PLEASE NOTE: WHA has been made aware of impersonators using our name and enticing applicants to submit online job applications to fake and fraudulent sites and offering non-existent remote positions while requesting bank information to begin the hiring process. If anyone is contacted with the lure of open jobs, we recommend ignoring unverified links and requests. The jobs below are legitimate and we look forward to your interest in joining Western Health Advantage. Thank you!
Western Health Advantage is committed to providing equal employment opportunities to employees and applicants for employment on the basis of merit and without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, physical or mental disability, medical condition, genetic information, marital status, ancestry, military or veteran status, or any other basis made unlawful by federal or state law.
Western Health Advantage values and supports the unique talents and strengths that each employee brings to our organization. Collaborating with the best and the brightest means a dynamic, fulfilling work experience for you — and excellent customer service for our members.
Claims Dispute Analyst I
Summary Description:
The Claims Dispute Analyst I is responsible for the provider dispute resolution (PDR) process. The Claims Dispute Analyst I ensures all PDRs are received, logged, and processed on time, resolves issues regarding provider payments,
Claims & Provider Relations Compliance Oversight Analyst
Summary Description:
The Claims and Provider Relations Compliance Oversight Analyst focuses on building relationships and ensuring compliance for providers, is responsible for day-to-day compliance and regulatory operations for the department,
Provider Relations Representative I
Summary Description:
The Provider Relations Representative I works in close collaboration with internal departments to input and maintain up-to-date provider data and provide reporting on provider data. The Provider Relations Representative I
Appeals & Grievances Nurse
Summary Description:
The Appeals & Grievances Nurse requires the abilities and knowledge of a California-licensed Registered Nurse (RN).
Specifically, the Appeals & Grievances Nurse reports directly to Western Health Advantage’s (WHA’s)
Learning and Development Specialist
Summary Description:
The Learning and Development Specialist plays a key role in facilitating impactful training experiences and designing high-quality learning programs to support performance within our Healthplan call center. This position is
Claims Examiner I
Summary Description:
The Claims Examiner I is responsible for adjudicating medical claims accurately and in a timely manner to ensure state regulations are met. The Claims Examiner I provides thorough review, analysis, and on-time adjudication
Thank you for your interest! Please submit your resume and cover letter here: whaSacramento.applyToJob.com
Or you can email us at: hr@westernhealth.com
Or mail to:
2349 Gateway Oaks Drive,
Suite 100
Sacramento, CA 95833
Attn: Human Resources