Centene Management Company LLC is hiring a Manager, Claim Support Services to oversee the effective operation of Claims Support Services and Claims Projects. You will collect, validate, and analyze data to deliver impactful business solutions.
What You'll Do
- Provide oversight for Claims Support Services and Claims Projects.
- Collect, validate, and analyze data to deliver business solutions.
- Monitor performance and develop & implement business solutions to address process or quality gaps.
- Promote change through the sharing of best practices and establish those practices.
- Leverage automation to achieve desired results.
- Interface with all organizational levels to mobilize commitment.
- Perform claim adjudication project analysis and preparation work flow management.
- Coordinate the implementation of new product or health plan expansions.
- Mentor and develop staff.
What We're Looking For
- Bachelor's degree in a related area or equivalent experience.
- 5+ years of experience in claim processing payer support services in healthcare.
- Ability to deal with abstract and concrete variables and apply principles of logic or scientific thinking to define problems, collect data, establish facts, and draw valid conclusions.
- Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing performance.
Nice to Have
- Experience preferably with Medicare, Medicaid or equivalent business experience.
Benefits & Compensation
- Health insurance
- 401K and stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Compensation Range: $68,700.00 - $123,700.00 per year
Work Mode
This is a hybrid position based in the State of New York.
Centene Management Company LLC is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
