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Jobgether

Sr Manager, Claims

USPosted 5 days ago
Full-timeremote

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.

How Jobgether works:
We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.
We appreciate your interest and wish you the best!
 
Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.
 
 
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201-500 employees
Brussels, BE
Website
Sr Manager, Claims at Jobgether | Renata