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Peak Health

Helping you reach new heights

Manager, Commercial Claims

ManagerManagerFull TimeRemoteSeniorTeam 51-200H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

5 days ago

Salary

Not specified

Seniority

Senior

Bachelor Degree5 yrs expExperience acceptedEnglish

Job Description

• Designs, builds and maintains operational processes, policies and procedures to support Claims processing • Partners with IT and other leaders to develop business requirements to support core administration system deployment • Recruits, trains and develops a highly engaged team of claims processors • Claims inventory management and load balancing to meet contractual and organizational objectives • Anticipates future demands of initiatives related to people, process and technology and works with leadership to design and implement solutions to these needs • Collaborates with IT, Enrollment, Medical Management, Member & Provider Services and Finance to identify and implement processes to drive continuous improvement • Continually assesses activities and processes to ensure efficiency and added value

Job Requirements

  • Bachelor’s degree Business Administration, Health Administration or related field AND Five (5) years of progressive experience working with medical or institutional claims in a production environment
  • High School Diploma or equivalent AND Nine (9) years of progressive experience working with medical or institutional claims in a production environment
  • Two (2) years of experience working with Medicare and/or Medicaid claims
  • Three (3) years of management experience

Benefits

  • Competitive salary
  • Flexible scheduling and paid time off
  • Health and wellness programs

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