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Manager, Claims Processing - Rancho Cucamonga, United States - Inland Empire Health Plans
Description
What you can expectFind joy in serving others with IEHP We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an
authentic experience
The Manager, Claims Processing - Covered California is responsible for oversight and direction of claims and auditing activities of the Covered California (CCA) vendor and personnel.
This position requires excellent communication, collaboration and leadership skills and the ability to provide detailed instructions to vendor and staff while monitoring inventory and compliance metrics within the department to ensure that our provider and member needs are met in a timely manner.
PerksIEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more.
CalPERS retirement457(b) option with a contribution match
Generous paid time off- vacation, holidays, sick
State of the art fitness center on-site
Medical Insurance with Dental and Vision
Paid life insurance for employees with additional options
Short-term, and long-term disability options
Pet care insurance
Flexible Spending Account – Health Care/Childcare
Wellness programs that promote a healthy work-life balance
Career advancement opportunities and professional development
Competitive salary with annual merit increase
Team bonus opportunities
Education & Experience
Five (5) years of claims processing experience, at least (3) three of which was in a management capacity
Three (3) years of experience in an HMO or managed care environment.
Experienced in benefit and interpretation, regulatory payment appeals, and claim adjudication
The Manager must have past Covered California or Commercial claims processing experience
Bachelor's degree from an accredited institution required, degree preferably in Business Administration, Accounting or Healthcare from an accredited institution required
Key Qualifications
Excellent communication, collaboration, and leadership skills.
Start your journey towards a thriving future with IEHP and apply TODAY
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