutions and Data Analyst III to design and operationalize analytic... ...ability to communicate insights effectively. This full-... ...package. #J-18808-Ljbffr L.A. Care Health PlanSeniorHealth InsuranceFull time$73.05k - $156.96k
...searching for a dynamic claims professional to join... ...of three levels: Claims Analyst, Claims and Patient Safety Specialist, or Senior Claims and Patient Safety... ...401(K) + Pension Plan Health Insurance Vision and Dental... ...partnership, innovative insights, and dynamic risk...SeniorHealth InsuranceWork at officeRemote workFlexible hoursNight shift- myPlace Health is seeking a Claims Analyst to accurately process and adjudicate professional, institutional, and ancillary claims. You will research complex issues, monitor claims activity, and coordinate with providers, internal departments, and vendors to improve payment...Senior
- Netflix is looking for a Senior Researcher based in Los Angeles to represent consumers and conduct genre-focused... ..., and the ability to translate data into actionable insights. Benefits include comprehensive health plans and flexible time off options. #J-18808-Ljbffr...SeniorHealth InsuranceFlexible hours
- Netflix, Inc. in Los Angeles is seeking a Senior Researcher to lead genre and title-... ...research programs, and translating consumer insights into actionable guidance. Ideal... ...to navigate ambiguity. Benefits include health plans, retirement options, and flexible paid time...SeniorHealth InsuranceFlexible hours
$250k - $370k
...next.As the Content Consumer Insights team, we work closely with business... ...world. We are looking for a Senior Researcher to represent... ...-on experience in designing, planning, and executing research projects... ...benefits including Health Plans, Mental Health support,...SeniorHealth InsuranceHourly payFull timeImmediate startFlexible hours$250k - $370k
Netflix is seeking a Senior Researcher to represent consumers and... ...screening phases. Translate consumer insight into clear, actionable... ...‑on experience in designing, planning, and executing research... ...to your preference. Benefits: Health Plans, mental health support,...SeniorHealth InsuranceHourly payFull timeFlexible hours$63.35k
myPlace Health is built around a simple but powerful belief: older... ...what matters most.The Claims Analyst is responsible for the accurate... ...and compliant processing and adjudication of professional,... ...provider contracts, benefit plans, regulatory requirements, and...Health InsuranceContract work- ...leading consulting firm is seeking an Insights Analyst III in Los Angeles, CA. The role focuses... ...analytics, designing solutions for headcount planning and organizational reporting.... ...This is a full-time position with a mid-senior level of seniority. #J-18808-Ljbffr IDR...SeniorHealth InsuranceFull time
- 99 Ranch Market is seeking a Senior Financial Analyst in Buena Park, CA. This role involves... ...functional teams to provide actionable insights while ensuring compliance with... ...related field. Benefits include health insurance and a 401(k) plan. #J-18808-Ljbffr 99 Ranch MarketSeniorHealth Insurance
$85k - $95k
Senior Claims Analyst - North Hollywood, CA Senior Claims Analyst at Insurance Relief, Los Angeles,... ...experience Comprehensive benefits package: health, dental, and vision insurance, and 401(... ...to propose solutions and action plans. Provide status updates on cases to management...SeniorHealth Insurance$90k
DescriptionData Analyst, User & Content InsightsRole Summary: The Data Analyst, User & Content Insights focuses on uncovering relationships between... ...designed to support the health and well-being of you and your... ...a 401(k) retirement savings plan with a company match, paid...SeniorHealth InsuranceTemporary workWork at officeFlexible hoursShift work$310k
Netflix is seeking a Senior Manager, Compensation to shape compensation strategy within... ...compensation initiatives and providing insights for competitive compensation decisions.... ..., with comprehensive benefits including health plans, flexible time off, and stock options. #J...SeniorHealth InsuranceFlexible hours- Motion Picture Industry Pension & Health Plans (MPI) in Studio City, CA, seeks a detail-oriented Controller with pension/health plan experience... ...expertise, and strong leadership to drive accuracy and timely insights. On-site work, fiduciary accountability, and a commitment to...SeniorHealth Insurance
$117.51k
...Executive Department: Claims Integrity... ...1997, L.A. Care Health Plan is an independent... ...Job Summary The Senior Manager, Claims Adjustments... ...of adjustment analysts and dispute... ...Provides operational insight on benefit... ...understanding of adjudication, coding, pricing,...SeniorHealth InsuranceFull timeContract work$77.5k
...01 Carl Warren & Company LLC is searching for a skilled Senior Claims Examiner in Los Angeles. The successful candidate will handle... .... The position offers comprehensive benefits, including health insurance, a 401(k) plan, and competitive salary up to $77,500. #J-18808-Ljbffr...SeniorHealth Insurance$120k - $160k
