Mirrai Careers

Claims Examiner III (Medi-Cal Managed Care)

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Remote Full-time Posted 30+ days ago
We are seeking an experienced Senior Claims Examiner with deep expertise in Medi-Cal Managed Care claims adjudication. The ideal candidate will have extensive knowledge of California Medi-Cal regulations, delegated risk arrangements, provider disputes, and complex facility claim processing. Experience with Medicare and Commercial claims is required, but this role is primarily focused on supporting and serving as a subject matter expert for Medi-Cal business. Job Purpose The Claims Examiner III (Medi-Cal Managed Care) is responsible for the accurate processing, adjustment, adjudication, and…

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