Top 4322 reimbursement manager Jobs in ucla ca

Claims Manager, Medicare Advantage Plan (Flexible-Hybrid)
UCLA Health —Los Angeles, CA
- $95,400 - $208,300 a year
- Management
- Customer service
- 5 years
Assistant Director of Patient Business Services
UCLA Health —Los Angeles, CA
- $116,300 - $264,600 a year
- PMP
- HIPAA
- Master's degree
BOM
Playa Del Rey Center —Playa del Rey, CA
- $76,000 - $83,000 a year
- Mid-level
- Office
- Supervising experience
- Health insurance
- Dental insurance
Quick Apply
Speech Language Pathologist - SLP
Light Street Special Education Solutions —Glendale, CA
- $53 - $60 an hour
- Classroom
- Management
- Working with individuals with disabilities
- Paid holidays
- Relocation assistance
5d
Senior Elder Abuse Litigation Attorney Opportunity | Century City / Hybrid
1522 Advisors —Los Angeles, CA
- $200,000 - $275,000 a year
- Email
- Hybrid work
- Office
- Mentoring
- In-person
- Health savings account
- Health insurance
Quick Apply
5d
Engineering and Environmental Sciences Project Manager/Sr.-Level Engineer
Citadel EHS —Signal Hill, CA
- $100,000 - $150,000 a year
- Weekends as needed
- Microsoft Word
- Background check
- Bachelor of Science
- Health savings account
- Relocation assistance
Quick Apply
Board-Certified Behavior Analyst (BCBA)
Momentum Behavior Services —Hermosa Beach, CA
- $87,000 - $96,000 a year
- Full-time
- Hybrid work
- Applied behavior analysis
- Management
- HIPAA
- Paid training
- Mileage reimbursement
Quick Apply
PI Case Manager- Bilingual (Mgmt Opportunity)
Law Offices of Erica Chavez —Torrance, CA
- $30 - $40 an hour
- Urgently hiring
- Bilingual
- Spanish
- No background check
- Free parking
- Health savings account
Quick Apply
Sales Closer: Home Improvement / Designer
BLACK DIAMOND PAVER STONES & LANDSCAPE —Los Angeles, CA
- $100,000 - $150,000 a year
- Urgently hiring
- Computer literacy
- Basic math
- Mid-level
- Paid training
- Mileage reimbursement
Quick Apply
Speech Language Pathologist - SLP
Light Street Special Education Solutions —Los Angeles, CA
- $53 - $60 an hour
- Classroom
- Management
- Working with individuals with disabilities
- Paid holidays
- Relocation assistance
5d
Foreman/Supervisor- Maintenance
Liliput Inc. —Los Angeles, CA
- $24 - $27 an hour
- Full-time
- Spanish
- Clean driving record
- 5 years
- Health savings account
- Health insurance
Quick Apply
2d
Registered Dietician
St Johns Community Health —Los Angeles, CA
- $83,000 - $86,909 a year
- Weekends as needed
- Spanish
- CPR Certification
- BLS Certification
- 403(b) matching
- Paid holidays
Quick Apply
Speech Language Pathologist - SLP
Light Street Special Education Solutions —Los Angeles, CA
- $53 - $60 an hour
- Classroom
- Management
- Working with individuals with disabilities
- Paid holidays
- Relocation assistance
5d
Nuclear Medicine Technologist - Clinical Applications Specialist
CDL NUCLEAR TECHNOLOGIES LLC —Arcadia, CA
- Urgently hiring
- Microsoft Word
- Microsoft Excel
- Mid-level
- AD&D insurance
- Paid holidays
Quick Apply
Clinical Manager (BCBA) - Hybrid
Behavior One Autism Solutions —Monterey Park, CA
- $85,000 - $120,000 a year
- Full-time
- Hybrid work
- Background check
- Management
- Current TB test
- Paid training
- Continuing education credits
Quick Apply
Landscape Estimator
Liliput Inc. —Los Angeles, CA
- $90,000 - $110,000 an hour
- Full-time
- Spanish
- English
- Mid-level
- Health savings account
- Health insurance
Quick Apply
9d
Assessor-Board certified Behavior Analyst (BCBA)- Lynwood
Developmental Pathways Inc. —Lynwood, CA
- $45 - $50 an hour
- Part-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Mileage reimbursement
- Health insurance
Quick Apply
Program Accountant
MEXICAN AMERICAN OPPORTUNITY FOUNDATION —Montebello, CA
- $77,000 - $79,000 a year
- Full-time
- Mid-level
- Office
- Analysis skills
- Paid jury duty
- 403(b) matching
Control Systems Technician
Air Conditioning Solutions —Altadena, CA
- $23.00 - $61.15 an hour
- Full-time
- Clean driving record
- Ability to lift 50 pounds
- Bachelor's degree
- Tuition reimbursement
- Parental leave
Quick Apply
Buyer - Senior
Confidential —Valencia, CA
- $80,000 - $85,000 a year
- Full-time
- Mid-level
- Bachelor's degree
- Organizational skills
- Health insurance
- Dental insurance
Quick Apply

