Remote Claims Analytics Manager

centene; Town of Florida (NY); Remote; USD 108,000 - 199,000; Full time

Job summary

Centene is seeking a remote Claims Analysis Manager to guide a team of Claims Business Analysts and drive data-driven improvements in claims operations.

The role requires a Bachelor's degree and 5+ years in health plan operations, with Medicare/Medicaid experience preferred. You will mentor staff, analyze data, manage cross-functional projects, and promote standardized processes and automation while ensuring performance targets are met.

Qualifications

• Bachelor's degree required; 5+ years in health plan operations.
• Experience leading cross-functional teams on large-scale projects.
• Strong analytical and problem-solving skills.

Responsibilities

• Mentor and lead Claims Business Analysts.
• Collect, validate and analyze data to deliver business solutions.
• Monitor performance and implement solutions to address process/quality gaps.
• Use project management to work with cross-functional teams on delivery of solutions.
• Promote change through sharing of best practices.

Skills

Data analysis

Team leadership

Process improvement

Project management

Root cause analysis

Education

Bachelor's degree in related field

Job description

Centene is seeking a remote Claims Analysis Manager to guide a team of Claims Business Analysts and drive data-driven improvements in claims operations.

The role requires a Bachelor's degree and 5+ years in health plan operations, with Medicare/Medicaid experience preferred. You will mentor staff, analyze data, manage cross-functional projects, and promote standardized processes and automation while ensuring performance targets are met.