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Medical Claims Manager Jobs in Appleton, WI (NOW HIRING)

Ducommun

Program Manager Analyst

Appleton, WI · On-site

... Medical Industries. Job Summary 1. Focal point for customer/buyer communication and interface ... claims. 5. Development and growth of the Program: * Create and manage program bookings and provide ...

Walgreens

Pharmacy Operations Manager

De Pere, WI

Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ... Follows-up with insurance companies as well as medical providers and conducts or participates in ...

Walgreens

Pharmacy Operations Manager

Little Chute, WI · On-site

Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ... Follows-up with insurance companies as well as medical providers and conducts or participates in ...

Walgreens

Pharmacy Operations Manager

Little Chute, WI · On-site

Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ... Follows-up with insurance companies as well as medical providers and conducts or participates in ...

Walgreens

Pharmacy Operations Manager

Appleton, WI · On-site

Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ... Follows-up with insurance companies as well as medical providers and conducts or participates in ...

Walgreens

Pharmacy Operations Manager

Neenah, WI · On-site

Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ... Follows-up with insurance companies as well as medical providers and conducts or participates in ...

Walgreens

Pharmacy Operations Manager

Neenah, WI

Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ... Follows-up with insurance companies as well as medical providers and conducts or participates in ...

Walgreens

Pharmacy Operations Manager

Little Chute, WI · On-site

Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ... Follows-up with insurance companies as well as medical providers and conducts or participates in ...

Walgreens

Pharmacy Operations Manager

Little Chute, WI · On-site

Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ... Follows-up with insurance companies as well as medical providers and conducts or participates in ...

Walgreens

Pharmacy Operations Manager

Little Chute, WI · On-site

Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ... Follows-up with insurance companies as well as medical providers and conducts or participates in ...

Walgreens

Pharmacy Operations Manager

De Pere, WI · On-site

Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ... Follows-up with insurance companies as well as medical providers and conducts or participates in ...

Walgreens

Pharmacy Operations Manager

Green Bay, WI · On-site

Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ... Follows-up with insurance companies as well as medical providers and conducts or participates in ...

Walgreens

Pharmacy Operations Manager

Green Bay, WI · On-site

Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ... Follows-up with insurance companies as well as medical providers and conducts or participates in ...

Walgreens

Pharmacy Operations Manager

Appleton, WI · On-site

Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ... Follows-up with insurance companies as well as medical providers and conducts or participates in ...

Alera Group

Commercial Account Manager - WI

Appleton, WI · On-site +1

Respond promptly to client questions regarding coverage, billing, and claims * Build rapport with ... Alera Group offers comprehensive benefits including medical, dental, vision, life and disability ...

Ducommun

Program Manager Analyst

Appleton, WI · On-site

... Medical Industries. Job Summary 1. Focal point for customer/buyer communication and interface ... claims. 5. Development and growth of the Program: * Create and manage program bookings and provide ...

Ducommun Incorporated

Program Manager Analyst

Appleton, WI · On-site

$75 - $98/hr

... Medical Industries. Job Summary 1. Focal point for customer/buyer communication and interface ... claims. 5. Development and growth of the Program: * Create and manage program bookings and provide ...

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All JobsMedical Claims JobsMedical Claims Manager JobsMedical Claims Manager Jobs in Appleton, WI

Medical Claims Manager information

See Appleton, WI salary details

$34.1K

$85.7K

$135.6K

How much do medical claims manager jobs pay per year?

As of Sep 4, 2026, the average yearly pay for medical claims manager in Appleton, WI is $85,729.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,300.00 and $102,500.00 per year, depending on experience, location, and employer.

What does a medical claims manager do?

A Medical Claims Manager oversees the processing of insurance claims related to healthcare services. They ensure that claims are handled efficiently, accurately, and in compliance with industry regulations. Their responsibilities include supervising claims staff, reviewing and resolving complex claims issues, and coordinating with healthcare providers and insurance companies. Medical Claims Managers also work to identify and prevent fraudulent claims and improve overall claims processing procedures.

What are the key skills and qualifications needed to thrive as a medical claims manager?

To thrive as a Medical Claims Manager, you need a strong background in healthcare administration, claims processing, and knowledge of insurance regulations, typically supported by a bachelor's degree in a related field. Familiarity with claims management systems, billing software, and certification such as Certified Professional Coder (CPC) are often required. Exceptional attention to detail, problem-solving abilities, and effective communication set top performers apart. These skills ensure accurate claims processing, regulatory compliance, and efficient resolution of disputes, which are critical for organizational success.

