San Bernardino, CA · On-site
$33.50 - $39.50/hr
This role ensures compliance with applicable California state and federal regulations, contractual ... The employee must be able to maintain concentration for extended periods, analyze detailed ...
San Bernardino, CA · On-site
$33.50 - $39.50/hr
This role ensures compliance with applicable California state and federal regulations, contractual ... The employee must be able to maintain concentration for extended periods, analyze detailed ...
San Bernardino, CA · On-site
$33.50 - $39.50/hr
This role ensures compliance with applicable California state and federal regulations, contractual ... The employee must be able to maintain concentration for extended periods, analyze detailed ...
San Bernardino, CA · On-site
$33.50 - $39.50/hr
This role ensures compliance with applicable California state and federal regulations, contractual ... The employee must be able to maintain concentration for extended periods, analyze detailed ...
San Bernardino, CA · On-site
$33.50 - $39.50/hr
This role ensures compliance with applicable California state and federal regulations, contractual ... Ability to analyze complex data, identify discrepancies, and apply contract terms accurately.
San Bernardino, CA · On-site
$33.50 - $39.50/hr
This role ensures compliance with applicable California state and federal regulations, contractual ... Ability to analyze complex data, identify discrepancies, and apply contract terms accurately.
Oakland, CA · On-site
$230K - $320K/yr
... Dispute Resolution for our Construction Consulting Practice in Oakland, CA . In this role, you will ... Preparing analyses and expert reports related to construction delay, cost, damages, lost profits ...
Oakland, CA · On-site
$230K - $320K/yr
... Dispute Resolution for our Construction Consulting Practice in Oakland, CA . In this role, you will ... Preparing analyses and expert reports related to construction delay, cost, damages, lost profits ...
... Dispute Resolution for our Construction Consulting Practice in Oakland, CA . In this role, you will ... Preparing analyses and expert reports related to construction delay, cost, damages, lost profits ...
... Dispute Resolution for our Construction Consulting Practice in Oakland, CA . In this role, you will ... Preparing analyses and expert reports related to construction delay, cost, damages, lost profits ...
... Dispute Resolution for our Construction Consulting Practice in Oakland, CA . In this role, you will ... Preparing analyses and expert reports related to construction delay, cost, damages, lost profits ...
... Dispute Resolution for our Construction Consulting Practice in Oakland, CA . In this role, you will ... Preparing analyses and expert reports related to construction delay, cost, damages, lost profits ...
Burlingame, CA · On-site
$42.79 - $48.75/hr
The specialist will also conduct root cause analyses, process claims readjustments, support system ... Knowledge of Medi-Cal & Medicare Advantage claims reimbursement and dispute resolution.
Burlingame, CA · On-site
$42.79 - $48.75/hr
The specialist will also conduct root cause analyses, process claims readjustments, support system ... Knowledge of Medi-Cal & Medicare Advantage claims reimbursement and dispute resolution.
Burlingame, CA · On-site
$42.79 - $48.75/hr
The specialist will also conduct root cause analyses, process claims readjustments, support system ... Knowledge of Medi-Cal & Medicare Advantage claims reimbursement and dispute resolution.
Burlingame, CA · On-site
$42.79 - $48.75/hr
The specialist will also conduct root cause analyses, process claims readjustments, support system ... Knowledge of Medi-Cal & Medicare Advantage claims reimbursement and dispute resolution.
$42.79 - $48.75/hr
The specialist will also conduct root cause analyses, process claims readjustments, support system ... Knowledge of Medi-Cal & Medicare Advantage claims reimbursement and dispute resolution.
$42.79 - $48.75/hr
The specialist will also conduct root cause analyses, process claims readjustments, support system ... Knowledge of Medi-Cal & Medicare Advantage claims reimbursement and dispute resolution.
Irvine, CA · On-site
$260K - $390K/yr
Represent clients in complex commercial litigation and dispute resolution matters from case ... Excellent legal research, analytical, drafting, and oral advocacy skills. * Strong academic ...
Quick apply
Irvine, CA · On-site
$260K - $390K/yr
Represent clients in complex commercial litigation and dispute resolution matters from case ... Excellent legal research, analytical, drafting, and oral advocacy skills. * Strong academic ...
Represent clients in complex commercial litigation and dispute resolution matters from case ... Excellent legal research, analytical, drafting, and oral advocacy skills. * Strong academic ...
Quick apply
Represent clients in complex commercial litigation and dispute resolution matters from case ... Excellent legal research, analytical, drafting, and oral advocacy skills. * Strong academic ...
By working collaboratively, our team shapes the firm's client strategy, completes analysis of ... The Dispute Resolution (DR) MBD team leads strategic positioning, visibility, and client service ...
By working collaboratively, our team shapes the firm's client strategy, completes analysis of ... The Dispute Resolution (DR) MBD team leads strategic positioning, visibility, and client service ...
Santa Monica, CA · On-site
$260K - $390K/yr
Represent clients in complex commercial litigation and dispute resolution matters from case ... Excellent legal research, analytical, drafting, and oral advocacy skills. * Strong academic ...
Quick apply
Santa Monica, CA · On-site
$260K - $390K/yr
Represent clients in complex commercial litigation and dispute resolution matters from case ... Excellent legal research, analytical, drafting, and oral advocacy skills. * Strong academic ...
