Claims Manager, Medicare Advantage Plan (Flexible-Hybrid)

UCLA Outpatient Clinics; Los Angeles (CA); Hybrid; USD 95,400 - 208,300; Full time

Job summary

UCLA Outpatient Clinics is seeking a Claims Manager to lead the claims leadership team. In this role, you will manage auditors and examiners, promoting a positive team culture focused on quality service. The position offers flexibility with a hybrid work model.

The Claims Manager will be responsible for implementing streamlined processes and resolving complex claims issues. The salary range for this position is $95,400 - $208,300 annually.

Responsibilities

• Manage a team of claim examiners and auditors toward operational excellence.
• Implement efficient claims adjudication processes utilizing technology.
• Foster a team culture focused on quality and customer service.
• Identify opportunities to enhance workflows and resolve complex claim issues.

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.