Overview Pharmacy Claims Manager What's your wish list for the perfect job? Maybe it's to make a ... Medical/Dental/Vision insurance * Free access to MDLIVE - allowing access to your health benefits ...
Overview Pharmacy Claims Manager What's your wish list for the perfect job? Maybe it's to make a ... Medical/Dental/Vision insurance * Free access to MDLIVE - allowing access to your health benefits ...
Claims Supervisor
Portland, OR · Remote
$73K - $113K/yr
Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...
Quick apply
Claims Supervisor
Portland, OR · Remote
$73K - $113K/yr
Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...
Claims Specialist
Portland, OR · Remote
$52K - $85K/yr
The Workers' Compensation Claims Specialist manages within company best practices lower-level, non ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...
Quick apply
Claims Specialist
Portland, OR · Remote
$52K - $85K/yr
The Workers' Compensation Claims Specialist manages within company best practices lower-level, non ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...
OR · On-site
By proceeding with the application process, applicants acknowledge and accept these licensing requirements and agree to comply. #LI-KR1 Skills Auto Insurance, Claims Management, Coaching, Commercial ...
Claims Supervisor II - Property
$114K - $127K/yr
Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and ... Supervises claims adjusters and technical support staff to manage the day-to-day handling and ...
Claims Supervisor II - Property
$114K - $127K/yr
Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and ... Supervises claims adjusters and technical support staff to manage the day-to-day handling and ...
Revenue Cycle Claims Manager
OR · On-site +1
$85K - $128K/yr
Services include but are not limited to: billing insurance claims, posting insurance and patient ... Manages the overall operations of claims teams. Develops and maintains department policies and ...
Revenue Cycle Claims Manager
OR · On-site +1
$85K - $128K/yr
Services include but are not limited to: billing insurance claims, posting insurance and patient ... Manages the overall operations of claims teams. Develops and maintains department policies and ...
Claims Supervisor
Portland, OR · On-site +1
$73K - $113K/yr
Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...
Claims Supervisor
Portland, OR · On-site +1
$73K - $113K/yr
Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...
Claims Supervisor
$73K - $113K/yr
Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...
Claims Supervisor
$73K - $113K/yr
Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...
Claims Supervisor
Portland, OR · Remote
$73K - $113K/yr
Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...
Claims Supervisor
Portland, OR · Remote
$73K - $113K/yr
Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...
Claims Advisor, Professional Liability | Medical Malpractice
Salem, OR · On-site
$100K - $125K/yr
... Insurance Claims Advisor, Professional Liability | Medical Malpractice PRIMARY PURPOSE OF THE ROLE: Manage and handle medical malpractice and professional liability claims; to provide resolution of ...
Claims Advisor, Professional Liability | Medical Malpractice
Salem, OR · On-site
$100K - $125K/yr
... Insurance Claims Advisor, Professional Liability | Medical Malpractice PRIMARY PURPOSE OF THE ROLE: Manage and handle medical malpractice and professional liability claims; to provide resolution of ...
Claims Specialist
Portland, OR · Remote
$52K - $85K/yr
The Workers' Compensation Claims Specialist manages within company best practices lower-level, non ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...
Claims Specialist
Portland, OR · Remote
$52K - $85K/yr
The Workers' Compensation Claims Specialist manages within company best practices lower-level, non ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...
Revenue Cycle AR Claims Specialist
Corvallis, OR · On-site
$17.65 - $22.05/hr
Communicateswith insurances companies about insurance claims, denials, appeals andpayments ... Meetsproductivity standards as set by management. Education/Licensure/Experience: 1. HighSchool ...
Revenue Cycle AR Claims Specialist
Corvallis, OR · On-site
$17.65 - $22.05/hr
Communicateswith insurances companies about insurance claims, denials, appeals andpayments ... Meetsproductivity standards as set by management. Education/Licensure/Experience: 1. HighSchool ...
Revenue Cycle AR Claims Specialist
Corvallis, OR · Remote
$17.65 - $22.05/hr
Communicateswith insurances companies about insurance claims, denials, appeals andpayments ... Meetsproductivity standards as set by management. Education/Licensure/Experience: 1. HighSchool ...
Revenue Cycle AR Claims Specialist
Corvallis, OR · Remote
$17.65 - $22.05/hr
Communicateswith insurances companies about insurance claims, denials, appeals andpayments ... Meetsproductivity standards as set by management. Education/Licensure/Experience: 1. HighSchool ...
Claims Specialist
Portland, OR · On-site
$52K - $85K/yr
Manages non-complex lost-time workers' compensation claims under close supervision * Communicates ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...
Claims Specialist
Portland, OR · On-site
$52K - $85K/yr
Manages non-complex lost-time workers' compensation claims under close supervision * Communicates ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...
