Top 46 Claims associate Jobs in Sacramento, Ca

Configuration Analyst, Associate
Blue Shield of California —Rancho Cordova, CA
- $28.34 - $39.67 an hour
- Full-time
- Hybrid work
- Background check
- Pass drug screening
- Office
- Work from home
10d
Freezer, Cooler and Deli Stocker Associate
Sam's Club —Sacramento, CA
- $19 - $27 an hour
- 18 years or older
- High school
- Sales
- Paid jury duty
- Disability insurance
(USA) Backroom Associate - Sam's Club
Sam's Club —Folsom, CA
- $19 - $27 an hour
- 18 years or older
- High school
- Merchandising
- Paid jury duty
- Disability insurance
Claims & Litigation Associate (Remote)
Stanford Health Care —Sacramento, CA
- $100.03 - $132.51 an hour
- Full-time
- Remote
- Writing skills
- Military encouraged
- Senior level
9d
Property and Casualty Claims Associate Advocate
HUB International —Sacramento, CA
- $24 - $28 an hour
- Online Application
- Microsoft Outlook
- Writing skills
- Office
- Health savings account
- Disability insurance
Associate Claims Adjuster, Workers Compensation
Liberty Mutual —Rocklin, CA
- $50,000 - $94,000 a year
- Full-time
- Mid-level
- Office
- Analysis skills
Prepared Meals and Rotisserie Chicken Associate
Sam's Club —Citrus Heights, CA
- $19 - $27 an hour
- 18 years or older
- High school
- Sales
- Paid jury duty
- Disability insurance
Account Associate - State Farm Agent Team Member
Justin Costello - State Farm Agent —Rocklin, CA
- $50,000 - $80,000 a year
- Full-time
- Sales
- Office
- Organizational skills
- Paid time off
- 401(k) matching
Quick Apply
Account Associate - State Farm Agent Team Member
Zuray Perez-Garcia - State Farm Agent —Sacramento, CA
- $60,000 a year
- Full-time
- Sales
- Office
- Organizational skills
- Health insurance
- Dental insurance
Quick Apply
Account Associate - State Farm Agent Team Member
Peter Schiro - State Farm Agent —Sacramento, CA
- $50,000 - $80,000 a year
- Full-time
- Bilingual
- Office
- Communication skills
- Paid training
Quick Apply
Associate Attorney - Labor & Employment
O'Hagan Meyer —Sacramento, CA
- $150,000 - $200,000 a year
- Full-time
- Writing skills
- Mid-level
- Analysis skills
- Paid parental leave
- Health insurance
Quick Apply
Associate-Sr Attorney Hybrid or 100% remote
Leoforce —Sacramento, CA
- $140,000 - $220,000 a year
- Remote
- Microsoft Outlook
- Mid-level
- 2 years
- Health insurance
- Dental insurance
Quick Apply
10d
Wage-Hour Employment Litigation Associate
Leoforce —Sacramento, CA
- $150,000 - $210,000 a year
- Analysis skills
- Senior level
- 2 years
- Profit sharing
- 401(k)
Quick Apply
10d
ASSOCIATE ACCOUNTING ANALYST
Department of Health Care Services —Sacramento County, CA
- $6,330 - $7,929 a month
- Online Application
- Hybrid work
- Writing skills
- Mid-level
- Office
- Paid holidays
- Dental insurance
Epic Resolute Hospital Billing Associate Analyst
Deloitte —Sacramento, CA
- $50,000 - $60,000 a year
- Full-time
- Computer Science
- Mid-level
- Bachelor's degree
1d
Sr. Patient Account Associate
Adventist Health —Roseville, CA
- $25.00 - $30.01 an hour
- Full-time
- Mid-level
- Experience equivalent to degree accepted
- Associate's degree
ASSOCIATE TAX AUDITOR, BOARD OF EQUALIZATION
CA Department of Tax and Fee Administration —Sacramento County, CA
- $6,646 - $8,740 a month
- Online Application
- Hybrid work
- Mid-level
- Office
- Travel
- Paid holidays
- Opportunities for advancement
10d
Warehouse Associate - CT
Dal-Tile Corporation —Sacramento, CA
- $16.90 - $20.19 an hour
- Basic math
- No high school diploma
- English
- Health insurance
- Dental insurance
Warehouse Associate - CT
Mohawk Industries —Sacramento, CA
- $16.90 - $20.19 an hour
- Basic math
- No high school diploma
- English
- Health insurance
- Dental insurance
Account Associate - State Farm Agent Team Member
State Farm® Insurance Agent Peter Schiro —Sacramento, CA
- $50,000 - $80,000 a year
- Full-time
- Bilingual
- Office
- Communication skills
- Paid training
- Life insurance

