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


Contact Information

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