Overview Pharmacy Claims Manager What's your wish list for the perfect job? Maybe it's to make a positive impact in the world, or to grow your career in healthcare. Maybe working with a supportive ...
Overview Pharmacy Claims Manager What's your wish list for the perfect job? Maybe it's to make a positive impact in the world, or to grow your career in healthcare. Maybe working with a supportive ...
You will manage a team of specialized Claims Managers overseeing highly technical, severe-exposure portfolios including Environmental, Employers Liability, Excess, Employment Practices Liability ...
Posted today
You will manage a team of specialized Claims Managers overseeing highly technical, severe-exposure portfolios including Environmental, Employers Liability, Excess, Employment Practices Liability ...
Posted today
You will manage a team of specialized Claims Managers overseeing highly technical, severe-exposure portfolios including Environmental, Employers Liability, Excess, Employment Practices Liability ...
Posted today
You will manage a team of specialized Claims Managers overseeing highly technical, severe-exposure portfolios including Environmental, Employers Liability, Excess, Employment Practices Liability ...
Posted today
You will manage a team of specialized Claims Managers overseeing highly technical, severe-exposure portfolios including Environmental, Employers Liability, Excess, Employment Practices Liability ...
New
You will manage a team of specialized Claims Managers overseeing highly technical, severe-exposure portfolios including Environmental, Employers Liability, Excess, Employment Practices Liability ...
New
Claims Assistant
Happy Valley, OR · On-site +1
$19.75 - $25/hr
Provide administrative support to the Claims Manager and Claims Specialist, including documentation, tracking, and communication tasks. * Direct claims that exceed assigned authority to the Claims ...
Quick apply
Claims Assistant
Happy Valley, OR · On-site +1
$19.75 - $25/hr
Provide administrative support to the Claims Manager and Claims Specialist, including documentation, tracking, and communication tasks. * Direct claims that exceed assigned authority to the Claims ...
Claims Assistant
Portland, OR · On-site
$22/hr
Provide administrative support to the Claims Manager and Claims Specialist, including documentation, tracking, and communication tasks. * Direct claims that exceed assigned authority to the Claims ...
Claims Assistant
Portland, OR · On-site
$22/hr
Provide administrative support to the Claims Manager and Claims Specialist, including documentation, tracking, and communication tasks. * Direct claims that exceed assigned authority to the Claims ...
Claims Assistant
Happy Valley, OR · On-site +1
$19.75 - $25/hr
Provide administrative support to the Claims Manager and Claims Specialist, including documentation, tracking, and communication tasks. * Direct claims that exceed assigned authority to the Claims ...
Quick apply
Claims Assistant
Happy Valley, OR · On-site +1
$19.75 - $25/hr
Provide administrative support to the Claims Manager and Claims Specialist, including documentation, tracking, and communication tasks. * Direct claims that exceed assigned authority to the Claims ...
Claims Supervisor
Portland, OR · Remote
$73K - $113K/yr
Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring proficiency in procedures and job functions * Ensures staff compliance with Workers' Compensation laws and ...
Quick apply
Claims Supervisor
Portland, OR · Remote
$73K - $113K/yr
Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring proficiency in procedures and job functions * Ensures staff compliance with Workers' Compensation laws and ...
Revenue Cycle Claims Manager
OR · On-site +1
$85K - $128K/yr
Manager, Claims REPORTS TO POSITION: Senior Director, Single Billing Office DEPARTMENT: Single Billing Office DATE LAST REVIEWED: July 2026 OUR VISION: Creating America's healthiest community ...
Revenue Cycle Claims Manager
OR · On-site +1
$85K - $128K/yr
Manager, Claims REPORTS TO POSITION: Senior Director, Single Billing Office DEPARTMENT: Single Billing Office DATE LAST REVIEWED: July 2026 OUR VISION: Creating America's healthiest community ...
Claims Supervisor
Portland, OR · On-site +1
$73K - $113K/yr
Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring proficiency in procedures and job functions * Ensures staff compliance with Workers' Compensation laws and ...
Claims Supervisor
Portland, OR · On-site +1
$73K - $113K/yr
Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring proficiency in procedures and job functions * Ensures staff compliance with Workers' Compensation laws and ...
Claims Supervisor
$73K - $113K/yr
Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring proficiency in procedures and job functions * Ensures staff compliance with Workers' Compensation laws and ...
Claims Supervisor
$73K - $113K/yr
Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring proficiency in procedures and job functions * Ensures staff compliance with Workers' Compensation laws and ...
Claims Supervisor
Portland, OR · Remote
$73K - $113K/yr
Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring proficiency in procedures and job functions * Ensures staff compliance with Workers' Compensation laws and ...
