Dignity Health ยท 1 day ago
Manager Claims Recovery
Bakersfield, CA
Full-time
Onsite
Mid, Senior Level
$39.18/hr - $58.28/hr
5+ years expDignity Health is dedicated to providing quality managed care administrative and clinical services. The Claims Recovery Manager is responsible for leading recovery operations, overseeing efforts to identify and recoup overpayments, and enhancing controls to prevent future payment errors.
Health CareHospitalMedicalNon Profit
Responsibilities
Leading the recovery operations within the MSO Claims department
Overseeing all efforts to identify, validate, and recoup overpayments
Enhancing controls to prevent future payment errors
Working in close coordination with internal audit, provider dispute resolution, and finance to maximize cost recovery, reduce payment errors, and support contractual compliance
Qualification
Required
High School Graduate or GED
Minimum 5 years of progressive experience in healthcare claims recovery, payment integrity, or post-payment audit functions, preferably within a multi-plan MSO or delegated entity
Minimum 2 years of people management or team leadership experience
Strong working knowledge of managed care contracts, provider reimbursement methodologies, and recovery-related policies (e.g., COB, TPL, retro reviews)
Proficiency in Microsoft Excel; familiarity with claims adjudication platforms (e.g., QNXT, EZCAP)
Preferred
Bachelor's degree in Healthcare Administration, Business, Finance, or related field or equivalent work experience
Experience managing vendor recovery relationships or large-scale recovery initiatives
Familiarity with audit tools, denial management, and provider relations workflows
Knowledge of Medicare Advantage, Commercial, and Medi-Cal managed care recovery requirements
Benefits
Medical, dental and vision plans, for the employee and their dependents
Health Spending Account (HSA)
Life Insurance
Long Term Disability
401k retirement plan with a generous employer-match
Paid Time Off
Sick Leave
Company
Dignity Health
Dignity Health is a healthcare facility that offers physical, mental, and spiritual care.
10001+ employees
H1B Sponsorship
Dignity Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (44)
2024 (55)
2023 (38)
2022 (37)
2021 (33)
2020 (20)
Funding
Current Stage
Late StageTotal Funding
unknown2019-02-01Acquired
Leadership Team
Gena Bravo
President/CEO
Linda Tautz RN, BSN, MBA
Regional Chief Executive Officer
Recent News
2025-10-01
Company data provided by crunchbase