Job Description
Title: Senior Manager, Claims Adjustments
Location: Los Angeles, CA
Employment Type: Full Time (Onsite)
Compensation:
Pay Range: $117,509-$152,762 Per Year
Job Summary:
• Join our team in Los Angeles, CA, as a full-time Senior Manager overseeing claims adjustments.
• This role involves managing complex workflows, ensuring compliance, and leading a team to drive performance.
• Strong expertise in claims processes and regulatory standards is essential.
Key Responsibilities:
• Manage operational workflows for non-routine claim adjustments, ensuring accuracy and compliance.
• Lead a team of analysts and specialists, fostering a culture of accuracy and continuous improvement.
• Collaborate with cross-functional departments to resolve adjustment-related dependencies.
• Develop reports and dashboards to track adjustment trends and performance.
• Provide operational support for complex provider inquiries and legal reviews.
Qualifications:
• Bachelor's Degree or equivalent education/experience.
• At least 6 years of experience in claims, provider disputes, or related functions.
• Minimum 5 years in a leadership role managing staff.
• Experience with Medicaid, Medicare, and Commercial managed care lines.
• Strong analytical and decision-making skills for complex scenarios.
Contact Authorization:
By applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. Message and data rates may apply for texts. Carriers are not liable for delayed or undelivered messages. You can access our privacy policy here https://www.mitchellmartin.com/privacy-policy
Benefits:
Learn more about our benefits offerings here https://www.mitchellmartin.com/careers/benefits-perks
Onboarding Expectations:
Learn more about our Onboarding Process here https://youtu.be/rjV_NFYjyY4
EEO Statement:
Learn more about our EEO policy here https://www.mitchellmartin.com/eoe-statement
#LI-GV1
Location: Los Angeles, CA
Employment Type: Full Time (Onsite)
Compensation:
Pay Range: $117,509-$152,762 Per Year
Job Summary:
• Join our team in Los Angeles, CA, as a full-time Senior Manager overseeing claims adjustments.
• This role involves managing complex workflows, ensuring compliance, and leading a team to drive performance.
• Strong expertise in claims processes and regulatory standards is essential.
Key Responsibilities:
• Manage operational workflows for non-routine claim adjustments, ensuring accuracy and compliance.
• Lead a team of analysts and specialists, fostering a culture of accuracy and continuous improvement.
• Collaborate with cross-functional departments to resolve adjustment-related dependencies.
• Develop reports and dashboards to track adjustment trends and performance.
• Provide operational support for complex provider inquiries and legal reviews.
Qualifications:
• Bachelor's Degree or equivalent education/experience.
• At least 6 years of experience in claims, provider disputes, or related functions.
• Minimum 5 years in a leadership role managing staff.
• Experience with Medicaid, Medicare, and Commercial managed care lines.
• Strong analytical and decision-making skills for complex scenarios.
Contact Authorization:
By applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. Message and data rates may apply for texts. Carriers are not liable for delayed or undelivered messages. You can access our privacy policy here https://www.mitchellmartin.com/privacy-policy
Benefits:
Learn more about our benefits offerings here https://www.mitchellmartin.com/careers/benefits-perks
Onboarding Expectations:
Learn more about our Onboarding Process here https://youtu.be/rjV_NFYjyY4
EEO Statement:
Learn more about our EEO policy here https://www.mitchellmartin.com/eoe-statement
#LI-GV1
Numbers & Facts
| Location | Los Angeles, CA |
| Industry | Staffing/Employment Agencies |
| Salary | $117,509–$152,762 Per Year |
| Company Size | 100 to 499 employees |
| Year Founded | 1984 |
| Website | https://www.mitchellmartin.com |
About Company
OUR FOCUS IS GROWTH
It’s not just about filling job openings. It’s about enabling growth and inspiring success. That’s what we do.
Mitchell Martin is one of the nation’s largest staffing companies, with offices throughout the US as well as in India and the Philippines. We help drive success for both people and companies by helping them achieve positive growth. We do this by building strong relationships and developing a deep understanding of the people we work with, in order to facilitate the best matches for both sides of the equation.
Skills
- Analysis Skillsunmatched
- Claims Managementunmatched
- Claims Processingunmatched
- Continuous Improvementunmatched
- Cross-Functionalunmatched
- Leadershipunmatched
- Legalunmatched
- Maintain Complianceunmatched
- Managed Careunmatched
- Medicaidunmatched
- Medicareunmatched
- Onboardingunmatched
- Operational Supportunmatched
- Operations Managementunmatched
- People Managementunmatched
- Regulationsunmatched
- Reporting Dashboardsunmatched
- Reporting Skillsunmatched
- Team Lead/Managerunmatched
- Trend Analysisunmatched
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