Remote Claims Scrum Master/PM

Lensa; Woonsocket (RI); Remote; USD 75,000 - 110,000; Full time

Job summary

An established industry player is seeking a skilled Scrum Master to lead teams in navigating challenges within the healthcare sector. This role demands deep expertise in claim processing and healthcare compliance, ensuring seamless value delivery. As a vital team member, you will facilitate backlog prioritization and support the business in understanding policy impacts. Join a forward-thinking company committed to inclusivity and innovation, where your contributions can significantly enhance operational efficiency and team dynamics. If you have a passion for agile methodologies and a drive to make a difference, this opportunity is perfect for you.

Qualifications

• 5-7+ years of experience as a Project Manager in Healthcare.
• Expertise in claim filing/processing and adjudication workflows.

Responsibilities

• Track, assist, and coach the team to overcome impediments.
• Prioritize backlog and analyze ROI for the business.

Skills

Project Management

Healthcare Network and Provider Claims

Agile Methodologies

Rally for Project Tracking

Agile Certification

Job description

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Job Description

The Scrum Master (SM) is responsible for tracking, assisting, and coaching the team to overcome impediments and challenges, which requires domain knowledge. Having expertise in claim filing/processing, claim adjudication, and claim payment workflows is essential for understanding the end-to-end value delivery. Additionally, exposure to work efforts around claim adjudication engines or handling healthcare compliance implementations is recommended. The SM plays a vital role in backlog prioritization and helps the business understand the impacts of policy compliance, claim processing, accrued savings, and provider abrasion. Possessing insurance payer domain knowledge enables the SM to analyze the return on investment (ROI) for the business effectively.

We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [e-mail]. The EEOC "Know Your Rights" Poster is available here (https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf).

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Skills And Requirements

• 5-7+ years of experience as a Project Manager within Healthcare, specifically in Network and Provider Claims
• Ability to interface with multiple organizations and teams simultaneously
• Experience with Rally for project tracking
• Experience working in an Agile environment
• Agile Certified

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [e-mail].

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Engineering and Information Technology
• Industries: IT Services and IT Consulting