Medical Claims Manager

The Motion Picture Industry Pension & Health Plans (MPI) are long-standing multi-employer trust funds driven by our mission to improve the lives of our member participants working in the entertainment industry.

Role Overview
MPI is seeking an experienced Medical Claims Manager to lead our Claims team in Studio City, CA. This onsite leadership role is responsible for overseeing day-to-day claims operations, ensuring accurate and timely processing, compliance, and staff development.

The ideal candidate brings a strong background in PPO medical insurance claims management, with proven expertise in systems such as QNXT (or similar claim platforms), CPT/ICD-10 coding, coordination of benefits, and HIPAA compliance. You will play a key role in shaping department workflows, mentoring claims staff, and partnering with leadership to support MPI’s mission of delivering exceptional service to our participants.

What You’ll Do
• Lead daily operations of the claims department, including staffing, workflow, production, and team support.
• Manage and coach a team of claims examiners, processors, and clerical staff.
• Oversee QNXT claims processing inventory for manually adjudicated claims and ensure system accuracy.
• Collaborate with the Director of Medical Claims to set department goals, improve processes, and implement system enhancements.
• Monitor compliance with HIPAA, privacy regulations, and industry standards.
• Partner with vendors (such as Anthem) and internal teams to recommend benefit configurations and resolve escalated issues.
• Support appeals, benefits-related inquiries, and regulatory audits.
• Develop and present reports for senior leadership and the Board of Directors.
• Represent the Claims department in cross-functional meetings.

What You Will Need
• Bachelor’s degree or equivalent combination of education and experience.
• 7+ years of people management experience, including hiring, training, and coaching staff.
• 5–7 years of PPO medical insurance claims experience (7+ years preferred).
• 3+ years’ experience with QNXT or a comparable claims system.
• Strong knowledge of CPT, ICD-10, COB, and medical terminology.
• Advanced proficiency in Microsoft Office Suite (Excel, Word, Outlook).
• 7+ years’ experience with HIPAA and privacy compliance.
• Excellent communication skills, with strong analytical and problem-solving abilities.
• Ability to thrive in a fast-paced environment with strict attention to detail.
• Flexibility to work extended hours as required.
• Ability to interact with all levels of employees including entry level staff and. senior management

Compensation & Benefits
The anticipated annual salary range for this position is $125,000 – $145,000. The actual base salary offered will depend on a variety of factors, including without limitation, the qualifications of the individual applicant for the position, years of relevant experience, level of education attained, certifications or other professional licenses held. MPI offers a comprehensive benefits package, including medical, dental, and vision coverage, generous paid time off, retirement benefits, and professional development opportunities.

More About MPI
Located in Studio City, CA, the Motion Picture Industry Pension and Health Plans (MPI) are multi-employer trust funds established in 1952 by collective bargaining agreements between various employers and over 30 Unions and Guilds representing employees in the motion picture industry.

Recognized as an Employer of Choice for our employee-focused work environment, competitive compensation, and benefits, MPI is a recipient of the World at Work Seal of Distinction and is 4-time Great Place to Work Certified!


Motion Picture Industry Pension & Health Plans (MPI) is an equal opportunity employer and does not discriminate against any applicant or employee on the basis of race, religion, color, national origin, ancestry, sex, sexual orientation, gender identity, age over 40, marital status, veteran status, mental or physical disability, pregnancy, genetic information, or any other basis prohibited by law. Any applicant who, because of disability, requires accommodation or assistance in completing this application or at any time during the application process should contact the Human Resources Department. MPI also provides reasonable accommodations to disabled employees consistent with its obligations under applicable law.