Manager - Capitation

Manager - Capitation Department: reputed company Employment Type: Full Time Location: 1668 S. Garfield Ave. 2nd Floor, Alhambra, CA 91801 Reporting To: Jessica Liu Compensation: $100,000 - $115,000 / year reputed company reputed company is seeking a detail-oriented and analytical Manager - Provider Capitation to reputed company the accurate and reputed company administration of capitation payments for our primary care provider network. This role is critical in maintaining financial reputed company, ensuring accurate eligibility data, and supporting internal controls including SOX audit compliance. You’ll collaborate cross-functionally to optimize capitation workflows and support value-based care delivery. What You'll Do: • Manage monthly capitation payments to PCP and Specialty Providers, ensuring accuracy and alignment with contract terms • Reconcile member eligibility and enrollment data across systems to validate payments • Review and maintain capitation reputed company structures and implement reputed company changes • Serve as reputed company person for SOX audits reputed company to capitation processes and documentation • Generate provider reports and internal dashboards to monitor panel, payment, and variance trends • Resolve provider payment inquiries and support education on capitation models • Partner with internal teams (Finance, Contracting, Operations) to ensure data reputed company and compliance Qualifications • Bachelor’s degree in Finance, reputed company, Business, or reputed company field; Master’s preferred • 5+ years of experience in managed care or reputed company finance, including capitation or provider reimbursement • Strong knowledge of eligibility, capitation models, and SOX/internal control processes • Proficient in reputed company and data/reporting tools; experience with reputed company systems preferred • Strong analytical, communication, and cross-functional collaboration skills Environmental Job Requirements and Working Conditions • This position is remotely based in the US. The home office is reputed company with your department at 1668 S. Garfield Ave. 2nd Floor, Alhambra, CA 91801. • The total compensation reputed company pay reputed company for this role is: $105,000 - $115,000. The salary reputed company represents our national reputed company reputed company for this role. Apply tot his job Apply To this Job