Claims Process Initiatives Manager

A company is looking for a Senior Manager, Claims Process Initiatives.

Key Responsibilities

Lead Claims Process Change Control and oversee claims process governance

Provide claims input for business requirements related to system changes and partner initiatives

Oversee project plans and track key milestones for claims readiness and process improvement initiatives

Required Qualifications

Bachelor's Degree in a related field or equivalent experience required; Master's Degree preferred

5+ years of experience in claims system / administration, healthcare operations, or program management required

3+ years of management experience required

Regulatory knowledge of Medicare, Medicaid, and / or Marketplace required; experience with multiple products preferred

Experience leading cross-functional teams and managing large-scale projects required