14 claims analyst jobs at 8 companies in Calimesa, CA
5d
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Sr. Claims Data Analyst
Rancho Cucamonga, California, United States
RemoteFull Time
3+ YOERequires 3–5+ years in data analytics, strong SQL/T-SQL and advanced Power BI with DAX, complex dataset analysis, stakeholder collaboration, and translating findings into business recommendations.
SQL, T-SQL, Power BI, DAX, Microsoft Fabric, DirectLake, Azure Data Factory (ADF)
2mo
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Analyst III, Epic Application Professional Billing and Claims
Irvine, California, United States
$103k-$133k/yr OnsiteFull Time
3+ YOEEpic Professional Billing & Claims SME with 3+ years' relevant experience, current Epic certification (or recent use), bachelor's degree in IT/healthcare (or equivalent), strong project management and communication skills.
Epic
2w
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National Claims Intake Operations Analyst (Hybrid in CA)
Santa Ana, California, United States
$64k-$86k/yr HybridFull Time
3+ YOEBachelor's degree or equivalent experience; 3-5+ years in complex multi-location operations; advanced reporting, analytics, database, and SharePoint experience; claims intake and compliance knowledge.
Doma, Power BI, SQL, Microsoft Access, Microsoft SharePoint
2mo
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Analyst III, Epic Application Professional Billing and Claims
Irvine, California, United States
$103k-$133k/yr OnsiteFull Time
3+ YOEEpic certification (current/active within 2 years), 3+ years relevant experience, bachelor's degree or equivalent experience preferred, strong project management and leadership skills.
Epic Professional Billing and Claims, Epic PB and Claims
3w
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Data Analyst Sr, Finance - Encounter Data (Covered California)
Orange, California, United States
$84k-$135k/yr HybridFull Time
5+ YOEBachelor's plus 5 years data analyst experience with SQL; 3 years Medi-Cal managed care or Medicare Advantage and Covered California experience required; experience reconciling encounter/claims data and working with DHCS/CMS.
SQL, Electronic Data Interchange (EDI), Microsoft Word, Microsoft Outlook, Microsoft Excel, Microsoft PowerPoint
2mo
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Account Analyst
Tacoma or Santa Ana
$26-$33/hr HybridFull Time
Experience with insurance claims processing, denial management, appeals, and accounts receivable; strong analytical skills; proficiency in Microsoft Excel; high school diploma required; Associate's degree preferred.
Microsoft Excel
6d
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Senior Payment Integrity Analyst
Rancho Cucamonga, California, United States
$91k-$121k/yr RemoteFull Time
5+ YOERequires 5+ years in payment integrity, claims auditing, or medical coding; bachelor's degree in business or health administration; strong SQL, data analysis, coding, regulatory, and claims expertise.
SQL, Microsoft Excel, HEDIS, CAHPS, NCQA, CMS, DHCS, HIPAA, DRG, ICD-10, CPT, HCPCS
2mo
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Denials Analyst
Rancho Mirage, California, United States
$22-$33/hr OnsiteFull Time
3+ YOEHigh school diploma required (associate preferred). 3+ years hospital/professional billing experience with emphasis on denied claims, appeals, managed care and Medicare/Medi-Cal; knowledge of CPT/HCPCS/ICD-10, CMS rules, payor contracts, and strong Microsoft Office skills.
Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint, Epic
4w
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Risk Management/Insurance Analyst (Financial Analyst III)
Orange, California, United States
$91k-$145k/yr OnsiteFull Time
5+ YOEBachelor's in business/finance/risk or equivalent plus 5+ years in corporate risk management or insurance broker experience; insurance program administration, claims handling, contract review, and Microsoft Office proficiency.
Microsoft Word, Microsoft Outlook, Microsoft Excel, Microsoft PowerPoint
6d
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Payment Integrity Analyst
Rancho Cucamonga, California, United States
$80k-$106k/yr RemoteFull Time
3+ YOERequires 3+ years in healthcare claims, billing, or auditing; bachelor's degree in healthcare, finance, or related field; SQL and Microsoft Office proficiency; coding and health insurance contract knowledge.
SQL, Microsoft Office Suite, Microsoft Excel, Microsoft Access, CPT, ICD-10, HCPCS, NDC, AI, DRG
1mo
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System Configuration Analyst
Tustin, California, United States
$65k-$75k/yr RemoteFull Time
2+ YOEHigh school diploma/GED, 2+ years PPO/HMO claims processing experience, HSP and dental procedure knowledge, proficiency with Word/Excel/Access, strong analytical and communication skills.
Microsoft Word, Microsoft Excel, Microsoft Access, Crystal Report, HSP
6d
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Payment Integrity Analyst
Rancho Cucamonga, California, United States
$80k-$106k/yr RemoteFull Time
3+ YOERequires 3+ years in healthcare claims, billing, or auditing; bachelor's degree in healthcare, finance, or related field; SQL and Microsoft Office proficiency; coding, contract interpretation, analytics, and regulatory knowledge.
SQL, Microsoft Office Suite, Microsoft Excel, Microsoft Access, AI, CPT, ICD-10, HCPCS, NDC, DRG, CMS, DHCS, HEDIS, CAHPS, NCQA, CalPERS, 457(b)
1mo
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System Configuration Analyst
Tustin or United States
$65k-$75k/yr RemoteFull Time
2+ YOEHigh school diploma/GED, minimum 2 years PPO/HMO claims processing or auditing, HSP systems and dental procedure knowledge, Microsoft Word/Excel/Access and Crystal Reports proficiency, advanced analytical and communication skills.
Microsoft Word, Microsoft Excel, Microsoft Access, Crystal Reports, HSP
6d
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Senior Payment Integrity Analyst
Rancho Cucamonga, California, United States
$91k-$121k/yr RemoteFull Time
5+ YOERequires 5+ years in payment integrity, claims auditing, or medical coding; bachelor's degree in business or health administration; SQL and Excel proficiency; coding and healthcare regulations expertise.
SQL, Microsoft Excel, CMS, HIPAA, DRG, ICD-10, CPT, HCPCS, Medicaid, Medi-Cal, Medicare, IT, HEDIS, CAHPS, NCQA