Claims Project Manager Jobs in Tennessee (NOW HIRING)

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Job Summary
Position Summary
The Operations Enablement & Shared Services Analyst (Project Manager) supports the resolution of provider-related issues and contributes to the efficiency of revenue cycle operations. This role assists in the intake, review, documentation, tracking, and coordination of escalated issues impacting claims processing, reimbursement timelines, and provider experience.
Working under the guidance of senior team members, the Analyst helps ensure issues are accurately reviewed, documented, routed appropriately, and resolved within established timelines. This position plays an important role in maintaining workflow consistency, supporting data tracking, and contributing to overall operational performance.
Key Responsibilities
Issue Intake & Coordination
• Support intake and tracking of provider-related issues submitted through Salesforce and other interdepartmental platforms.
• Ensure required documentation is complete (issue summary, claim examples, supporting data)
• Route issues to appropriate teams and assist in monitoring progress through resolution; independently processes issues when necessary.
• Maintain accurate records and status updates within tracking systems
Issue Resolution Support
• Assist in researching and gathering information needed for issue investigation
• Support senior team members in root cause identification and resolution activities
• Follow up with internal teams to ensure timely responses and issue closure
• Escalate delays or risks to leadership as appropriate
Operational & Workflow Support
• Adhere to standardized workflows for issue intake and resolution
• Identify and flag process gaps or inefficiencies to leadership
• Assist with basic process improvement efforts to reduce manual work and improve consistency
Data Tracking & Reporting
• Maintain logs of issues, turnaround times, and resolution outcomes
• Support reporting on key metrics such as backlog, aging, and resolution timelines
• Assist in identifying trends related to claims issues or provider concerns
Stakeholder Support
• Provide timely and professional communication to internal stakeholders
• Support coordination across teams including claims, provider relations, and operations
• Help ensure a positive provider experience through accurate and timely follow-up
Compliance & Quality
• Ensure all documentation meets organizational standards and compliance requirements
• Participate in quality checks to ensure accuracy of issue tracking and resolution data
Required Qualifications
• Associate or Bachelor's degree in Healthcare Administration, Business, or related field (or equivalent experience)
• 1-3 years of experience in healthcare operations, customer support, or revenue cycle environment
• Basic understanding of claims processing or healthcare operations preferred
• Strong organizational and time management skills
• Detail-oriented with the ability to manage multiple tasks
• Proficiency in Microsoft Excel and general office tools
Preferred Qualifications
• Exposure to revenue cycle management (RCM) or provider issue resolution
• Experience with systems such as Salesforce or claims platforms (e.g., Facets)
• Familiarity with healthcare terminology and workflows
Key Competencies
• Attention to detail and accuracy
• Strong organizational and follow-up skills
• Effective communication and teamwork
• Problem-solving and willingness to learn
• Ability to work in a fast-paced environment
Impact of the Role
This role supports the efficiency and effectiveness of issue resolution processes by ensuring accurate intake, tracking, and coordination of provider issues. By contributing to timely resolution and consistent workflows, the Analyst helps reduce delays, minimize rework, and support overall revenue cycle performance.
Required Qualifications
• Associate or Bachelor's degree in Healthcare Administration, Business, or related field (or equivalent experience)
• 1-3 years of experience in healthcare operations, customer support, or revenue cycle environment
• Basic understanding of claims processing or healthcare operations preferred
• Strong organizational and time management skills
• Detail-oriented with the ability to manage multiple tasks
• Proficiency in Microsoft Excel and general office tools
Preferred Qualifications
• Exposure to revenue cycle management (RCM) or provider issue resolution
• Experience with systems such as Salesforce or claims platforms (e.g., Facets)
• Familiarity with healthcare terminology and workflows
Key Competencies
• Attention to detail and accuracy
• Strong organizational and follow-up skills
• Effective communication and teamwork
• Problem-solving and willingness to learn
• Ability to work in a fast-paced environment
Impact of the Role
This role supports the efficiency and effectiveness of issue resolution processes by ensuring accurate intake, tracking, and coordination of provider issues. By contributing to timely resolution and consistent workflows, the Analyst helps reduce delays, minimize rework, and support overall revenue cycle performance.
EEO Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Pay Transparency Statement:
At CareAllies, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, a minimum of 15 days' of paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for full-time employees.
The salary offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
Min to Max Range:
$76,600.00 - $138,500.00
Exact compensation may vary based on skills, experience, and location.