Remote Claims Systems Manager | Lead Strategy & Delivery

Partners Behavioral Health Management

Georgia

Remote

USD 100,000 - 130,000

Full time

5 days ago
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Benefits offered by this job

Annual incentive bonus
Health insurance
Generous vacation and sick time
13 paid holidays
Pension plan
401(k) with employer match
Life and disability insurance
Wellness programs
Public Service Loan Forgiveness Qualif

Job summary

Vaya Partners in Georgia offers a remote-friendly role for a Claims System Manager who will lead a team of Systems Analysts, shaping the claims management system's configuration, development and ongoing support. You will drive the strategic roadmap and ensure delivery aligns with organizational goals.

You will manage BRDs, vendor contracts, and ticket resolution, provide regular status updates to leadership, and collaborate with ISD, PMO, and cross-functional teams while ensuring compliance with

Qualifications

  • Bachelor’s degree in business or related field and 7 years in data systems mgmt.
  • Minimum 5 years in supervisory role.
  • Experience with health insurance/claims systems a plus.

Responsibilities

  • Provide strategic leadership to a team of Systems Analysts overseeing the claims management system.
  • Oversee staff, vendors, BRDs, contracts, and ticket resolutions.
  • Develop and implement strategic roadmap for the claims software aligned with org goals.
  • Collaborate with ISD, PMO, Cloud/Infra for projects and governance.
  • Monitor progress, escalate risks, and report status to leadership.
  • Ensure compliance with Medicaid rules and related regulations.

Skills

Team leadership
Communication
Analytical skills
Claims software
Data analysis
Vendor management

Education

Bachelor's degree in Business Administration or related field

Tools

Claims management software
Project management tools
Microsoft Office 365
Service desk ticketing software

Job description

Vaya Partners in Georgia offers a remote-friendly role for a Claims System Manager who will lead a team of Systems Analysts, shaping the claims management system's configuration, development and ongoing support. You will drive the strategic roadmap and ensure delivery aligns with organizational goals.

You will manage BRDs, vendor contracts, and ticket resolution, provide regular status updates to leadership, and collaborate with ISD, PMO, and cross-functional teams while ensuring compliance with

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