Claims Manager, Medicare Advantage Plan
Ucla healthLos Angeles, California, United States
Posted March 5, 2026
95400 - 208300 USD
Full Time
About the Company
UCLA Health is a leading integrated healthcare system serving Los Angeles and beyond, encompassing Ronald Reagan UCLA Medical Center, UCLA Medical Center Santa Monica, Resnick Neuropsychiatric Hospital, Mattel Children's Hospital, West Valley Medical Center, and a broad network of primary‑ and specialty‑care offices. The organization excels in advanced diagnostics and treatment of complex conditions—including organ transplantation, cardiac and neurosurgery, and oncology—while maintaining a reputation as one of the nation’s top hospitals. Its physicians and scientists are pioneers in biomedical research, translating discoveries into clinical practice across a wide spectrum of specialties. UCLA Health’s combination of world‑class facilities, cutting‑edge technology, and a culture of innovation makes it a compelling destination for healthcare professionals seeking to advance patient care and research.
Job Description
Claims Manager, Medicare Advantage Plan job description summary: Play a vital role on our Claims leadership team, managing a team of claim examiners, auditors, and support staff toward operational excellence. Key responsibilities include implementing efficient claims adjudication processes, fostering a positive team culture, and identifying opportunities to enhance workflows and resolve complex claim issues.
Requirements
- Bachelor’s degree in business, health care or a related field and/or equivalent work experience
- Five or more years of claims operations experience in a Medicare Advantage or related environment
- Three or more years of managing personnel in a claims processing environment
Benefits
- Flexible hybrid work schedule
- Travel/attendance to off-site meetings and conferences (possible)