Company Overview. Full Circle Health Network is an integrated network of nonprofit, nationally accredited providers delivering coordinated, community-based services to vulnerable children, individuals and families across California. Full Circle exists to ensure more Californians can access culturally congruent and trauma-informed care from a high-quality network of community-based organizations that address their whole-person and whole-family nee...
JOB DESCRIPTION. The Claims Manager is responsible for the oversight of internal processes as they relate to claims adjudication. This includes the compilation and scrubbing of claims data in order to analyze, track, and trend various aspects of the adjudicated claims. This includes but is not limited to TAT compliance, production, error rate, midmonth reports for forecasting, health plan monthly reporting, and audits. The Claim Manager will iden...