Top 382 technical analyst Jobs in fountain valley ca

Medicare Operations Configuration Analyst
Clever Care Health Plan —Huntington Beach, CA
- $70,910 - $95,000 a year
- Full-time
- Customer service
- Word processing
- System design
Junior Data Analyst
Dr. J SkinClinic —La Palma, CA
- $20 - $28 an hour
- Full-time
- Salesforce
- Office
- SQL
- Paid holidays
- Health insurance
Quick Apply
5d
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 SAP Analyst (PP/QM)
ITT Inc. - English US —Irvine, CA
- $140,400 - $209,800 a year
- Analysis skills
- Bachelor's degree
- Team management
Quick Apply
Analyst III - Actuarial Services
Inland Empire Health Plan —California
- $104,041.60 - $137,841.60 a year
- Full-time
- Hybrid work
- SQL
- Bachelor's degree
- Senior level
- Disability insurance
- Health insurance
Engineering Applications Analyst (Windchill)
ITT Inc. - English US —Irvine, CA
- $115,100 - $171,900 a year
- Hybrid work
- Mid-level
- Java
- Analysis skills
Quick Apply
Senior Business Analyst
T&T Supermarket —Brea, CA
- $75,000 - $90,000 a year
- Full-time
- Background check
- Computer Science
- 5 years
- Health insurance
- Dental insurance
Quick Apply
Business Insight Analyst
Profiles —Irvine, CA
- Contract
- Mid-level
- Office
- Finance
Quick Apply
2d
Route Optimization Analyst
Arakelian Enterprises Inc —City of Industry, CA
- $70,000 - $90,000 a year
- Full-time
- Clean driving record
- ERP systems
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Senior Route Optimization Analyst
Arakelian Enterprises Inc —City of Industry, CA
- $85,000 - $120,000 a year
- Full-time
- Clean driving record
- 5 years
- ERP systems
- Health insurance
- Dental insurance
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
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
6d
Operations Investment Analyst
Advantage Technical —Fountain Valley, CA
- $35 - $44 an hour
- Temporary
- Mid-level
- Office
- Bachelor's degree
- Paid holidays
- Health insurance
Quick Apply
Analyst
Advantage Technical —Fountain Valley, CA
- $35 - $44 an hour
- Temporary
- Mid-level
- Analysis skills
- Bachelor's degree
- Health savings account
- AD&D insurance
Quick Apply
1d
Desktop Support Analyst
Cognizant —Costa Mesa, CA
- $60,000 - $83,000 a year
- Weekends as needed
- Hybrid work
- Customer service
- Mid-level
- Office
- Paid parental leave
- Paid holidays
Healthcare Data Analyst
Astiva Health —Orange, CA
- $85,000 - $115,000 a year
- Computer Science
- Mid-level
- Analysis skills
Quick Apply
Data Analytics Analyst
Canon U.S.A., Inc. —Irvine, CA
- $69,300 - $103,770 a year
- Full-time
- Hybrid work
- Google Workspace
- Office
- 3 years
- Profit sharing
- Health insurance
Data Product Analyst
Deloitte —Costa Mesa, CA
- $60,000 - $100,000 a year
- Full-time
- Computer Science
- SQL
- Analysis skills
5d
Hospital Billing Analyst
Deloitte —Costa Mesa, CA
- $70,000 - $90,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
12d

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technical analyst jobs near fountain valley ca

Medicare Operations Configuration Analyst

Clever Care Health Plan -
Huntington Beach, CA

Apply Now

Job Details

Full-time
$70,910 - $95,000 a year

Qualifications

Optimizing workflow processes
Performance monitoring
Computer operation
Customer communication
Operational analysis
Data visualization software proficiency
Data storage
Health data analysis
Medicare
Presentation software
Managed care
Customer service
Managed care organization experience
Technical documentation
Word processing
Regulatory compliance
Business intelligence report generation
System design
Configuration management
Records storage
Employee relationship building
Mid-level
SQL
Data integrity and documentation
Key Performance Indicators
Analysis skills
Business intelligence tools
Health insurance knowledge
Medicare regulations
Centers for Medicare and Medicaid Services (CMS)

Full Job Description

This position is not available for visa sponsorship.

