Senior Manager, Claims Operations & Compliance
Posted yesterday
la careLos Angeles (CA)
Medical and Health Services ManagersPharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
SENIORITY
Senior
About the role
The Senior Manager, Claims Administration at L.A. Care Health Plan leads enterprise claims adjudication across all lines of business from Los Angeles, CA.
This full-time role requires strong production management, policy application, and cross-functional collaboration to ensure timely, accurate claim processing. You will manage a high-performing team, drive first-pass accuracy, improve auto-adjudication, and ensure compliance with DMHC, DHCS, CMS, while partnering with executive leadership to
Before you apply
Applying takes about a minute. These four things decide how fast it moves after that.
Your profile is current
It's what we read first. Occupations, seniority and locations matter more than a long history.
Two examples you can talk through
Not a portfolio — just two pieces of work where you can explain the decisions and what you'd change.
A number in mind
What you're on now and what would make you move. We negotiate better when we know both.
Your notice period
Employers plan around it, and it's the question that stalls offers most often.
Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.
More like this