Job Description: 
 
 
<ul>
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 8.0pt;">Lead daily claims operations to ensure quality, accuracy, and timely processing
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 8.0pt;">Manage claims inventory and prioritize workloads to consistently meet SLAs
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 8.0pt;">Support onboarding and implementation of new IPAs and claims operations
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 8.0pt;">Drive continuous improvement initiatives to increase claims efficiency and quality
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 8.0pt;">Resolve claims processing issues and escalations across assigned teams and IPAs
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 8.0pt;">Use claims systems and reports to monitor performance and share insights with leadership
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 8.0pt;">Coach, train, and develop claims staff (including offshore teams) to meet performance expectations
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 8.0pt;">Partner with internal teams on system updates, process improvements, and compliance needs
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 8.0pt;">Handle sensitive provider/member inquiries and high?level claim issues as needed
	<li style="margin-bottom: 0.0in;margin: 0.0in 0.0in 8.0pt;">Other duties as assigned
</ul>

Direct Hire - Manager

$125,000 - $140,000/yr

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