Applicants must be located in Southern California.

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 Medicare Operations Configuration Analyst oversees the system development and configuration activities and file exchange processes of the Enrollment department while ensuring its processes operate smoothly. The Medicare Operations Configuration Analyst also works with other internal stakeholders, customers, vendors, and with federal and State agencies to resolve eligibility issues in order for the plan to continue receiving payment for medical services provided.

Functions & Job Responsibilities

Assists in the configuration of the Eligibility Manager and EzCap Eligibility Modules to facilitate processing and storage of enrollment data.
Analyze, review, monitor, and control the Enrollment file reconciliation operation with efficiency and effectiveness.
Assists with the design/revision and implementation of internal departmental systems and procedures.
Coordinate file production for the submission and monitoring of daily, weekly and monthly inventory reports to determine departmental efficiency and maintain the integrity of the enrollment file.
Assists the Enrollment team to ensure timely and accurate completion of all required eligibility documents, accurate recording of assessments, and guaranteeing productivity standards.
Coordinate interdepartmental projects with other areas of the organization; including Retention, IT, Marketing departments, Compliance, and Provider Relations.
Work closely with the Local department of Social Service, HRA, and Maximus to ensure timely submissions and resolution of eligibility issues, as well as establishing departmental goals and ensuring quality goals are met.
Analyze workflows, identify deficiencies, and develop more efficient processes.
Prepare enrollment analysis and enrollment reports for the Manager of Enrollment.
Oversee surplus billing and work closely with the Finance department in the reconciliation of capitation payments.
Direct the implementation of Medicare regulations and related products.
Serve as a subject matter expert and coordinate departmental procedures.
Ensure compliance with company and statutory policies.
Develop departmental policy and procedural documentation.
Ensure the required member mailings are sent in a timely fashion.
Run ongoing reports for various Medicare Operations Key Performance Indicators
Develop summaries from reports for management to develop action plans and interventions.
Assist with creating benchmarks for various Medicare Operations teams to ensure teams are operating efficiently.
Assist with creating data visualization models to help convey complex data sets in a simplified and easy to digest manner.
Develop AD-HOC reports as the necessity presents itself.
Other duties as assigned

Qualifications

Education and Experience:

Three (3) years’ healthcare industry experience, preferably with Medicare Advantage plan or Managed Care
Two (2) to four (4) years progressive work experience in business or health operations preferred.

Skills:

Deep understanding of government programs including Medicare Advantage
Expert knowledge of Medicare reimbursement methodologies.
Strong knowledge of Medicare Sound judgment, tact, and discretion, with the ability to work with Company employees at all level
Strong interpersonal skills and the ability to establish a rapport with all levels of an organization.
Strong customer service skills.
Exceptional written and verbal communication skills.
Ability to convey complex or technical information in a manner that is easy to understand.
Intermediate computer knowledge, Excel, Word, PowerPoint, prominence, ACD system, Adobe Acrobat.
Intermediate SQL skills for data querying and analysis
Experience with data visualization tools such as Tableau, Quicksight or Power BI

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.

This is an exciting opportunity for a dedicated professional to contribute to the success of our Medicare Operations and make a positive impact on the delivery of healthcare services to our members. If you are passionate about healthcare administration and have a keen eye for data and detail, we encourage you to apply for this position.

Apply Now

Refine Your Search

technical analyst jobs in fountain valley ca

Medicare Operations Configuration Analyst

Junior Data Analyst

Senior Treasury Operations Analyst

Senior SAP Analyst (PP/QM)

Analyst III - Actuarial Services

Engineering Applications Analyst (Windchill)

Senior Business Analyst

Business Insight Analyst

Route Optimization Analyst

Senior Route Optimization Analyst

Applications Functional Analyst, Sr

Senior Applications Analyst Oracle HCM

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

Operations Investment Analyst

Analyst

Desktop Support Analyst

Healthcare Data Analyst

Data Analytics Analyst

Data Product Analyst

Hospital Billing Analyst

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