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Welcome to CommonSpirit Careers

The power of humankindness works here

Manager Managed Care Claims

  • Dignity Health Management Services
  • Camarillo, California, Remote
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About Us

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 138 hospital-based locations, in addition to its home-based services and virtual care offerings.

Our Mission

As CommonSpirit Health, we make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all. To learn more about a calling that defines and unites, please click here for more information about our mission, vision, and values.

The posted compensation range of $52.04 - $77.42 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Job ID
2026-461930
Employment Type
Full Time
Department
Claims Processing
Hours/Pay Period
80
Weekly Schedule
Mon-Fri 8am-5pm PST
Shift
Day
Remote
Yes
Category
Management

Job Summary and Responsibilities

The Manager, Operations Enablement will be a key leader of the central operational areas listed and report to the VP of Operations and Data Engineering. This manager will have oversight of numerous management responsibilities and support several cross functional capabilities; Benefits/Enrollment, Claims Operations, Eligibility/EDI and other overall implementation efforts that support these assigned transactional operational functions of the MSO. This manager will also operationalize and enable processes across these areas to support internal partnerships. Responsible for leading and developing a team of claims trainers, and business analysts who support the operational excellence and quality improvement of the claims processes and analyst support to the organization. Works closely with the claims directors, benefit/enrollment managers, and supervisors to identify training needs, design and deliver training programs, monitor and evaluate training outcomes, and provide ongoing coaching and feedback. Collaborates with internal change management to identify and implement best practices, process improvements, and innovative solutions that enhance the efficiency and effectiveness of these operational areas.

  • Overall identification and develop recommendations for training playbooks, process improvements, efficiencies for the assigned operational areas. Ensuring stakeholder and leadership alignment to correlating processes throughout the MSO.
  • Manage and coach a team of business analysts, and claims trainers who provide operations shared services to the PHSO.
  • The BA team will provide operational analyst support to all functional areas within the MSO. This will include reporting/analyst deliverables for leadership and/or functional areas, dashboards on functional performance, analyzing report data and accepting and intake of internal stakeholder requests for BA support.
  • Oversee the design and delivery claims training programs and materials that enhance the skills and knowledge of the claims staff and providers.
  • Develop SOPs, DLPs for assigned areas, product recommendations, raise or address operational gaps, and continuously look for ways to improve the business and member/provider experience
  • Support claims operations on provider claims payment investigation and resolution of known errors, developing streamline processes to support the business.

Job Requirements

Required

  • High School Graduate or GED 
  • 5+years experience required in healthcare administration environment, with an understanding of managed care services and implementing/enabling new processes.
  • 5+ years of experience implementing and enabling new processes with crossfunctional teams
  • 3+ years of people management experience, with a preference for experience managing team members under different functional responsibilities


Preferred

  • Bachelors Other in business, healthcare administration or similar field, upon hire and
  • 10+ years of experience implementing and enabling new processes with crossfunctional teams, upon hire and
  • 5+ years of experience in implementing and enabling new processes with crossfunctional teams in a healthcare, managed care services environment., upon hire
Where You'll Work

The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.
Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art, flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options, including medical, dental and vision plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.

One Community. One Mission. One California 

Total Rewards

Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards

Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.

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CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here [PDF].

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.

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