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Configuration Analyst, Associate

Blue Shield of California -
Rancho Cordova, CA

Apply Now

Job Details

Full-time
$28.34 - $39.67 an hour
10 days ago

Benefits

Work from home

Qualifications

Medical claims processing
Internal employee customer service
Health insurance knowledge
Productivity software

Full Job Description

Your Role

The QC Pricing Analytics and Contract Configuration team is responsible for performing an in-line audit for all negotiated provider contacts. The QC Configuration Analyst Associate will report to the QC Pricing Analytics Contract Configuration, Manager. In this role, you will conduct audits and run test claims to ensure future claims will be paid correctly based on the contractual terms. Validate that the negotiated provider contracts were built correctly and according to the contract’s specification Support process improvements by identifying possible gaps and addressing remediations.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Work

In this role you will:

Analyze contract language to translate into specific pricing configuration with guidance
Develop simple configuration approaches to support solution selection and develop documentation outlining the approach using appropriate documentation protocols
Be accountable for the at least one contract type of configuration and testing of the assigned contracts
Develop and execute claims tests to support the testing terms and services for in the negotiated contracts
Provide configuration feedback through the audit process
Analyze the provider contracts to ensure accuracy in the way it was built
Identify and document audit observations and findings
Service (internal customers) with an oriented/philosophy and work in a diverse, demanding and evolving environment where strong analytical, problem-solving skills, time management and organizational skills are required
Other duties as assigned

Your Knowledge and Experience

Requires a bachelor’s degree or equivalent experience
0-2 years of prior relevant experience
0-2 years of prior audit experience of auditing BSC contracts
Requires strong medical claims knowledge and experience
Knowledge of FACETS, CLMS, MS Office Suite
Previous auditing experience and claims processing experience in a health plan
Service (internal customers) oriented/philosophy in a diverse, demanding, and evolving environment with good analytical and problem-solving skills, time management, and organizational skills

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

ABOUT THE TEAM
About Blue Shield of California

As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.

At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.

To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.

Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us!

Our Values:

Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.

Our Workplace Model

We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:

For most teams, this means coming into the office two days per week.
Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.
For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.

The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.

Physical Requirements:

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Equal Employment Opportunity:

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

Apply Now

Refine Your Search

claims associate jobs in sacramento, ca

Configuration Analyst, Associate

Freezer, Cooler and Deli Stocker Associate

(USA) Backroom Associate - Sam's Club

Claims & Litigation Associate (Remote)

Property and Casualty Claims Associate Advocate

Associate Claims Adjuster, Workers Compensation

Prepared Meals and Rotisserie Chicken Associate

Account Associate - State Farm Agent Team Member

Account Associate - State Farm Agent Team Member

Account Associate - State Farm Agent Team Member

Associate Attorney - Labor & Employment

Associate-Sr Attorney Hybrid or 100% remote

Wage-Hour Employment Litigation Associate

ASSOCIATE ACCOUNTING ANALYST

Epic Resolute Hospital Billing Associate Analyst

Sr. Patient Account Associate

ASSOCIATE TAX AUDITOR, BOARD OF EQUALIZATION

Warehouse Associate - CT

Warehouse Associate - CT

Account Associate - State Farm Agent Team Member

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