Sr. Manager - Claims Delegation Audit

astranahealth

1 hour ago

Monterey Park, CA 91754

Onsite

Full Time

Senior

0 applicants

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About this role

A Senior Claims Manager oversees claims delegation audits and ensures compliance with regulatory requirements. They develop and execute audit strategies, optimize processes, and collaborate with teams to improve claims processing efficiency and accuracy.

Skills

Qualifications

Bachelor of Science (BS)/Bachelor of Arts (BA) or equivalent education and experience3+ years of claims administration experience in a Health Plan/IPA/MSO setting3+ years of experience with Health Plan Audits Delegation Audit functions and oversight

About astranahealth

astranahealth.com

Astrana Health is a provider-centric, technology-powered healthcare company that helps deliver accessible, high-quality, and high-value care to all. It offers an end-to-end technology platform that underpins an integrated healthcare delivery system, enabling providers to participate in value-based care arrangements. By aligning incentives around outcomes and cost efficiency, the platform supports sustainable, patient-centered care. With data-driven tools and streamlined workflows, Astrana aims to improve patient outcomes while reducing the total cost of care.