Senior Claims Operations Leader - Medicare Compliance

Prominence Health; Reno (NV); On-site; USD 90,000 - 150,000; Full time

Benefits offered by this job

Loan Forgiveness Program

Competitive Compensation & Generous Paid Time Off

Excellent Medical, Dental, Vision and Prescription Drug Plans

401(K) with company match

Career development opportunities

Job summary

A healthcare organization in Reno is seeking a Senior Claims Manager to lead the claims department. Responsibilities include overseeing claims operations, providing leadership to a team, and ensuring compliance with Medicare regulations. The ideal candidate has 5+ years of claims management experience and a Bachelor's degree in health care administration or business management. This role offers a challenging work environment and competitive compensation.

Qualifications

• 5+ years’ experience in claims management with direct Medicare claims experience.
• 5+ years’ experience managing operations including budgeting and forecasting.
• Strong ability to influence and persuade while driving collaboration.

Responsibilities

• Lead and manage the day-to-day operations of the claims department.
• Oversee a team of claims staff, providing leadership and guidance.
• Collaborate with teams to identify process improvements and ensure compliance.
• Leverage technology to optimize claims workflows.

Skills

Leadership

Claims management

Medicare compliance

Process improvement

Medical terminology knowledge

Education

Bachelor’s degree in health care administration or business management

Job description

A healthcare organization in Reno is seeking a Senior Claims Manager to lead the claims department. Responsibilities include overseeing claims operations, providing leadership to a team, and ensuring compliance with Medicare regulations. The ideal candidate has 5+ years of claims management experience and a Bachelor's degree in health care administration or business management. This role offers a challenging work environment and competitive compensation.