Healthcare Claims Manager

A company is looking for a Healthcare Claims Manager to lead the ingestion of healthcare claims data and ensure data integrity across systems.

Key Responsibilities

Serve as primary liaison with healthcare carriers to establish and maintain data exchange partnerships

Analyze and manage inbound healthcare claims data feeds, identifying and correcting validation issues using SQL

Implement data validation and quality control processes to ensure accurate claims data processing

Required Qualifications

Bachelor's or Master's degree in Health Informatics, Information Systems, Business / Statistics / Information Science, or related field

5+ years of experience in healthcare data integration, claims processing, or payer-provider data exchange

Strong understanding of healthcare claims formats and coding standards

Proficient in SQL with experience in managing external partnerships and cross-functional teams

Familiarity with data warehousing, ETL tools, and cloud-based data platforms is a plus