{"id":2105657,"url":"https://alion.io/job/altamed-supervisor-claims-operations","title":"Supervisor, Claims Operations","company":{"id":1976044,"name":"AltaMed","domain":"altamed.org","url":"https://alion.io/company/altamed-org","size_band":"1001-5000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":{"grade":"B","score":75,"open_postings":18,"ghost_share":0,"stale_share":1,"repost_share":0,"time_to_fill_p50_days":29,"computed_at":"2026-10-12T06:55:09Z"}},"role":"Industrial Engineering","role_family":"Industrial Engineering","seniority":"senior","employment_type":"full_time","work_mode":"hybrid","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Montebello, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":74144,"max":92680,"currency":"USD","period":"year","gross":null,"usd_annual":92680},"salary_estimate":null,"experience_years_min":5,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-10-08T20:17:30Z","employer_posted_date":"2026-10-08","last_verified_at":"2026-10-13T02:08:35Z","board_verified":true,"closed_at":null,"days_open":4,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":4},"description":"Grow Healthy\nIf you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed - it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day.\nJob Overview\nThe Claims Operations Supervisor is responsible for the oversight of external as well as internal processes as it relates to Claims Adjudication. This includes the compilation and scrubbing of claims data to analyze, track, and trend various aspects of the adjudicated claims. This includes but is not limited to, TAT compliance, Production, Error Rate, mid-month reports for forecasting, Health Plan monthly reporting including ODAG and Part C, Health Plan Universes for Audits, reports to identify potential recovery, as well as reports requested by various personnel at AltaMed. The Claims Operations Supervisor will identify root causes of claims payment errors and reports to management as well as collaborates with other departments and/or providers in successful resolution of claims related issues.\nMinimum Requirements\nAssociates degree (AA/AS) or Bachelor’s degree is highly recommended.\n\nMust be knowledgeable of Medi-Cal regulations, Commercial, and Medicare rules and regulations and medical terminology.\n\nHS Diploma required.\n\nMinimum of 5 years of experience in a managed care environment, claims knowledge preferred.\n\nMust have an understanding to read CMS-1500 and UB-04 forms and be able to read and interpret DOFRs and Contracts.\n\nMust have strong organizational and mathematical skills.\n\nCompensation\n$74,144.18 - $92,680.22 annuallyCompensation Disclaimer\nActual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.\nBenefits & Career Development\nMedical, Dental and Vision insurance\n403(b) Retirement savings plans with employer matching contributions\nFlexible Spending Accounts\nCommuter Flexible Spending\nCareer Advancement & Development opportunities\nPaid Time Off & Holidays\nPaid CME Days \nMalpractice insurance and tail coverage\nTuition Reimbursement Program\nCorporate Employee Discounts\nEmployee Referral Bonus Program\nPet Care Insurance\nJob Advertisement & Application Compliance Statement\nAltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.","description_format":"text","description_chars":3590,"description_truncated":false,"requirements":{"experience_years_min":5,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"associate","optional":false},"security_clearance":false,"languages":[]},"benefits":["Retirement plans","Vision insurance"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Health Care","Hospitals & Health Systems"],"lifecycle":[{"event":"open","at":"2026-10-08T20:17:30Z"}],"visa":[],"liveness":{"score":60,"band":"ok","label":"Likely open","p_open":1,"p_active":0.602,"p_room":1,"age_days":3,"expected_fill_days":29,"reasons":["conf:0","stale_co","win:early","comp:brand"],"computed_at":"2026-10-12T06:55:09Z"},"pay":{"stated_usd_annual":92680,"is_top_pay":false},"html_url":"https://alion.io/job/altamed-supervisor-claims-operations","json_url":"https://alion.io/job/altamed-supervisor-claims-operations.json","meta":{"generated_at":"2026-10-13T05:02:31Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":7892,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-14T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":1976044},"rest":"https://alion.io/mcp/rest/get_company?id=1976044"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Faltamed-supervisor-claims-operations"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Faltamed-supervisor-claims-operations"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Faltamed-supervisor-claims-operations"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/altamed-supervisor-claims-operations\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Faltamed-supervisor-claims-operations"}]}