Claims Manager Health Plan Jobs (NOW HIRING)

Support Compliance department in Health Plan audits * Help identify issues from audit findings and ... Report to Claims Manager * Other duties as needed Qualifications: * Bachelor's degree in related ...

No Department Details This position allows some work from home options as well as a flexible schedule Summary The Claims Manager is under the general supervision of the Sanford Health Plan Director ...

About the role We are hiring a Claims Manager to help continue the build out of our internal claims ... healthcare plans, an up to 4% 401k match program, paid time off, parental leave, wellness ...

Experience managing health plan contracting and related credentialing interactions ... Experience with contract modeling, reimbursement analysis, claims data analysis, and forecasting ...

Minimum 5-7 years experience in a health plan environment, with strong experience in claims operations, compliance, audit, or product management. * Strong knowledge of claims lifecycle, adjudication ...

Oversee managed care claims processing, ensuring compliance with CMS, DHCS, and health plan guidelines. * Monitor claims adjudication, ensuring accuracy, timeliness, and regulatory adherence.

Minimum 5-7 years experience in a health plan environment, with strong experience in claims operations, compliance, audit, or product management. * Strong knowledge of claims lifecycle, adjudication ...

The Claims Manager is responsible for the overall operation of a designated office. The Claims ... health and disability management industries. CorVel was founded in 1987 and has been publicly ...

... claims processing), with a focus on commercial health insurance. Equivalent experience in other ... Health Plan Management System (HPMS), System for Electronic Rates & Form Filings (SERFF ...

... claims processing), with a focus on commercial health insurance. Equivalent experience in other ... Health Plan Management System (HPMS), System for Electronic Rates & Form Filings (SERFF ...

CLAIMS MANAGER This position is based in our office in Fenton, MO About ArchKey ArchKey is one of ... health insurance options (medical, dental, and vision), a robust 401(k) retirement savings plan ...

Package includes Paid Time Off Days, Paid Holidays, Hybrid Work Schedule, Retirement Plan with ... Health Support and an Employee Assistance Program (EAP) and More. Visit Us On LinkedIn: View All ...

The Senior Claims Manager, Claims Delegation Oversight, is responsible for the management and oversight of all Claims Delegation Audits, including health plan and governing agencies audits, i.e ...

The Professional & General Liability Claims Manager is responsible for the management, investigation, evaluation, and resolution of professional liability, general liability, and other healthcare ...

Sr. Manager - Claims Delegation Audit Department: Ops - Claims Ops Employment Type: Full Time ... Own the end‑to‑end strategy and execution of all external audits (e.g., CMS, DMHC, health plan ...

... plan, gains alignment and support from key strategic partners and stakeholders, and oversees ... Strong time management skills * Technical expertise * Knowledge of relevant healthcare products

... plan, and prescription drug plan; flexible spending account; short and long-term disability ... Insurance Claims Manager VP Vice President AVP Director Property & Casualty Commercial Lines ...

... plan deductible , reducing out-of-pocket healthcare costs * Tuition reimbursement to support ... The Claims Manager oversees the entire life cycle of claims and litigation, including incident ...

... plan, and prescription drug plan; flexible spending account; short and long-term disability ... Insurance Claims Manager VP Vice President AVP Director Property & Casualty Commercial Lines ...

... dependent care plan, employee assistance program, generous paid vacation time, numerous ... Insurance Claims Manager Claims Supervisor Team Leader Leadership Commercial Auto General Liability ...