Claims Compliance Analyst

Company: Pacer Staffing
Location: Whittier
Posted on: March 22, 2026

Job Description:

Job Description Title: Claims Compliance Analyst Location: Whittier, CA Onsite or Remote: Onsite Shift: Day Hours: 7:00 AM – 3:30 PM Contract Length: 3 months Number of Travelers Needed: 1 Requirements Associate’s or Bachelor’s degree in Business, Healthcare Administration, Finance, Compliance, or a related field. 2–3 years of experience in claims, healthcare operations, compliance, or audit/quality assurance. Strong understanding of healthcare claims processes, health plan audits, and state/federal regulatory requirements (e.g., Medicare/Medicaid, HEDIS, state compliance standards). Experience preparing and submitting health plan reporting (e.g., Monthly Timeliness, ODAGs, Part C, claims universe) is strongly preferred. Proficiency with MS Excel (pivot tables, formulas) and basic reporting tools; familiarity with EMR/claims systems is a plus. Excellent attention to detail, strong organizational skills, and ability to work with tight deadlines. Strong written and verbal communication skills, with ability to collaborate across departments. Must be able to work onsite at 6557 Greenleaf Ave., Whittier, CA, during day hours (7:00 AM – 3:30 PM). Key Responsibilities Coordinate and support health plan audit activities, including data preparation and documentation. Identify and report on non?compliant claims and provide preliminary findings to the Claims Director. Assist in creating and maintaining an audit control checklist to prevent untimely payment of claims. Collaborate with Managed Care Management and other auditors to align QA programs with claims operations. Follow internal SOPs and apply industry standards in compliance with state and federal regulations. Prepare and submit monthly, quarterly, and as?needed reports to health plans (Monthly Timeliness, ODAGs, Part C, claims universe, etc.).

Keywords: Pacer Staffing, Yorba Linda , Claims Compliance Analyst, Accounting, Auditing , Whittier, California