At Curana Health, we’re on a mission to radically improve the health, happiness, and dignity of older adults—and we’re looking for passionate people to help us do it.

As a national leader in value-based care, we offer senior living communities and skilled nursing facilities a wide range of solutions (including on-site primary care services, Accountable Care Organizations, and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline operations, and create new financial opportunities.

Founded in 2021, we’ve grown quickly—now serving 200,000+ seniors in 1,500+ communities across 32 states. Our team includes more than 1,000 clinicians alongside care coordinators, analysts, operators, and professionals from all backgrounds, all working together to deliver high-quality, proactive solutions for senior living operators and those they care for.

If you’re looking to make a meaningful impact on the senior healthcare landscape, you’re in the right place—and we look forward to working with you.

For more information about our company, visit CuranaHealth.com.

A Medicare Claim Manager oversees the processing, evaluation, and resolution of Medicare insurance claims. Their role is crucial in ensuring claims are handled efficiently, accurately, and in compliance with regulations.

• Claims Processing: Ensure timely and accurate processing of Medicare claims.
• Compliance: Monitor adherence to healthcare regulations and policies.
• Vendor Management: Manage relationship with vendors.
• Team Management: Supervise and train claims processing staff.
• Issue Resolution: Address complex or escalated claims disputes.
• Data Analysis: Identify trends and areas for improvement in claims handling.
• Process Improvement: Develop and implement strategies to enhance efficiency.
• Reporting: Prepare regular reports and performance metrics.
• Auditing: Conduct internal audits to ensure quality and compliance.

• Bachelor's degree in healthcare administration, business, or related field or equivalent experience.
• Extensive knowledge of Qnxt Claims Administration system.
• Minimum 8 years of experience in Medicare claims processing.
• Strong knowledge of medical terminology and billing codes (ICD, CPT, HCPCS).
• Familiarity with insurance policies and healthcare regulations.
• Excellent leadership and team management skills.
• Strong analytical and problem-solving abilities.

Curana Health is dedicated to the principles of Equal Employment Opportunity. We affirm, in policy and practice, our commitment to diversity. We do not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable or state law, genetic information, or any other characteristic protected by applicable federal, state and local laws and ordinances.

The EEO policy applies to all personnel matters as outlined in our company policy including recruitment, hiring, transfers, and general treatment during employment.

*The company is unable to provide sponsorship for a visa at this time (H1B or otherwise).