NorthBay Health: Provides comprehensive hospital care and medical services in Northern California.
4+ YOEAssociate's degree or 4+ years claims experience required; 4 years claims payment systems experience; strong healthcare reimbursement knowledge; experience with Microsoft Word/Excel, QuickCap, Crystal Reports; knowledge of CPT, ICD-9, DRG, CMS-1500/UB04, COB rules.
Microsoft Word, Microsoft Excel, QuickCap, Crystal Reports
Claims Analyst or (Senior) Claims & Patient Safety Specialist
Oakland or California or Hawaii
$73k-$157k/yrRemoteFull Time
MIEC: Provides medical professional liability insurance and healthcare risk management services.
5+ YOEBachelor's degree, valid driver's license, 5–10+ years medical professional liability claims or risk management experience depending on level; knowledge of PSRM, clinical systems, and strong communication and analytical skills.
Word, Excel, Power Point, Windows, Teams, Sharepoint, CoPilot, Candello - Solutions by CRICO, MPL Association Data Sharing Project, Preverity
Claims Management Program Analyst (O-4 Billet) Non-Supervisory
Salt Lake City or Seattle or Phoenix or Los Angeles or San Francisco or Denver or Washington or Miami or Atlanta or Chicago or Indianapolis or New Orleans or Boston or Minneapolis or Kansas City or Albuquerque or New York or Oklahoma City or Portland or Austin
$1-$150k/yrOnsiteFull Time
ICE: Enforces immigration laws and provides medical care to detainees.
3+ YOEMinimum 3 years professional experience with at least 2 years in program management/healthcare management or medical claims; knowledge of claims processes, ICD-10/CPT/DRG/CMS coding, EHRs, and Microsoft Office/SharePoint; must be USPHS IHSC officer.
Microsoft Office, Sharepoint, Electronic Health Records
Rancho Cordova or El Dorado Hills or Lodi or Redding or Long Beach or Oakland or San Diego or Woodland Hills
$28-$40/hrHybridFull Time
Ascendiun: Nonprofit parent overseeing health insurance and clinical service organizations.
0+ YOEBachelor's degree or equivalent, 0-2 years relevant and audit experience, strong medical claims knowledge, FACETS/CLMS/MS Office experience, and analytical problem-solving skills.
UCSF Health: Academic medical center providing advanced patient care and research.
3+ YOEBachelor's in biological/computational field or equivalent, 3+ years data manipulation and statistical analysis experience, proficiency in SAS, Python, R, or SQL, experience with large EMR/claims datasets and research environment.
University of California, San Francisco: Public research university dedicated to health sciences and education.
3+ YOEBachelor's in biological/computational field or equivalent; 3+ years data manipulation, quality control, and statistical modeling; proficiency in SAS, Python, R, or SQL; experience with large (>50GB) EMR/claims datasets and research environments.
United States or Phoenix or San Antonio or Columbus or Charlotte or Chicago or Denver or San Diego or Houston or Los Angeles or Seattle or Washington, D.C. or Boston or San Francisco or New York City or San Jose
$103k-$135k/yrRemoteFull Time
Included Health: Provides integrated virtual care and healthcare navigation services.
5+ YOE5+ years in healthcare economics/actuarial or quantitative analysis; bachelor’s degree required; 1+ actuarial exam preferred; expert SQL and Excel/Google Sheets; Python preferred; experience with medical/Rx claims and reporting tools.
SQL, Microsoft Excel, Google Sheets, Python, Looker, Tableau, GitHub, Jira, Confluence
Mudflap: Fuel payment and discount platform for the trucking industry.
2+ YOE2+ years owning claims/cases/tickets, strong written/verbal communication, attention to detail, spreadsheet and ticketing platform experience, ability to investigate transactions and collaborate cross-functionally; payments/fintech experience a plus.
Zendesk, Microsoft Excel, Google Sheets, ChatGPT, Claude
Arthur J. Gallagher & Co.NYSE: AJG: Global insurance brokerage and risk management services provider.
5+ YOE5+ years handling workers' compensation claims or consulting, 2+ years in risk management, strong knowledge of workers' compensation laws, FEHA/Interactive Process experience, return-to-work program and analytical skills, excellent communication.
Momentum for Health: Provides mental health treatment and residential care services.
3+ YOE3+ years healthcare revenue cycle experience; expertise in billing, denial management, Medi‑Cal and county behavioral health reimbursement; advanced Excel; myAvatar and claims systems experience; California driverʼs license and good driving record.
myAvatar, Inovalon, ChangeHealthcare, Microsoft Excel
Phoenix or San Antonio or Columbus or Charlotte or Chicago or Denver or San Diego or Houston or Los Angeles or Seattle or Washington, D.C. or Boston or San Francisco or New York City or San Jose
$104k-$137k/yrRemoteFull Time
Included Health: Provides integrated virtual care and healthcare navigation services.
Bachelor's degree, advanced SQL and Looker experience, familiarity with EHR/claims data, strong stakeholder communication, financial accruals experience, and capability to manage performance guarantee analytics and dashboards.
Assistant Vice President: Construction General Liability Claim Analyst
Palo Alto, California, United States
$100k-$150k/yrOnsiteFull Time
Wealthspire: Provides integrated wealth management and financial advisory services.
15+ YOE15+ years handling complex commercial construction GL claims, bachelor’s degree, property & casualty adjuster license (or ability to obtain), proficiency with Microsoft Office and claims systems, strong analytical and communication skills.
Microsoft Outlook, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
San Francisco or New York City or Chicago or United States
$128k-$170k/yrRemoteFull Time
Komodo Health: Provides AI-driven healthcare data and patient journey analytics software.
5+ YOEMS in quantitative field required, 5+ years building production SQL pipelines for large-scale healthcare data, proficient in R/Python/SAS, Git experience, familiarity with administrative claims/EHR and US medical coding systems.
Ascendiun: Nonprofit parent overseeing health insurance and clinical service organizations.
7+ YOERequires a college degree (Master's preferred), 7+ years relevant experience (including 5+ years with complex medical claims, membership, and provider data), SAS base/advanced credentials, advanced SQL & SAS, strong Python, and familiarity with Snowflake/Databricks, PEGA and Salesforce.
University of California, Davis: Public land-grant research university providing higher education and healthcare.
Knowledge of risk management, insurance, forecasting or analytical methods; strong interpersonal, analytical, and communication skills; ability to learn campus systems; bachelor's degree or equivalent experience; experience with claims, contract review, litigation support preferred.