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Manager, Claims

Company: Centene
Location: Rancho Cordova
Posted on: May 31, 2021

Job Description:

Position Purpose: Manage the day to day operations of the assigned Claims Department to accurately and timely process members' medical claims. Resolve processing/system issues within assigned department. Prioritize work volumes on a daily basis. Oversee status of production in assigned department to ensure production and quality goals are being met. Analyze impact of new implementations on assigned department and reallocate staff duties as necessary. Assist in development of annual budget for Claims Department. Drives change initiatives to address future-oriented business needs. Identifies process and infrastructures needed to support change and considers broad range of internal/external factors when making decisions.Position Purpose: Manage the day to day operations of the assigned Claims Department to accurately and timely process members' medical claims. Resolve processing/system issues within assigned department. Prioritize work volumes on a daily basis. Oversee status of production in assigned department to ensure production and quality goals are being met. Analyze impact of new implementations on assigned department and reallocate staff duties as necessary. Assist in development of annual budget for Claims Department. Drives change initiatives to address future-oriented business needs. Identifies process and infrastructures needed to support change and considers broad range of internal/external factors when making decisions.Education/Experience: Bachelor's degree or equivalent experience. 3+ years of experience in operations management, financial management or analysis, or claims operations experience, preferably in a managed care setting. Two or more years in a supervisory capacity including hiring, training, assigning work and managing the performance of staff.Centene 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.Education/Experience: Bachelor's degree or equivalent experience. 3+ years of experience in operations management, financial management or analysis, or claims operations experience, preferably in a managed care setting. Two or more years in a supervisory capacity including hiring, training, assigning work and managing the performance of staff.Centene 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.Claims OperationsClaims OperationsUSA-California-Rancho CordovaUSA-California-Rancho CordovaCorporateCorporateFull-timeFull-time

Keywords: Centene, Rancho Cordova , Manager, Claims, Other , Rancho Cordova, California

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