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Manager Case Analyst Jobs (NOW HIRING)

Akima, LLC

Case Management Analyst II

Herndon, VA · On-site

$75K - $82K/yr

Akima Global Logistics seeks a Case Manager II located in the Southeastern United States capable of evaluating and improving a federal agency's case management program by analyzing data, schedules ...

ICBD

Case Review Analyst

Lauderdale Lakes, FL · On-site

Case Review Analyst - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site Who We Are Exact ... With firsthand knowledge of how inefficiencies in revenue cycle management drain resources from ...

ICBD

Case Review Analyst

Lauderdale Lakes, FL

Case Review Analyst - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site Who We Are Exact ... With firsthand knowledge of how inefficiencies in revenue cycle management drain resources from ...

ICBD

Case Review Analyst

Fort Lauderdale, FL · On-site

Case Review Analyst - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site Who We Are Exact ... With firsthand knowledge of how inefficiencies in revenue cycle management drain resources from ...

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How much do manager case analyst jobs pay per hour?

As of May 31, 2026, the average hourly pay for manager case analyst in the United States is $24.76, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $26.92 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Manager Case Analyst, and why are they important?

To thrive as a Manager Case Analyst, you need a strong background in case management, analytical thinking, and a relevant degree such as in business, law, or healthcare administration. Familiarity with case management software, data analysis tools, and reporting systems is typically required, along with certifications like CCM (Certified Case Manager) when applicable. Exceptional organizational, leadership, and communication skills help manage teams and complex case loads effectively. These abilities ensure efficient case resolution, regulatory compliance, and high-quality outcomes for clients or stakeholders.

How does a Manager Case Analyst typically collaborate with other departments to resolve complex cases?

A Manager Case Analyst often serves as a liaison between their team and other departments such as legal, compliance, customer service, and operations. They coordinate cross-functional meetings to gather relevant information, share updates, and ensure all aspects of a case are thoroughly addressed. Effective communication and relationship-building skills are essential for aligning stakeholders and driving case resolutions. This collaborative approach not only speeds up the resolution process but also helps maintain consistency and compliance with company policies.

What is a Manager Case Analyst?

A Manager Case Analyst is a professional responsible for overseeing the analysis and management of cases within an organization, often in fields like healthcare, insurance, or social services. They lead teams of case analysts, ensuring that cases are reviewed thoroughly, compliance is maintained, and processes are followed efficiently. Their role includes supervising staff, analyzing data trends, preparing reports, and implementing improvements to case management procedures. Manager Case Analysts play a key role in decision-making and ensuring quality outcomes for clients or stakeholders.

What is the difference between Manager Case Analyst vs Case Analyst?

AspectManager Case AnalystCase Analyst
Required CredentialsBachelor's degree; often advanced certifications in case management or related fieldsBachelor's degree typically sufficient; certifications like CPC or similar may be preferred
Work EnvironmentSupervisory role overseeing case analysts; involved in strategic planningFocused on case evaluation and processing; more operational
Employer & Industry UsageInsurance, healthcare, legal firms; managerial levelInsurance companies, healthcare providers, legal support; entry to mid-level

The main difference between a Manager Case Analyst and a Case Analyst lies in their responsibilities and seniority. The Manager oversees teams, manages case strategies, and handles higher-level decision-making, while the Case Analyst primarily evaluates and processes individual cases. Both roles require relevant credentials, but the managerial position demands additional leadership skills and experience.

What cities are hiring for Manager Case Analyst jobs? Cities with the most Manager Case Analyst job openings:
What are the most commonly searched types of Case Analyst jobs? The most popular types of Case Analyst jobs are:
What states have the most Manager Case Analyst jobs? States with the most job openings for Manager Case Analyst jobs include:
Manager Case Analyst jobs near you
Grievance & Appeals Case Analyst

Grievance & Appeals Case Analyst

Partnership HealthPlan of California

Fairfield, CA • On-site

$72.36K - $90.46K/yr

Other

Posted 13 days ago

Job description

Overview
Represents Partnership in the Grievance & Appeals Resolution process. Responsible for reviewing,
investigating, and resolving assigned member grievance and appeal cases ranging from low to
high complexity. Works to transform member dissatisfaction into member satisfaction. Oversees
the investigative process ensuring casework complies with DHCS guidelines, NCQA standards,
and Partnership best practices. Works independently, provides leadership on each investigation,
prioritizes case deliverables, remains customer-focused, and stays current on changes in the
healthcare system that may trigger member dissatisfaction.
Responsibilities
  • Independently determines best resolution on assigned cases, incorporating clinical guidance
    from Partnership Medical Directors and Grievance & Appeal Nurse Specialists.
  • Investigates member-disputes of denied benefits/services, collects new evidence, reassesses
    for coverage, executes final decisions, and communicates it to all stakeholders.
  • Investigates member-reported concerns about dissatisfactory experiences while seeking care.
    Identifies facts, surveys the health care system, corrects root causes, and communicates
    outcomes to all stakeholders.
  • Communicates with members throughout the investigation, offers customer-focused
    solutions, and practices exemplary customer service to all stakeholders. Frequent contact
    with internal departments, providers, third party administrators, and/or regulators.
  • Manages assigned cases so they are completed within DHCS timeframes, according to G&A
    Desktop procedures, and/or as directed by management.
  • Documents all casework activity thoroughly, accurately, timely, and ethically.
  • Writes DHCS and NCQA compliant letters to members and providers.
  • Provides leadership to the grievance support team to complete sub-components of the
    investigation process.
  • Effective communicator in all modes of communication (e.g., written, verbal).
  • Knows all Partnership Medi-Cal benefits or has the ability to master understanding of all benefits.
    Maintains knowledge of Partnership Medi-Cal Handbook, Partnership Policy & Procedures, and DHCS
    guidelines affecting benefits.
  • Identifies systematic or recurring issues that create barriers to high quality healthcare and
    reports them to leadership.
  • May serve as backup to absent Grievance & Appeals Case Analyst(s).
  • Attends meetings as needed including but not limited to Case Conferences, Case Forum
    Meetings, Department Meetings, and Division Meetings.
  • Other duties as assigned.

Qualifications
Education and Experience
Bachelor's degree or four (4) years of related work experience, preferably in
Grievances & Appeals, health care customer service, case management or
health plan operations.
Special Skills, Licenses and Certifications
Ability to solve problems, be a critical thinker and detail oriented. Familiar
with managed care concepts, operations, policies and procedures, including
but not limited to knowledge of grievance and appeal regulations. Strong
knowledge of Microsoft Word, Excel, and Outlook. Bilingual skills in
Spanish, Tagalog, or Russian preferred, but not required.
Performance Based Competencies
Excellent oral and written communication skills. Ability to exercise discretion
and independent judgment. Must be able to handle multiple tasks and meet
deadlines. Strong organizational skills with ability to prioritize work. Must be
able to work in a fast-paced environment, work well under pressure, and
maintain professional composure when interacting with all stakeholders,
including members.
Work Environment And Physical Demands
Daily use of telephone and computer. More than 70% of work time is spent in
front of a computer monitor. Standard cubical workstation. When required,
ability to move carry or lift objects weighing up to 25 lbs.
All HealthPlan employees are expected to:
  • Provide the highest possible level of service to clients;
  • Promote teamwork and cooperative effort among employees;
  • Maintain safe practices; and
  • Abide by the HealthPlan's policies and procedures, as they may from time to time be

HIRING RANGE:
$72,364.92 - $90,456.15
IMPORTANT DISCLAIMER NOTICE
The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.

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