Top 289 senior reporting analyst Jobs in costa mesa ca

Claims Analyst
Clever Care Health Plan —Huntington Beach, CA
- $88,000 - $100,000 a year
- Full-time
- Hybrid work
- Background check
- Writing skills
- Mid-level
- Health insurance
Senior Energy Modeler
VCA Consultants —Orange, CA
- $80,000 - $100,000 a year
- Full-time
- Background check
- Management
- 5 years
- Health insurance
- Dental insurance
Quick Apply
Senior Payroll Analyst
RxSight, Inc. —Aliso Viejo, CA
- $90,000 - $110,000 a year
- Full-time
- Computer literacy
- Writing skills
- Mid-level
Quick Apply
Sr. Financial Analyst Consultant
Vaco by Highspring —Irvine, CA
- $55 - $70 an hour
- Contract
- Hybrid work
- Microsoft Excel
- Oracle
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
Senior Treasury Operations Analyst
Golden State Foods —Irvine, CA
- $108,023.55 - $135,029.43 a year
- Online Application
- Office
- Finance
- Bachelor's degree
- AD&D insurance
- Paid holidays
Quick Apply
Senior Financial Analyst
Vaco by Highspring —Irvine, CA
- $55 - $65 an hour
- Contract
- Microsoft Excel
- Oracle
- SharePoint
Quick Apply
CGP: Senior Financial Analyst
Century Group International Inc —Costa Mesa, CA
- $44 - $60 an hour
- Extended hours
- Microsoft Excel
- Mid-level
- Office
Quick Apply
Accounting Operations Manager
PMP Management —Irvine, CA
- $85,000 - $95,000 a year
- Full-time
- Background check
- 5 years
- ERP systems
- Health savings account
- Health insurance
Quick Apply
Financial Analyst- Contractor
UHY LLP —Long Beach, CA
- $35 - $45 an hour
- Temporary
- Hybrid work
- Microsoft Word
- Mid-level
- Finance
Quick Apply
3d
Asset Management Analyst
Leoforce —San Clemente, CA
- $80,000 - $110,000 a year
- Office
- Senior level
Quick Apply
3d
Military Service - U.S. Air National Guard, All Source Intelligence Analyst
Military Service - U.S. Air National Guard Recruiting —California
- From $49,838.78 a year
- Full-time
- High school diploma or GED
- Entry level
7d
Business Systems Analyst, Sr
Ventura Foods —Irvine, CA
- $103,685.00 - $134,453.55 a year
- Hybrid work
- Oracle
- Engineering
- Analysis skills
- Profit sharing
- Paid holidays
Quick Apply
Applications Functional Analyst, Sr
Ventura Foods —Irvine, CA
- $110,953.00 - $144,461.10 a year
- Hybrid work
- Computer science
- Oracle
- Computer Science
- Profit sharing
- Paid holidays
Quick Apply
Senior Applications Analyst Oracle HCM
Ventura Foods —Irvine, CA
- $110,953.00 - $144,461.10 a year
- Hybrid work
- Computer science
- Oracle
- Computer Science
- Profit sharing
- Paid holidays
Quick Apply
IT ANALYST (APPLICATIONS)
City of Newport Beach, CA —Newport Beach, CA
- $7,677.63 - $11,339.36 a month
- Online Application
- Clean driving record
- Computer Science
- Mid-level
Workday People Analytics & Reporting Analyst
Auto Club Of Southern Calif —Costa Mesa, CA
- $99,500 - $132,900 a year
- Full-time
- Mid-level
- 3 years
- Analysis skills
- Paid parental leave
- Health insurance
Analyst, CEO Office
Anduril Industries —Costa Mesa, CA
- $86,000 - $114,000 a year
- Email
- Organizational skills
- 1 year
- Senior level
Quick Apply
Financial Analyst, Corporate Finance
Anduril Industries —Costa Mesa, CA
- $98,000 - $130,000 a year
- Email
- Oracle
- CPA
- Mid-level
Quick Apply
Financial Analyst
Anduril Industries —Costa Mesa, CA
- $98,000 - $130,000 a year
- Email
- Oracle
- Mid-level
- Finance
Quick Apply
Senior Business Analyst (Onsite)
West Coast University, Inc. —Irvine, CA
- $118,378.93 - $165,730.09 a year
- Full-time
- Office
- Finance
- Analysis skills

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Claims Analyst

Clever Care Health Plan -
Huntington Beach, CA

Apply Now

Job Details

Full-time
$88,000 - $100,000 a year

Benefits

Health insurance

Qualifications

Managed care
Managed care organization experience
High school diploma or GED
Health insurance knowledge
Task prioritization

Full Job Description

Applicants must be located in Southern California in Los Angeles or Orange County,

Are you ready to make a lasting impact and transform the healthcare space? We are one of Southern California’s fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth.

