Supervisor, Coding & Claims Resolution Analysts

Job overview

The Supervisor, Coding & Claims Resolution Analysts role is hybrid, with an average of three onsite days per week, and is listed in Omaha, NE. The full salary grade is $62,700–$107,500 per year; the typical hiring range is $62,700–$94,080 per year. Medica is a nonprofit health plan serving more than a million members and partnering with providers to coordinate care. The supervisor leads coding and claims resolution teams responsible for addressing member and provider issues. The role identifies root causes of coding and claims problems, manages staff performance and projects, and coordinates with internal teams, vendors, and providers to support timely, accurate issue resolution.

What you'll do

• Oversee coding and claims issue resolution
• interpret products, policies, processes, and provider contracts
• identify processing errors, coding trends, and system issues
• analyze operational problems and determine root causes
• communicate with providers, members, and internal customers
• document issues
• supervise, coach, train, schedule, and evaluate staff
• manage team performance and morale
• coordinate resources and data for claims projects
• monitor project progress and communicate with stakeholders
• lead communication with strategic providers.

What we're looking for

Skills & competencies

claims resolution

coding analysts

supervisor

health plan operations

root cause analysis

provider relations

omaha ne

medica

hybrid

3 onsite days/week

$62,700–$107,500/year

no visa sponsorship

Work arrangement

• Weekend coverage required

Benefits & perks

• Medical, dental and vision coverage, paid time off, holidays, paid volunteer time off, 401(k) contributions, caregiver services, and other employee benefits.

Why this role

The posting identifies an office role requiring an average of three onsite days per week and lists Omaha, NE, Minnetonka, MN, Madison, WI, and St. Louis, MO as possible office locations.

About the employer

Medica Services Company LLC is hiring for this role. Industry: Direct Health and Medical Insurance Carriers. Sector: 52.