Claims Supervisor
Portland, OR · Remote
$73K - $113K/yr
Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring proficiency in procedures and job functions * Ensures staff compliance with Workers' Compensation laws and ...
Claims Supervisor II - Property
West Linn, OR · On-site
$114K - $127K/yr
Supervises claims adjusters and technical support staff to manage the day-to-day handling and settlement of claims, the processing and tracking of documents, making payments, tracking trends and ...
Claims Supervisor II - Property
West Linn, OR · On-site
$114K - $127K/yr
Supervises claims adjusters and technical support staff to manage the day-to-day handling and settlement of claims, the processing and tracking of documents, making payments, tracking trends and ...
The Claims Team Leader manages the submission of claims data, payments and works with team members and agencies to resolve outstanding claim issues. RESPONSIBILITIES AND DUTIES * Be the point person ...
The Claims Team Leader manages the submission of claims data, payments and works with team members and agencies to resolve outstanding claim issues. RESPONSIBILITIES AND DUTIES * Be the point person ...
Medical Billing (Claims) Supervisor
Salem, OR · On-site
$60K/yr
The Claims Team Leader manages the submission of claims data, payments and works with team members and agencies to resolve outstanding claim issues. RESPONSIBILITIES AND DUTIES * Be the point person ...
Medical Billing (Claims) Supervisor
Salem, OR · On-site
$60K/yr
The Claims Team Leader manages the submission of claims data, payments and works with team members and agencies to resolve outstanding claim issues. RESPONSIBILITIES AND DUTIES * Be the point person ...
Claims Supervisor
Corvallis, OR · On-site
$27.03 - $40.54/hr
Provides leadership in setting and maintaining standards for the management of the department ... Four (4) years experience in a claims related role requiring claims adjudication, benefits analysis ...
Claims Supervisor
Corvallis, OR · On-site
$27.03 - $40.54/hr
Provides leadership in setting and maintaining standards for the management of the department ... Four (4) years experience in a claims related role requiring claims adjudication, benefits analysis ...
Claims Supervisor
Corvallis, OR · Remote
Provides leadership in setting and maintaining standards for the management of the department ... Four (4) years experience in a claims related role requiring claims adjudication, benefits analysis ...
Claims Supervisor
Corvallis, OR · Remote
Provides leadership in setting and maintaining standards for the management of the department ... Four (4) years experience in a claims related role requiring claims adjudication, benefits analysis ...
Claims Supervisor
Corvallis, OR · Remote
Provides leadership in setting and maintaining standards for the management of the department ... Four (4) years experience in a claims related role requiring claims adjudication, benefits analysis ...
Claims Supervisor
Corvallis, OR · Remote
Provides leadership in setting and maintaining standards for the management of the department ... Four (4) years experience in a claims related role requiring claims adjudication, benefits analysis ...
Expert-level knowledge of stop loss operations, claims management, and reimbursement processes * Strong understanding of medical terminology and coding (ICD-10, CPT, HCPCS) * Advanced financial ...
Expert-level knowledge of stop loss operations, claims management, and reimbursement processes * Strong understanding of medical terminology and coding (ICD-10, CPT, HCPCS) * Advanced financial ...
Expert-level knowledge of stop loss operations, claims management, and reimbursement processes * Strong understanding of medical terminology and coding (ICD-10, CPT, HCPCS) * Advanced financial ...
Expert-level knowledge of stop loss operations, claims management, and reimbursement processes * Strong understanding of medical terminology and coding (ICD-10, CPT, HCPCS) * Advanced financial ...
Claims Manager information
See Oregon salary details
$37K - $47K
4% of jobs
$47K - $57K
4% of jobs
$57K - $67K
10% of jobs
$70.8K is the 25th percentile. Wages below this are outliers.
$67K - $77K
18% of jobs
$77K - $87K
12% of jobs
The median wage is $88.7K / yr.
$87K - $97K
13% of jobs
$97K - $107K
14% of jobs
$107.4K is the 75th percentile. Wages above this are outliers.
$107K - $117K
12% of jobs
$117K - $127K
7% of jobs
$127K - $137K
4% of jobs
$137K - $147K
2% of jobs
$37K
$92.9K
$147K
How much do claims manager jobs pay per year?
How much do claims managers make in the US?
