Manager, Claims Operations - Remote

Overview

The Manager, Claims Operations will lead the company’s day-to-day operational activities that support claims processing and other technical responsibilities, contributing to the transformation of the healthcare system.

In Short

• Lead operational activities related to claims processing.
• Establish team goals aligned with broader company strategy.
• Manage team performance and coach team members.
• Identify process gaps and lead improvement efforts.
• Ensure compliance with regulatory requirements.
• Oversee claim file reviews and member communications.
• Support new group implementation activities.
• 5+ years in a leadership role.
• 8+ years in claims processing or healthcare benefits.
• Offer competitive wellness benefits and professional development.

Requirements

• Experience in leading teams in a remote or hybrid setting.
• Knowledge of medical billing and pharmacy benefits.
• Strong communication and interpersonal skills.
• Ability to handle competing issues and prioritize tasks.
• Comfortable in fast-changing environments.

Benefits

• Medical, Pharmacy, Dental, Vision, and Life Insurance.
• 401(k) Retirement Savings Program.
• Discretionary Paid Time Off and 12 Paid Holidays.
• Professional development opportunities.
• Well-stocked kitchen in office locations.