Claims Advisor, Professional Liability | E&O, D&O
Salem, OR · On-site
$115K - $130K/yr
... Insurance Claims Advisor, Professional Liability | E&O, D&O PRIMARY PURPOSE OF THE ROLE: Manage and handle executive, error and omissions, and complex professional liability claims; to provide ...
Claims Advisor, Professional Liability | E&O, D&O
Salem, OR · On-site
$115K - $130K/yr
... Insurance Claims Advisor, Professional Liability | E&O, D&O PRIMARY PURPOSE OF THE ROLE: Manage and handle executive, error and omissions, and complex professional liability claims; to provide ...
Overview As a Licensed Claims Insurance Specialist, you will serve as a primary point of contact for our clients, managing inbound and outbound communications with professional excellence. Utilizing ...
Overview As a Licensed Claims Insurance Specialist, you will serve as a primary point of contact for our clients, managing inbound and outbound communications with professional excellence. Utilizing ...
Claims Assistant (Onsite - Portland, OR)
Portland, OR · Remote
$20 - $25.25/hr
... Insurance Claims Assistant (Onsite - Portland, OR) Are you lookingfor an opportunity to join a ... Sets up and enters new claims into claims management system. * Inputs and reviews notes/diaries in ...
Claims Assistant (Onsite - Portland, OR)
Portland, OR · Remote
$20 - $25.25/hr
... Insurance Claims Assistant (Onsite - Portland, OR) Are you lookingfor an opportunity to join a ... Sets up and enters new claims into claims management system. * Inputs and reviews notes/diaries in ...
Portland, OR- Field Roof Inspector
Wood Village, OR · On-site
$32 - $40/hr
Hancock Claims Consultants specialize in Ladder Assist and Property Inspection Services, collaborating directly with numerous insurance agencies for efficient claims management. At Hancock, we are at ...
Portland, OR- Field Roof Inspector
Wood Village, OR · On-site
$32 - $40/hr
Hancock Claims Consultants specialize in Ladder Assist and Property Inspection Services, collaborating directly with numerous insurance agencies for efficient claims management. At Hancock, we are at ...
Claims Assistant (Onsite - Portland, OR)
Portland, OR · On-site
$20 - $25.25/hr
... Insurance Claims Assistant (Onsite - Portland, OR) Are you looking for an opportunity to join a ... Sets up and enters new claims into claims management system. * Inputs and reviews notes/diaries in ...
Claims Assistant (Onsite - Portland, OR)
Portland, OR · On-site
$20 - $25.25/hr
... Insurance Claims Assistant (Onsite - Portland, OR) Are you looking for an opportunity to join a ... Sets up and enters new claims into claims management system. * Inputs and reviews notes/diaries in ...
Claims Assistant (Onsite - Portland, OR)
Portland, OR · Remote
$20 - $25.25/hr
... Insurance Claims Assistant (Onsite - Portland, OR) Are you lookingfor an opportunity to join a ... Sets up and enters new claims into claims management system. * Inputs and reviews notes/diaries in ...
Claims Assistant (Onsite - Portland, OR)
Portland, OR · Remote
$20 - $25.25/hr
... Insurance Claims Assistant (Onsite - Portland, OR) Are you lookingfor an opportunity to join a ... Sets up and enters new claims into claims management system. * Inputs and reviews notes/diaries in ...
Insurance 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 insurance claims manager jobs pay per year?
What is the difference between Insurance Claims Manager vs Insurance Adjuster?
| Aspect | Insurance Claims Manager | Insurance Adjuster |
|---|---|---|
| Credentials | Typically requires a bachelor’s degree; certifications like CPCU or AIC are common | High school diploma or bachelor’s; certifications like AIC or state licensing often needed |
| Work Environment | Office-based, managing teams and claims processes | Field or office-based, investigating claims and assessing damages |
| Employer & Industry | Insurance companies, claims departments | Insurance companies, independent adjusting firms |
| Primary Focus | Overseeing claims processes, managing staff, ensuring policy compliance | Evaluating damages, determining claim validity, negotiating settlements |
While both roles are integral to the insurance claims process, the Insurance Claims Manager oversees the entire claims operation and manages staff, whereas the Insurance Adjuster focuses on investigating individual claims and assessing damages. The roles often work together but differ in scope and responsibilities.
What are the key skills and qualifications needed to thrive as an insurance claims manager?
What does an insurance claims manager do?
What are some common challenges faced by insurance claims managers, and how can they be addressed?
What are the most commonly searched types of Insurance Claims jobs in Oregon?
The most popular types of Insurance Claims jobs in Oregon are:
What are popular job titles related to Insurance Claims Manager jobs in Oregon?
For Insurance Claims Manager jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Insurance Claims Manager jobs in Oregon look for?
The top searched job categories for Insurance Claims Manager jobs in Oregon are:
What cities in Oregon are hiring for Insurance Claims Manager jobs?
Cities in Oregon with the most Insurance Claims Manager job openings:

Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 10 hours 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