What is the difference between Claims Manager vs Claims Adjuster?
| Aspect | Claims Manager | Claims Adjuster |
|---|---|---|
| Credentials | Typically requires a bachelor’s degree, industry certifications (e.g., CPCU), and management experience | Usually requires a high school diploma or bachelor’s degree, with certifications like AIC or CPCU preferred |
| Work Environment | Oversees claims departments, manages teams, and develops policies within insurance companies | Evaluates individual claims, investigates damages, and determines settlement amounts |
| Employer & Industry Usage | Commonly employed in insurance companies, handling claims processes and team management | Found in insurance firms, adjusting claims directly with policyholders and providers |
In summary, Claims Managers oversee the claims process and manage teams, requiring leadership skills and industry certifications. Claims Adjusters focus on evaluating individual claims, investigating damages, and determining payouts. Both roles are essential in the insurance industry but differ in scope and responsibilities.
What is the role of a claims manager?
How does a claims manager balance high case volumes with thorough and accurate claim assessments?
What skills and qualifications are needed to be a claims manager?
What does a claims manager do?

Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 27 days ago
Job description
Pharmacy Claims Manager
What's your wish list for the perfect job? Maybe it's to make a positive impact in the world, or to grow your career in healthcare. Maybe working with a supportive team is top priority, or to feel respected and valued.
If your answer is "all of the above," consider joining our team at Consonus Pharmacy. It's a perfect opportunity for compassionate people dedicated to people's health and well-being.
Consonus Pharmacy is a closed-door long-term care pharmacy specializing in the needs of nursing facilities, assisted living residents, and their caregivers. We are currently hiring a Pharmacy Claims Manager to join our team!
As the Pharmacy Claims Manager your responsibilities will include (but are not limited to):
The Pharmacy Claims Manager is responsible for overseeing all pharmacy claims processing operations, including prescription adjudication, third-party billing, claim rejection management, and reimbursement optimization. This position leads a team responsible for ensuring accurate and timely claim submission, resolution of claim exceptions, compliance with PBM, Medicare Part D, Medicaid, and commercial payer requirements, and adherence to NCPDP standards.
The Pharmacy Claims Manager partners closely with Billing, Customer Accounts, and Pharmacy Operations to ensure accurate reimbursement and compliance, minimize claim write-offs, and ensure exceptional service to residents, facilities, and payers. In our Long-Term Care environment, there is focus on coordination with the Credentialing & Contracting team on payer enrollment issues, and management of LTC-specific reject queues related to transition fills, hospice billing, and facility census changes.
Some benefits may include:
- Paid training & career advancement opportunities
- $25,000 toward ongoing education benefit
- Generous Paid Time Off that pools vacation, sick & holiday pay in a single bucket for flexible use
- Medical/Dental/Vision insurance
- Free access to MDLIVE - allowing access to your health benefits from anywhere
- 401K With Employer Match
- Employee Assistance Program: with free access to counseling & support services
Qualifications
- Bachelor's degree in Healthcare Administration, Business, Finance, or related field; equivalent experience considered.
- Minimum 5 years of pharmacy claims, third-party billing, pharmacy revenue cycle, or PBM operations experience. Long - Term Care experience preferred.
- Minimum 2 years of supervisory or management experience.
- Strong understanding of: NCPDP claim standards, Medicare Part D, Medicaid pharmacy billing, Managed Care reimbursement, PBM claim adjudication processes, Pharmacy revenue cycle operations.
- Experience working with PBMs such as Express Scripts, CVS Caremark, OptumRx, Humana, Prime Therapeutics, MedImpact, and Navitus.
- Experience managing Medicare Part D, Medicaid, and dual-eligible populations
- Advanced analytical and problem-solving skills.
- Proficiency with pharmacy management systems and reporting tools
- Ability to work under pressure in fast-paced environment ensuring timely and accurate billing
- Ability to travel to other pharmacy locations as required
- Certified Pharmacy Technician (CPhT) preferred (can obtain after hire)
EEO Statement
"Be here. Be you."
For more than 30 years, Marquis Companies and Consonus Healthcare have been serving seniors and welcoming staff of all backgrounds, skills, and perspectives. The Marquis family of companies offer a rich heritage of embracing differences and honoring individuality. We've continued to grow in our appreciation of diversity in the workplace. We know it builds strength, drives innovation, and brings valuable new perspectives and energy.
We're committed to making our workforce an even greater reflection of the people and communities we serve, and we are honored our employees have chosen to work at Marquis and Consonus. Everything we do as a company is driven by our mission to help those we serve, and each other, live the best rest of our lives.
That means you being you - without apology or compromise. We value your every uniqueness and continue to curate, nurture, and sustain an inclusive culture. It's the foundation of who we are and the evolution of our collective future.
About Consonus Healthcare
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
501 - 1,000 Employees
Headquarters location
Portland, OR, US