Who Are We? ✨

Clever Care was created to meet the unique needs of the diverse communities we serve. Our innovative benefit plans combine Western medicine with holistic Eastern practices, offering benefits that align with our members’ culture and values.

Why Join Us?

We’re on a mission! Our rapid growth reflects our commitment to making healthcare accessible for underserved communities. At Clever Care, you’ll have the opportunity to make a real difference, shape the future of healthcare, and be part of a fast-moving, game-changing organization that celebrates diversity and innovation.

Job Summary

The Claims Analyst will work with the Senior Director of Medicare Operations in identifying potential areas for process improvement initiatives to support development of automation, payment accuracy, audit activities, business rules and P&Ps. Claim analyst is responsible for the end to end process for any configuration and automation projects

Functions & Job Responsibilities

Includes claims systems utilization, capacity analyses/planning and reporting including claims-related business and systems analysis
Excellent analytical, problem solving and troubleshooting activities.
Must be able to analyze requirements for any Claim related projects
Provide configuration support based on business needs including but not limited to DOFR, Benefits, and MOOP.
Evaluate and Analyze any business needs including but not limited to DOFR, Benefits, and MOOP related to Claims Department.
Review and recommend improvement to current configuration
Document and Report to Senior Claims analyst and Director of Medicare Operations
Perform Test Cases
Run Test, study and analyze result, and troubleshoot if necessary
Ability to pull and analyze reports necessary to support claim department needs
Validating accuracy of reports produced and submitted by the Claims Department.
Assists in preparing and reviewing cases for regulatory and other health plan reports and requirements.
Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance
Assists in validating claim compliance reports
Create Business Requirement Document as needed
Create CMS Reports as needed by Director of Operations
Manage and support new projects and regulatory updates in accordance with CMS

Qualifications

Education/Experience:

High School diploma or equivalent required. Associate degree or an equivalent combination of education and claims processing experience preferred. Bachelor’s degree in related field (preferred).
2 to 5 years of experience in a managed care claims processing environment required
Demonstrate knowledge of applicable claims processes (e.g., end-to-end claims cycle, auto-adjudication, manual work processes, payment methodologies, rework/adjustment processes)
Terminology, CPT, revenue codes, ICD10, HCPCS codes as it relates to claims processing adjudication. Core claims processing systems and healthcare authorization systems.

Skills:

Perform in a fast-paced environment and work under pressure.
Communicate clearly and concisely, both verbally and in writing to individuals of diverse backgrounds.
Organize, plan and prioritize work activities, possess analytical and problem-solving skills.
Troubleshoot claims adjudication problem areas.
Encourage and utilize suggestions and new ideas.
Comprehend and interpret provider contracts and Divisional Financial of Responsibility (DOFR).
Utilize and access computer and appropriate software (e.g., Microsoft: Word, Excel, PowerPoint) and job-specific applications/systems (e.g., EZCAP Claims Processing System and Authorization system) to produce correspondence, charts, spreadsheets, and/or other information applicable to the position.

Wage Range: $88,000.00 to $100,000.00 per year

Physical & Working Environment.

Physical requirements needed to perform the essential functions of the job, with or without reasonable accommodation:

Must be able to travel when needed or required
Ability to operate a keyboard, mouse, phone and perform repetitive motion (keyboard); writing (note-taking)
Ability to sit for long periods; stand, sit, reach, bend, lift up to fifteen (15) lbs.

Ability to express or exchange ideas to impart information to the public and to convey detailed instructions to staff accurately and quickly.

Work is performed in an office environment and/or remotely. The job involves frequent contact with staff and public. May occasionally be required to work irregular hours based on the needs of the business.

Clever Care Health Plan is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.

Salary ranges posted on the job posting are based on California wages. Salary may be higher or lower depending on the candidate’s state residency.

#LI-Hybrid

Apply Now

Refine Your Search

senior reporting analyst jobs in costa mesa ca

Claims Analyst

Senior Energy Modeler

Senior Payroll Analyst

Sr. Financial Analyst Consultant

Senior Treasury Operations Analyst

Senior Financial Analyst

CGP: Senior Financial Analyst

Accounting Operations Manager

Financial Analyst- Contractor

Asset Management Analyst

Military Service - U.S. Air National Guard, All Source Intelligence Analyst

Business Systems Analyst, Sr

Applications Functional Analyst, Sr

Senior Applications Analyst Oracle HCM

IT ANALYST (APPLICATIONS)

Workday People Analytics & Reporting Analyst

Analyst, CEO Office

Financial Analyst, Corporate Finance

Financial Analyst

Senior Business Analyst (Onsite)

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