Top 173 Contract analyst Jobs in Gardena, 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
Senior QA Analyst
Onward Search —Los Angeles, CA
- $95 - $98 an hour
- Contract
- Remote
- Mentoring
- Telemetry
- Senior level
- Commuter assistance
- Health insurance
QA Analyst L2 (Mainframe)
Intone Networks —Torrance, CA
- $48 an hour
- Contract
- In-person
- No travel
- Entry level
Contract Analyst
PIH HEALTH —Whittier, CA
- $66,060.80 - $108,992.00 a year
- Day shift
- Customer service
- Computer literacy
- Writing skills
PURCHASING & CONTRACTS ANALYST I / EMERGENCY APPOINTMENT HOMELESSNESS
County of Los Angeles —Los Angeles, CA
- $6,167.74 - $8,311.28 a month
- Online Application
- Mid-level
- Office
- Fair chance
STAFF ANALYST, HEALTH / EMERGENCY APPOINTMENT HOMELESSNESS
County of Los Angeles —Los Angeles, CA
- $8,129.36 - $10,955.36 a month
- Online Application
- Mid-level
- Team management
- Mentoring
HEALTH PROGRAM ANALYST II/EMERGENCY APPOINTMENTS HOMELESSNESS
County of Los Angeles —Los Angeles, CA
- $8,129.36 - $10,955.36 a month
- Online Application
- Mid-level
- Mentoring
ABA Assessor-Board certified Behavior Analyst (BCBA)- Anaheim/Fullerton
Developmental Pathways Inc. —Anaheim, CA
- $45 - $50 an hour
- Part-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Mileage reimbursement
- Health insurance
Quick Apply
14d
Software Engineer Analyst - AI Trainer
DataAnnotation —El Segundo, CA
- $50 - $100 an hour
- Part-time
- Remote
- Writing skills
- English
- Mid-level
- Flexible schedule
Quick Apply
Programming Analyst - AI Trainer
DataAnnotation —Torrance, CA
- $50 - $100 an hour
- Part-time
- Remote
- Writing skills
- English
- Mid-level
- Flexible schedule
Quick Apply
Board Certified Behavior Analyst (BCBA)
MVP Consulting Group —Tarzana, CA
- $60 - $80 an hour
- Part-time
- Hybrid work
- Applied behavior analysis
- Writing skills
- Mid-level
- Flexible schedule
Quick Apply
Board Certified Behavior Analyst (BCBA)
Sea Change Therapy —Montebello, CA
- $60 - $75 an hour
- Full-time
- Background check
- School experience
- Applied behavior analysis
- Mileage reimbursement
- Health savings account
Quick Apply
Data Analyst - AI Trainer
DataAnnotation —Glendale, CA
- $50 - $100 an hour
- Part-time
- Remote
- Writing skills
- English
- Mid-level
- Flexible schedule
Quick Apply
Data Analyst - AI Trainer
DataAnnotation —City of Industry, CA
- $50 - $100 an hour
- Part-time
- Remote
- Writing skills
- English
- Mid-level
- Flexible schedule
Quick Apply
Applied Behavior Analyst
PRIVATE —Los Angeles, CA
- $20 an hour
- Full-time
- English
- In-person
- School
- Relocation assistance
- 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
Senior Payroll Analyst
Onward Search —Culver City, CA
- $72 - $73 an hour
- Contract
- Microsoft Excel
- 5 years
- Employment & labor law
- Commuter assistance
- Health insurance
Project Schedule Analyst III
APR Consulting Inc —Pasadena, CA
- $40 - $63 an hour
- 8 hour shift
- Office
- Master's degree
- Bachelor's degree
- Paid holidays
- Health insurance
Quick Apply
Project Schedule Analyst IV
APR Consulting Inc —Pasadena, CA
- $49 - $80 an hour
- 8 hour shift
- Microsoft Excel
- 5 years
- Office
- Paid holidays
- Health insurance
Quick Apply
7d
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

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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

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

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Refine Your Search

contract analyst jobs in gardena, ca

Claims Analyst

Senior QA Analyst

QA Analyst L2 (Mainframe)

Contract Analyst

PURCHASING & CONTRACTS ANALYST I / EMERGENCY APPOINTMENT HOMELESSNESS

STAFF ANALYST, HEALTH / EMERGENCY APPOINTMENT HOMELESSNESS

HEALTH PROGRAM ANALYST II/EMERGENCY APPOINTMENTS HOMELESSNESS

ABA Assessor-Board certified Behavior Analyst (BCBA)- Anaheim/Fullerton

Software Engineer Analyst - AI Trainer

Programming Analyst - AI Trainer

Board Certified Behavior Analyst (BCBA)

Board Certified Behavior Analyst (BCBA)

Data Analyst - AI Trainer

Data Analyst - AI Trainer

Applied Behavior Analyst

Analyst

Senior Payroll Analyst

Project Schedule Analyst III

Project Schedule Analyst IV

Route Optimization Analyst

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