13 claims analyst jobs at 8 companies in Highland, CA
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
3w
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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
4w
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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
1w
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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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Haulaway Operations Team - Analyst
Irvine, California, United States
$26-$28/hr OnsiteFull Time
0+ YOEHigh school diploma/GED, 0-3 years logistics/claims/transportation experience, strong communication, planning, and critical thinking, proficiency with Microsoft Office and EDI, ability to operate office equipment and sit for long periods.
Microsoft Excel, Microsoft Word, Microsoft Outlook, Microsoft PowerPoint, EDI
2mo
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Haulaway Operations Team - Analyst
Irvine, California, United States
$26-$28/hr OnsiteFull Time
0+ YOEHigh school diploma/GED; 0-3 years logistics/transportation/claims experience; strong communication, planning, organizational, and critical-thinking skills; proficient with Microsoft Office and EDI.
Microsoft Excel, Microsoft Word, Microsoft Outlook, Microsoft PowerPoint, EDI
1mo
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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
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
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
1w
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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
2d
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Workers Compensation, Risk Analyst 3 (Hybrid)
Fullerton, California, United States
$69k-$111k/yr HybridFull Time
2+ YOEHigh school diploma or GED and 2 years of workers’ compensation claims handling experience required; strong claims law, communication, negotiation, organization, and computer skills. Bachelor’s degree preferred.