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reimbursement manager jobs near ucla ca

Claims Manager, Medicare Advantage Plan (Flexible-Hybrid)

UCLA Health -
Los Angeles, CA

Apply Now

Job Details

$95,400 - $208,300 a year

Qualifications

Data visualization software proficiency
HIPAA compliance
Management
Medicare
Managed care
Medical coding software
Managed care organization experience
CMS
Regulatory compliance in claims processing
HIPAA
Medical claims processing software
CMS regulatory compliance
Health insurance knowledge
Medicare regulations
Leading team collaboration initiatives
Centers for Medicare & Medicaid Services (CMS) billing regulations
Managing insurance claims teams
Operational excellence initiatives
Productivity software
Business operations
Cross-functional team management
Cross-functional communication

Full Job Description

Description

Play a vital role on our Claims leadership team, you will manage a team of claim examiners, auditors, and support staff toward operational excellence. The Claims Manager of the Medicare Advantage Plan will:

Implement and maintain efficient and streamlined claims adjudication processes that effectively utilize technology to automate business processes and maximize the accuracy of claims payments.
Foster a positive, high-performing team culture focused on quality and exceptional customer service
Identify opportunities to enhance workflows, resolve complex claim issues, and develop practical standard operating procedures
Empower the team to navigate challenging scenarios with confidence and consistency

Salary Range: $95,400 - $208,300/annually

Note: This position is flexible-hybrid.

Qualifications

We’re seeking a self-motivated, service-driven leader with:

Required:

Bachelor’s degree in business, health care or a related field and/or equivalent work experience
Five or more years of claims operations experience in a Medicare Advantage or related environment
Three or more years of managing personnel in a claims processing environment
In-depth knowledge of physician and facility billing practices, CPT coding initiatives, ICD-10 coding standards, and revenue/HCPCS coding
Understanding of provider network/IPA arrangements and reimbursement methodologies, etc.
Knowledge of standard electronic and paper claim formats
Familiarity with AMA and Centers for Medicare and Medicaid Services coding guidelines
Computer proficiency with Microsoft Office Suite and data visualization tools
Knowledge of HIPAA, DMHC, AB1455, and CMS reporting requirements
Background with claims editing software (e.g., Optum CES, Web Strat, McKesson, etc.)
Experience in implementing and managing Prospective Payment System vendor application (Optum PPS, MicroDyn, 3M, etc.). (preferred)
Expertise with one or more of the following managed care transaction systems: EPIC (Tapestry Module), EZ Cap, Facets, QNXT
Excellent problem identification, resolution, and analytical abilities
Strong communication, interpersonal, and analytical skills
Ability to develop, implement, and evaluate methods/systems to improve efficiency
Ability to lead and facilitate cross-functional workgroups
Proficiency in achieving compliance with regulatory requirements
Ability to travel/attend off-site meetings and conferences

Preferred:

Certified Professional Biller (CPB)
Certified Revenue Cycle Representative (CRCR)

Apply Now

Refine Your Search

reimbursement manager jobs in ucla ca

Claims Manager, Medicare Advantage Plan (Flexible-Hybrid)

Assistant Director of Patient Business Services

BOM

Speech Language Pathologist - SLP

Senior Elder Abuse Litigation Attorney Opportunity | Century City / Hybrid

Engineering and Environmental Sciences Project Manager/Sr.-Level Engineer

Board-Certified Behavior Analyst (BCBA)

PI Case Manager- Bilingual (Mgmt Opportunity)

Sales Closer: Home Improvement / Designer

Speech Language Pathologist - SLP

Foreman/Supervisor- Maintenance

Registered Dietician

Speech Language Pathologist - SLP

Nuclear Medicine Technologist - Clinical Applications Specialist

Clinical Manager (BCBA) - Hybrid

Landscape Estimator

Assessor-Board certified Behavior Analyst (BCBA)- Lynwood

Program Accountant

Control Systems Technician

Buyer - Senior

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