Represent clients in complex commercial litigation and dispute resolution matters from case ... Excellent legal research, analytical, drafting, and oral advocacy skills. * Strong academic ...
Quick apply
Represent clients in complex commercial litigation and dispute resolution matters from case ... Excellent legal research, analytical, drafting, and oral advocacy skills. * Strong academic ...
San Jose, CA · On-site
$260K - $390K/yr
Represent clients in complex commercial litigation and dispute resolution matters from case ... Excellent legal research, analytical, drafting, and oral advocacy skills. * Strong academic ...
Quick apply
San Jose, CA · On-site
$260K - $390K/yr
Represent clients in complex commercial litigation and dispute resolution matters from case ... Excellent legal research, analytical, drafting, and oral advocacy skills. * Strong academic ...
Represent clients in complex commercial litigation and dispute resolution matters from case ... Excellent legal research, analytical, drafting, and oral advocacy skills. * Strong academic ...
Quick apply
Represent clients in complex commercial litigation and dispute resolution matters from case ... Excellent legal research, analytical, drafting, and oral advocacy skills. * Strong academic ...
San Francisco, CA · Hybrid
$100K - $125K/yr
Analyst / Senior Analyst, IP Dispute Resolution (Financial Expert Practice) Ocean Tomo offers an ... contractual or competition disputes. Intangible assets comprise 90 percent of business value but ...
San Francisco, CA · Hybrid
$100K - $125K/yr
Analyst / Senior Analyst, IP Dispute Resolution (Financial Expert Practice) Ocean Tomo offers an ... contractual or competition disputes. Intangible assets comprise 90 percent of business value but ...
Orange, CA · On-site
$24 - $32/wk
Gather, analyze, and document case information. * Create and maintain accurate case records and ... Provider Dispute Resolution * Medicare or Medi-Cal Appeals * Grievance & Appeals * Claims ...
Quick apply
Orange, CA · On-site
$24 - $32/wk
Gather, analyze, and document case information. * Create and maintain accurate case records and ... Provider Dispute Resolution * Medicare or Medi-Cal Appeals * Grievance & Appeals * Claims ...
Rosemead, CA · Hybrid
$194K - $207K/yr
This position consults on dispute resolution, litigation, drafting complaint and respondent, conducting lease legal review, legal risk analysis and drafting legal responses to landlords. The Sr. ...
Rosemead, CA · Hybrid
$194K - $207K/yr
This position consults on dispute resolution, litigation, drafting complaint and respondent, conducting lease legal review, legal risk analysis and drafting legal responses to landlords. The Sr. ...
... reports and financial analyses/models, analyzing and critiquing opposing parties' claims ... contractual or competition disputes.Intangible assets comprise 90 percent of business value but are ...
Quick apply
... reports and financial analyses/models, analyzing and critiquing opposing parties' claims ... contractual or competition disputes.Intangible assets comprise 90 percent of business value but are ...
The most popular types of Dispute Resolution Analyst jobs in California are:
Cities in California with the most Contractual Dispute Resolution Analyst job openings:
San Bernardino, CA • On-site
$33.50 - $39.50/hr
Full-time
Re-posted 28 days ago
JOB SUMMARY
The Provider Dispute Resolution Specialist is responsible for the accurate, timely, and compliant review and resolution of provider disputes and appeals related to claims adjudication, reimbursement, coding, and authorization determinations. This role ensures compliance with applicable California state and federal regulations, contractual obligations, and internal policies while supporting positive provider relations.
Requirements:MINIMUM & PREFERRED QUALIFICATIONS
Education/Training
Minimum: High school diploma or equivalent.
Preferred: Coursework or training in healthcare administration, medical billing, or related field.
Experience
Minimum: 5+ years of experience processing managed care health claims.
Preferred: 2+ years of direct Provider Dispute Resolution and/or Appeals experience within Medicare, Medi-Cal/Medicaid, Commercial, PPO, and/or HMO environments.
Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration of this position.
Skills, Knowledge & Abilities
· Strong working knowledge of managed care claims operations and regulatory requirements, including dispute and appeal timeliness standards.
· Proficiency with medical coding concepts (ICD-10, CPT, HCPCS, DRG, ASC).
· Experience with UB-04 and CMS-1500 claim forms.
· Ability to analyze complex data, identify discrepancies, and apply contract terms accurately.
· Strong written and verbal communication skills in English.
· Effective time management skills with the ability to manage competing priorities and workload volumes.
· Intermediate proficiency with Microsoft Office applications, including Word and Excel.
· Demonstrated problem-solving skills and attention to detail.
PHYSICAL, MENTAL & ENVIRONMENTAL REQUIREMENTS
The physical, mental, and environmental demands described here are representative of those required to successfully perform the essential functions of this job. This position primarily involves sedentary work with routine use of a computer and standard office equipment. The role may require occasional light physical activity (up to 10 pounds) and brief periods of bending, reaching, or filing. The employee must be able to maintain concentration for extended periods, analyze detailed information, and meet regulatory deadlines, with or without reasonable accommodation.
PAY RANGE
$33.50 - $39.50 / hourly
