Health Plan Business Services Manager (Claims Manager) Recruitment 2026
Are you looking for a leadership role in healthcare administration? Government Jobz is excited to share a new opening for a Claims Manager at the Contra Costa Health Plan (CCHP) in Martinez, CA. This is a permanent, full-time position within a federally qualified, county-sponsored HMO.
Role Description
The Claims Manager at Contra Costa Health Services ensures the integrity of payment systems. You will connect claims operations with configuration, compliance, and encounter reporting. If you enjoy solving complex operational problems and using data to improve public health systems, this career path listed on Government Jobz is for you.
Key Responsibilities
- Oversee claims configuration, fee schedules, and benefit setups.
- Manage quality assurance, including pre-payment and post-payment audits.
- Lead encounter data rejection reviews and regulatory reporting.
- Monitor payment integrity and manage overpayment recovery.
- Coordinate with IT, finance, and provider relations to resolve system issues.
- Supervise medical records coders and claims integrity staff.
Requirements & Qualifications
To qualify for this position through Government Jobz, you must meet the following:
- Education: At least 60 semester units in business, health sciences, or a related field. (Experience can substitute for education).
- Experience: 3 years of full-time experience in managed care business services or medical claims processing in a managerial/supervisory role.
- Certification: Must obtain vendor-specific certifications within 6 months of hire if required.
Why Join Contra Costa County?
Working here offers the chance to support Medi-Cal members and providers directly. You will lead system improvements in a collaborative public health environment. For more information on county roles, visit the Contra Costa County HR Page. You can also explore more Government Jobz listings to find similar opportunities.
Selection Process
The recruitment process includes an application evaluation followed by an Online Interview. Candidates must score at least 70% to pass. Oral interviews are tentatively scheduled for April 14-19, 2026. Successful applicants must pass fingerprinting (DOJ/FBI) and a background check. Note: All employees are designated as Disaster Service Workers.
Apply today through the official portal and stay updated with Government Jobz for the latest career news. Don’t forget to browse our Government Jobz homepage for additional local and federal openings.