Summary from listing
L.A. Care Health Plan is hiring a Senior Manager, Claims Administration to provide enterprise-wide operational leadership for claims adjudication across all lines of business. The role manages production throughput, quality, inventory, regulatory turnaround requirements, staffing, training, performance, budgets, and cross-functional projects; oversees system updates, UAT, and operational improvements; and serves as a subject matter expert in claims logic, benefits, coding, pricing, and provider contracts. The position requires a bachelor's degree, at least six years of claims operations or related experience, at least five years of staff leadership experience, and experience across Medicaid, Medicare, and commercial managed care.
