Direct Hire-Manager of Claims Health Plans -Hybrid
3600 NW Samaritan Dr. Corvallis, OR 97330 US
Job Description
If you are interested in this position, please contact Lindsay at 5867107959/LKOPASZ@ALINESTAFFING.com
Hybrid Health Plan Claims Manager Compensation
- The pay for this position is $73,000.00 to $110,000.00.
- The required availability for this position is Days, Full Time
- Oversees and manages the Health Plans Claims Department.
- Is responsible for accurate and timely claims processing for all programs administered by the Health Plans.
- Provides oversight to staff and ensures that the organization's performance expectations, financial standards, and goals are achieved.
- Enhances department bench strength by hiring, coaching, and mentoring direct reports.
- Responsible for the completion and success of all internal and external claims audits.
- Analyzes claims data and ensures compliance requirements are met.
- Bachelor's degree in healthcare or a related field, or equivalent direct claims experience required.
- Three (3) years management experience in a health plan claims department required.
- Experience or training in the following required:
- Collecting, analyzing, and displaying statistical reports by computerized technology.
- Basic medical terminology.
- Medicare and/or Medicaid experience preferred.
- High School Diploma or GED
- Attendance is mandatory for the first 90 days
- Leadership - Inspires, motivates, and guides others toward accomplishing goals. Achieves desired results through effective people management.
- Conflict resolution - Influences others to build consensus and gain cooperation. Proactively resolves conflicts in a positive and constructive manner.
- Critical thinking – Identifies complex problems. Involves key parties, gathers pertinent data, and considers various options in decision making process. Develops, evaluates, and implements effective solutions.
- Communication and team building – Leads effectively with excellent verbal and written communication. Delegates and initiates/manage cross-functional teams and multi-disciplinary projects.
If you are interested in this position, please contact Lindsay at 5867107959/LKOPASZ@ALINESTAFFING.com