Senior Claims & IT Systems Analyst

Verda Healthcare; Huntington Beach (CA); On-site; USD 70,304 - 80,000; Full time

Benefits offered by this job

401(k)

Paid time off

Health insurance

Dental insurance

Vision insurance

Life insurance

Job summary

Verda Healthcare in Huntington Beach, CA is seeking an experienced Senior Claims Analyst. This full-time role requires expertise in healthcare claims operations and strong technical knowledge of claims systems. The candidate will act as a liaison between Claims Operations and IT, ensuring accurate claims processing. Responsibilities include supporting claims adjudication rules and managing vendor relationships. A Bachelor's degree and 5+ years of relevant experience are required. Competitive compensation and benefits are offered.

Qualifications

• 5+ years of healthcare claims operations experience, including Medicare Advantage.
• Strong working knowledge of claims systems and how claims are configured.
• Hands-on experience with claims IT functions, system testing, or implementations.

Responsibilities

• Serve as a subject matter expert for claims processing.
• Support claims system implementations, upgrades, and migrations.
• Validate end-to-end claims workflows across multiple systems.

Skills

Healthcare claims operations experience

Claims system configuration

Analytical skills

Troubleshooting

Vendor management

Education

Bachelor’s degree in Healthcare Administration or related field

Tools

EDI transactions

Job description

Verda Healthcare in Huntington Beach, CA is seeking an experienced Senior Claims Analyst. This full-time role requires expertise in healthcare claims operations and strong technical knowledge of claims systems. The candidate will act as a liaison between Claims Operations and IT, ensuring accurate claims processing. Responsibilities include supporting claims adjudication rules and managing vendor relationships. A Bachelor's degree and 5+ years of relevant experience are required. Competitive compensation and benefits are offered.