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Medical Claim Manager Jobs (NOW HIRING)

CVS Health

Medical Claim Analyst

$18.50 - $38.82/hr

Administers policies and procedures for medical cost management. Coordinates support functions for claim adjudication. What you will do * Executes both routine and non-routine business support tasks ...

CVS Health

Medical Claim Analyst

$18.50 - $31.72/hr

Excellent organizational, time management, and prioritization abilities. * Basic knowledge of medical terminology and healthcare concepts. * Proficiency with Microsoft Office applications, including ...

The Reny Company

Medical Claim Processor

Plano, TX · On-site

$18.50 - $21/hr

THIS IS NOT A REMOTE POSITION The Reny Company's medical claim processor is a professional who ... Track scanning errors and report problems to manager for IT resolution * Stay abreast of fee ...

Chubb

AVP Claim Manager

Dallas, TX

AVP Managers also directly manage a portfolio of accounts, including full claim handling ... medical condition, genetic information, military and veteran status, age, and pregnancy or any ...

Samsung Electronics

Financial Claim Manager

Plano, TX · On-site

Role and Responsibilities Role Summary The Financial Claim Manager serves as the team lead for ... Medical, Dental, Vision, Life Insurance, 401(k), Employee Purchase Program, Tuition Assistance ...

Samsung Electronics

Financial Claim Manager

Plano, TX · On-site

Role and Responsibilities Role Summary The Financial Claim Manager serves as the team lead for ... Medical, Dental, Vision, Life Insurance, 401(k), Employee Purchase Program, Tuition Assistance ...

Secure Eclaims LLC

Medical Claim Analyst

Miami, FL

Evaluates claims referred for medical management and makes recommendations for follow-up, further investigation or documentation as necessary. * Trains and assists claims staff on quality health care ...

Secure Eclaims LLC

Medical Claim Analyst

Miami, FL

Evaluates claims referred for medical management and makes recommendations for follow-up, further investigation or documentation as necessary. * Trains and assists claims staff on quality health care ...

RLI Corp

$115K - $168K/yr

Sr. Technical Claim Manager-Marine LiabilitySkip to main contentWe use cookies to make the safest ... Health & Wellness*** ### Comprehensive medical, dental and vision benefits* ### Flexible spending ...

CVS Health

Claim Benefit Specialist

$17 - $34.15/hr

... cost management opportunities and refer claims for follow up - Make claim payment decisions ... Preferred qualifications - Prior medical claim processing experience is a plus. - Exceptional ...

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Medical Claim Manager information

See salary details

$35K

$87.9K

$139K

How much do medical claim manager jobs pay per year?

As of Sep 10, 2026, the average yearly pay for medical claim manager in the United States is $87,861.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,000.00 and $105,000.00 per year, depending on experience, location, and employer.

What are popular job titles related to Medical Claim Manager jobs?

For Medical Claim Manager jobs, the most frequently searched job titles are:

Infographic showing various Medical Claim Manager job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, and 6% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $87,861 per year, or $42.2 per hour.

Medical Claim Analyst

Remote

CVS Health
Health Care and Social Assistance • 10K+ employees
Learn more about CVS Healthexternal

$18.50 - $38.82/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,372 frontline employees who took The Breakroom Quiz

91st of 113 rated pharmacies

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

A Brief Overview
Inspects and provides accurate claim information to support savings optimization for claims. Responds to customers on benefit inquiries. Maintains customer service standards. Administers policies and procedures for medical cost management. Coordinates support functions for claim adjudication.
What you will do

  • Executes both routine and non-routine business support tasks for the Medical Claims area under limited supervision, referring deviations from standard practices to managers.
  • Follows area protocols, standards, and policies to provide effective and timely support.
  • Reviews provider billing practices to identify trends and cost savings opportunities.
  • Conducts training programs related to claim billing appropriateness and health plan guidelines for claim processors.
  • Tests automated code review programs.
  • Takes direction to execute techniques, processes, and responsibilities.


Minimum Requirements

  • Working knowledge of problem solving and decision making skills
  • Commercial Medicare Experience
  • Understanding of:
  • Claims policies and procedures
  • Medical management concepts

Preferred Qualifications

  • Healthcare claims processing
  • Utilization management or authorization support
  • Experience using healthcare systems such as:
    • HRP
    • Rumba
    • MedCompass


Education

  • High school diploma or equivalent required.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $38.82

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 09/30/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

What CVS Health employees say

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