What are some common challenges medical claims managers face when overseeing claims processing teams?

Medical Claims Managers often encounter challenges such as keeping up with changing healthcare regulations, ensuring accurate and timely claims processing, and managing workflow during periods of high claim volume. They must also address discrepancies or denials efficiently and provide ongoing training to team members to maintain compliance and quality standards. Effective communication with insurance carriers, healthcare providers, and internal teams is crucial to resolving issues and streamlining operations.

What are the most commonly searched types of Medical Claims jobs in Appleton, WI?

The most popular types of Medical Claims jobs in Appleton, WI are:

What are popular job titles related to Medical Claims Manager jobs in Appleton, WI?

For Medical Claims Manager jobs in Appleton, WI, the most frequently searched job titles are:

What job categories do people searching Medical Claims Manager jobs in Appleton, WI look for?

The top searched job categories for Medical Claims Manager jobs in Appleton, WI are:

What cities near Appleton, WI are hiring for Medical Claims Manager jobs?

Cities near Appleton, WI with the most Medical Claims Manager job openings:

Medical Claims Manager jobs near you

Program Manager Analyst

Ducommun

Appleton, WI • On-site

Full-time

Posted 25 days ago

Ducommun rating

7.8

Company rating: 7.8 out of 10

Based on 34 frontline employees who took The Breakroom Quiz

49th of 72 rated aerospace companies

Job description

Program Manager Analyst

Supports the Program Manager and oversees assigned programsand customers to ensure that activities and customer orders are carried out inaccordance with contract requirements, schedules and budgets. Accuracy andtimely communication are critical for both internal and external communication

Who are we?

Founded in 1849, Ducommun is the oldest company in California. Starting as a hardware supply store during the California Gold Rush and eventually assisted in the birth of the aerospace industry in Southern California by providing aircraft aluminum to early aerospace pioneers like Lindbergh, Douglas and Lockheed. 

Today Ducommun is a global provider of innovative manufacturing solutions for customers in the aerospace, defense and industrial markets. We specialize in electronic and structural systems, producing complex products and components for commercial aircraft platforms, mission-critical military and space programs, and sophisticated industrial applications. 

Our Facility in Appleton, WI manufactures state-of-the-art circuit boards for Aerospace and Defense as well as Industrial and Medical Industries. 

Job Summary

1. Focal point for customer/buyer communication and interface:

  • Represents the company in contacts with the customer and outside parties (other than suppliers) for issues concerning the assigned program.
  • Ensures that customer requirements are flowed down to all functional departments through the initiation of sales orders and management of backlog.
  • Provides timely notification to management of program cost or schedule impact.
  • Provides a coordinated company response to customer requirements and inquiries.
  • Supports Program Manager in execution of Customer Surveys and gathering Customer Feedback.

2. Internal Communication and interface:

  • Communicate with Operations Management to assure proper coordination of customer requirements. Ensures that the company's capabilities and business interests support customer requests.
  • Coordinate with Operations Management and production planners to integrate program schedules that support contractual commitments and company goals.
  • Work with Program Manager to communicate customer cost reduction and process improvement goals to company management and coordinate response that highlights/demonstrates company commitment to continuous improvement.

3. Contract Management:

  • Work with Program Manager to analyze and review all contracts to verify Terms and Conditions, Work Statements, Funding, Performance Periods, Deliverables, and other customer General Conditions. Coordinate review of terms and conditions with Program Manager.
  • Manage and track program compliance to purchase order requirements.

4. Fiscal Management:

  • Manage customer AR in support of site functional metrics.
  • Support the Finance Department in invoice submittal and in resolving late payment receipts and customer claims.

5.  Development and growth of the Program:

  • Create and manage program bookings and provide data for sales forecasts.
  • Manage and maintain program bookings and sales tracking system that supports the company monthly summary reports.
  • Responsible for planning and acquisition of follow-on business within the lead time constraints.
  • Work to identify, strategize and capture new business opportunities where available.
  • Understands and embraces lean methodologies, Kaizen Events, Standard Work and Value Stream Mapping.

6. Proposal Management:

  • Support Program Manager and Proposal Team for development, preparation and customer submittal of proposals for new and follow-on business.

What Ducommun employees say

Pay

Benefits

Hours and flexibility

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