Job Description
This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Sr Manager, Claims in United States.
This leadership role is responsible for overseeing end-to-end claims operations within a regulated healthcare environment, ensuring accuracy, compliance, and operational excellence across all claims processes. You will lead and develop a high-performing claims organization while partnering closely with cross-functional stakeholders across legal, finance, IT, and vendor teams. The role requires a strong balance of strategic leadership and hands-on operational oversight, with accountability for performance metrics, risk mitigation, and regulatory adherence. You will serve as a key escalation point for complex claims issues while driving continuous improvement through automation and process optimization. This position also plays a critical role in ensuring audit readiness and compliance with healthcare regulations such as CMS and HIPAA. It is a high-impact role that directly influences service quality, cost efficiency, and customer experience across claims operations.
This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Sr Manager, Claims in United States.
This leadership role is responsible for overseeing end-to-end claims operations within a regulated healthcare environment, ensuring accuracy, compliance, and operational excellence across all claims processes. You will lead and develop a high-performing claims organization while partnering closely with cross-functional stakeholders across legal, finance, IT, and vendor teams. The role requires a strong balance of strategic leadership and hands-on operational oversight, with accountability for performance metrics, risk mitigation, and regulatory adherence. You will serve as a key escalation point for complex claims issues while driving continuous improvement through automation and process optimization. This position also plays a critical role in ensuring audit readiness and compliance with healthcare regulations such as CMS and HIPAA. It is a high-impact role that directly influences service quality, cost efficiency, and customer experience across claims operations.
