Senior Manager, Claims Adjustments

Mitchell Martin

Los Angeles, CA

JOB DETAILS
SALARY
$117,509–$152,762 Per Year
SKILLS
Analysis Skills, Claims Management, Claims Processing, Continuous Improvement, Cross-Functional, Leadership, Legal, Maintain Compliance, Managed Care, Medicaid, Medicare, Onboarding, Operational Support, Operations Management, People Management, Regulations, Reporting Dashboards, Reporting Skills, Team Lead/Manager, Trend Analysis
LOCATION
Los Angeles, CA
POSTED
Today
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 

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About the Company

M

Mitchell Martin

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.    

COMPANY SIZE
100 to 499 employees
INDUSTRY
Staffing/Employment Agencies
FOUNDED
1984
WEBSITE
https://www.mitchellmartin.com