SpaceX is seeking a Sr. Financial Analyst for Investor Relations in Hawthorne, CA. This role involves engaging in the preparation of earnings calls and investor meetings, alongside monitoring market sentiment through various platforms. The ideal candidate will have a Bachelor...SeniorHealth Insurance- Arthur J. Gallagher & Co. (AJG) is seeking a Senior Claims Examiner for a remote position based in California. In this role, you will help... ...compensation and comprehensive benefits are offered, including health insurance and flexible work hours. #J-18808-Ljbffr Arthur J....SeniorHealth InsuranceRemote jobFlexible hours
- The Avon Company in Los Angeles seeks a Sr. FP&A Manager with at least seven years of financial planning experience. This full-time role involves overseeing financial planning and analysis, preparing long-range forecasts, and conducting business reviews. The ideal candidate...SeniorHealth InsuranceFull time
- Argo Group is seeking a Senior Commercial General Liability and Workers’ Compensation Claims Adjuster to join our Claims team. This 100% in-office role supports adjudicating CG liability and WC claims across multiple jurisdictions, with duties reporting to a manager in...SeniorWork at office
$111.6k - $139.4k
DescriptionThe Senior Consultant will work with cross... ...healthcare data into meaningful insights that drive operational... ....Analyze healthcare claims, EMR, and operational... ...adjustment, population health, and medical cost/... ..., affordable insurance plans for our team and their...SeniorHealth InsuranceFull timeWork at office- ...Cosmetics in El Segundo is seeking a Senior Accountant for a hybrid role. The... ...to work cross-functionally and gain insight into the operations of Unilever Prestige... ...benefits package including health insurance and retirement plans. #J-18808-Ljbffr Hourglass CosmeticsSeniorHealth Insurance
- ...Shield of California is seeking a Senior Business Analyst to support Network Operations by... ...business units, lead sprint planning, and develop actionable insights for leadership. The role emphasizes... ...two days per week. Prior health plan experience is preferred. #J...SeniorHealth InsuranceWork at office2 days per week
- The Insights discipline helps empower Rioters' decision-making to be... ...As a Sr. Principal Insights Analyst on Central Product Insights (... ...analyses to help us understand the health of our products, players, and... ...and presentation skills with senior stakeholders Desired...SeniorHealth InsuranceWork experience placementLocal areaFlexible hours
$95k - $130k
...mannerPartners with team members to offer insights into customer financial needs... ...underwriters or credit analysts, including the timely review... ...(medical, dental, and vision plans), a 401(k)-retirement savings... ..., tuition assistance, mental health resources, identity theft...SeniorHealth InsuranceFull time- Insurance Relief, located in Los Angeles, is seeking a Senior Claims Analyst to support its claims professionals. The role focuses on handling complex claims, coordinating with clients and carriers, and ensuring timely reporting. The company offers growth opportunities...Senior
$87k - $153k
DATA SENIOR ANALYSTWHAT IS THE OPPORTUNITY?The Senior Data Analyst works within the Insights, Data Engineering & Analytics organization to meet... ...Medical, Dental and Vision plans, available the first of the... ...and volunteer timeSpecialized health and family planning benefits...SeniorHealth InsuranceRemote work$78.97k - $126.14k
...have a clearly defined business development plan that is consistently applied and... ...Capture holistic view of client’s needs - draw insights from data to provide sound financial advice... ...to fully understand a client’s financial health and advise accordingly.Negotiation -...SeniorHealth InsuranceRemote work$156.78k - $212.11k
...semester-meeting strategy, sustainment planning, and ongoing learning initiatives.Additional... ...to translate market and customer insights into compliant, actionable training that... ...offers a Total Rewards Plan comprising health and welfare plans for staff and eligible...SeniorHealth InsuranceFull timeRemote workFlexible hours$125.4k - $181.42k
Founded in 1977 as the Senior Care Action Network, SCAN began with... ...do.Today, SCAN is a nonprofit health organization serving more than... ...functional teams, develop project plans, monitor progress, allocate... ...Skilled to develops others.Business Insight - In-Depth understanding of...SeniorHealth InsuranceFull timeFor contractors
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Claims Analyst - Health Plan Adjudication & Insights. Be the first to apply!
- remote medical claims processor Compton, CA
- senior manager legal Compton, CA
- senior level Compton, CA
- senior resident engineer Compton, CA
- senior application security Compton, CA
- senior implementation engineer Compton, CA
- senior care Compton, CA
- senior vice president of operations Compton, CA
- senior performance engineer Compton, CA
- senior manager diversity & inclusion Compton, CA
