
Health Claims Operations Manager
2 weeks ago
Our client is a leading health plan in the US, providing services in Florida state.
We are seeking an experienced Health Claims Operations Manager to join our team.
The ideal candidate will have 5-7 years of experience in health claims operations and strong domain knowledge.
The role involves supervising processes and teams to ensure high-quality service delivery, including distribution of work, calculation of productivity and quality results, and review of audit appeals.
The successful candidate will be responsible for monitoring production goals and reporting results to higher-level leadership.
Additionally, the role includes assisting teams with escalated claims processing issues.
The required schedule availability for this position is Monday-Friday from 6:00 pm to 4:00 am IST, with flexibility to adapt to changing client requirements.
This is a unique opportunity for a skilled professional to make a meaningful contribution to our client's success.
We offer a competitive compensation package and opportunities for career growth and development.
The ideal candidate will possess excellent communication and customer service skills, as well as the ability to work independently and as part of a team.
To succeed in this role, you should have a strong analytical mindset, attention to detail, and the ability to multitask effectively.
In addition, you should have a working knowledge of MS Office applications and web-based systems.
We are an equal opportunities employer and welcome applications from diverse candidates.
Please note that we reserve the right to close the recruitment process early if suitable candidates are identified before the advertised closing date.
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