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Supervisor, Coding and Claims Resolution Analysts

Medica Services Company LLC · Madison, WI · Medica Operations Coding Analyst and Claim Resolution Analyst teams.

Compensation

$63k – $108k /yr

Employment type

Full-time

Work setting

On-site

Location

Madison, WI

Schedule

Day shift

Posted

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Job overview

The Supervisor, Coding and Claims Resolution Analysts role is hybrid, requiring onsite work an average of three days per week. The posting lists a full salary grade of $62,700–$107,500 per year and a typical hiring range of $62,700–$94,080. The role may be based near Madison, WI, Minnetonka, MN, St. Louis, MO, or Omaha, NE. Medica is a nonprofit health plan serving more than a million members across several states. The supervisor leads coding and claims resolution teams and oversees timely resolution of member and provider issues. The role improves service and operational accuracy by identifying root causes, managing staff performance, and coordinating projects with internal teams, providers, and vendors.

What you'll do

  • Interpret products, policies, processes, and provider contracts
  • identify coding and claim-processing errors and root causes
  • analyze operational issues and trends
  • communicate with providers, members, and internal customers
  • document issues
  • supervise, coach, train, schedule, and evaluate staff
  • coordinate resources and claims projects
  • monitor project progress
  • and lead communication with strategic providers.

What we're looking for

Skills & competencies
coding supervisor
claims resolution
health plan operations
team leadership
root cause analysis
madison wi
minnetonka mn
st. louis mo
omaha ne
hybrid
medica
$62,700–$107,500
medical benefits
401(k) contributions
Work arrangement
  • Weekend coverage required

Benefits & perks

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

Why this role

Requires a bachelor’s degree or equivalent experience, 5+ years of coding work experience beyond degree, and 1+ years of coding team leadership. Medica does not offer work visa sponsorship.

About the employer

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

Additional details

Industry sector
52
Industry
Direct Health and Medical Insurance Carriers
Occupation code
11-9111.00
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