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Sr. Manager Claims Ops

Expired Job

Evicore Colorado Springs , CO 80928

Posted 3 months ago

Summary

Responsible for the management of operations for the claims department. Oversees and coordinates claim team auditing efforts. Provides guidance and sets departmental policies for department. Utilizes extensive expertise and judgment in a variety of field concepts, practices and procedures to drive and ensure optimal outcomes. Exhibit strong organizational skills through management of department and client performance metrics; quality, production, TAT and SLA's. Identify and drive all claims department projects and development opportunities. Utilize and enhance reporting tools to improve accuracy of results. Possess excellent written and oral communication skills to aid in conducting business meetings for both internal and external customers to include healthcare providers and health plans. Oversee the creation and maintenance of Claims Department Policies, Procedure manuals and training materials. Manages resources within budget requirements and exhibit strong organizational skills. Provide guidance and mentoring to direct reports for improvement of individual and collective skills. Motivate and guide team to meet and exceed goals and objectives. Other responsibilities as necessary.

Minimum Experience Required

Bachelor's degree in related field and/or minimum of 5-7 years of experience in a healthcare claims production environment

Minimum 5 years management or supervisory role experience.

Required Skills

Extensive HealthCare Reimbursement Knowledge

  • Extensive HealthCare Knowledge

  • Leadership

  • Strong conflict management, commuinication and interpersonal skills.

Ability to develop strong relationships with internal and external clients.

Our Company and What We Offer

evi

Core healthcare is committed to making a positive impact on healthcare, and also making a positive impact on our employees. evi

Core offers a variety of perks and benefits including, but not limited to:

  • Flexible scheduling and work/life balance with remote and work from home opportunities

  • 3 weeks of PTO(starting) per year plus paid holidays

  • Education assistance, tuition reimbursement and professional certifications

  • Health, dental, vision, and life benefits with employer funded HSA

  • Comprehensive employee discount program, onsite fitness facilities, and smart casual dress code

  • Paid Volunteer Community Service Days

  • Ample opportunities for growth, advancement, and promotion

  • 401k retirement plan with company match of 50% employee contributions up to 6%

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Sr. Manager Claims Ops

Expired Job

Evicore