$70,900–$145,200 Per Year
Agile Programming Methodologies, Analysis Skills, Atlassian JIRA, Billing, Business Administration, Communication Skills, Continuous Improvement, Credit and Collections, Data Analysis, Health Plan, Healthcare, Leadership, Maintain Compliance, Managed Care, Medical Billing, Medicare, Microsoft Office, Multitasking, Operational Strategy, Operational Support, Operations Planning, Organizational Skills, Performance Management, Problem Solving Skills, Process Improvement, Productivity Management, Project Management Software, Project/Program Management, Quality Management, Reconciliation, SQL (Structured Query Language), Standard Operating Procedures (SOP), Standards Development, Strategic Planning, Team Lead/Manager, Team Player, Time Management, Workflow Analysis
Medicare Advantage Premium Billing Manager - - 31290 - UCLA Health
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Medicare Advantage Premium Billing Manager
General Information
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Work Location: Los Angeles, CA, USA
Onsite or Remote
Flexible Hybrid
Work Schedule
Monday-Friday, 8:00am-5:00pm PST
Posted Date
06/24/2026
Salary Range: $70900 - 145200 Annually
Employment Type
2 - Staff: Career
Duration
Indefinite
Job #
31204
Primary Duties and Responsibilities
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As the Premium Billing Manager of our UCLA Health Medicare Advantage Plan, you will lead a team to drive operational efficiency and strategic goals.
Key Responsibilities
- Lead and manage the Premium Billing team, including Billing Analysts, supervisors, and support staff.
- Develop and execute strategies to achieve operational efficiencies and support organizational goals.
- Drive technological advancements and process improvements to enhance premium billing operations.
- Ensure regulatory compliance within the premium billing department.
- Oversee premium billing, reconciliation, audits, and collections with a focus on accuracy and efficiency.
- Promote a service-oriented culture to deliver positive experiences for internal and external customers.
- Resolve complex premium billing issues and develop standard operating procedures.
- Foster collaborative relationships with peers, staff, and stakeholders.
- Monitor and manage departmental human and financial resources in alignment with company objectives.
- Identify workflow enhancements to improve productivity and quality.
- Utilize data analysis and project management tools to support continuous improvement efforts.
Salary Range: $70,900 - $145,200/annually
Job Qualifications
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We're seeking a detail-oriented individual with:
Required:
- 5 or more years of experience in a Medicare or Managed Care environment managing Enrollment and Billing staff and processes
- 3-4 years of managing projects or program in a healthcare or ACO environment
- Experience in project management, health plan operations, and data analysis
- Strong organizational, communication, and leadership skills
- Experience in leading a team, including managing performance and driving results
- Experience in leading, facilitating, and implementing new programs and/or projects
Preferred:
- A Bachelor's degree in Business Administration, Health Care or related field or equivalent experience
- Experience in Premium Billing
- Advanced skills and experience using Microsoft Office, SQL, Jira, and Agile methodology
- Strong analytical and critical thinking skills to develop solutions
- Ability to manage multiple tasks to ensure that assignments are completed in a timely and productive manner
As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
Current/former UC employees are subject to a personnel file review.
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