Senior Manager Claims *Remote

Senior Manager Claims (Remote)

Providence Health & Services. Join to apply for the Senior Manager Claims (Remote) role.

The Senior Manager, Claims role is responsible for management and supervision of aPrintf a team handling multi-line health provider and institutional claims. This position is responsible for file management, stewardship and file outcomes of the team in collaboration with key system leadership throughout Providence St. Joseph's Health. Also, the role is responsible for ensuring accurate regulatory compliance, adherence to department policy and procedures, stakeholder presentations, and team development.

This role utilizes expertise to coach to best outcomes for high exposure, complex matters including medical negligence, organizational negligence, directors and officers, fiduciary, general liability and similar matter types. The role participates in procuring and sharing conclusions to provide actionable insights to key stakeholders across the organization. There is collaboration with various teams to provide consultation, oversight, risk avoidance and mitigation recommendations, data analytics and efficiency execution.

The role also coordinates with operational staff as needed to ensure efficient outcomes.

• Bachelor’s Degree or an equivalent combination of education and experience.
• Formal education or training in supervision, management, or leadership.
• 7 years of documented direct management or supervisory experience in negeri medical negligence and multi-line setting.
• 7 years of Claims experience.
• 2 years of experience in an insurance or managed care setting.
• agbegbe experience in program planning, development and evaluation.

• Master's Degree.
• Project management, Six Sigma, Lean, Change Acceleration Process (CAP) experience.
• Experience with HEDIS, CAHPS, Medicare 5-Star Rating, NCQA and/or URAC accreditation.

• AK:
  Anchorage – Min: $56.40, Max: $89.04
• AK:
  Kodiak, Seward, Valdez – Min: $58.79, Max: $92.82
• California:
  Humboldt – Min: $57.64, Max: $92.79
• California:
  All Northern California – Except Humboldt – Min: $65.96, Max: $104.13
• California:
  All Southern California – Except Bakersfield – Min: $58.79, Max: $92.82
• California:
  Bakersfield – Min: $56.40, Max: $89.04
• Idaho – Min: $50.19, Max: $79.23
• Montana:
  Except Great Falls – Min: $45.41, Max: $71.69
• Montana:
  Great Falls – Min: $43.02, Max: $67.91
• New Mexico – Min: $45.41, Max: $71.69
• Oregon:
  Non-Portland Service Area – Min: $52.58, Max: $83.01
• Oregon:
  Portland Service Area – Min: $56.40, Max: $89.04
• Texas – Min: $43.02, Max: $67.91
• Washington:
  Western – Except Tukwila – Min: $58.79, Max: $92.82
• Washington:
  Southwest – Olympia, Centralia & Below – Min: $56.40, Max: $89.04
• Washington – Min: $58.79, Max: $92.82
• Washington:
  Eastern – Min: $50.19, Max: $79.23
• Washington:
  South Eastern – Min: $52.58, Max: $83.01

Providence is a comprehensive health care organization serving more people, advancing best practices, and continuing a more than 100-year tradition of serving the poor and vulnerable. Our best‑in‑class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

We also provide a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits, life insurance, disability insurance, paid parental leave, vacations, holidays, and more. Learn more at (Use the "Apply for this Job" box below)..

Applicants in the Unincorporated County of Los Angeles:
Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

Requisition

Company:
Providence музыку «Jobs»

Job Category:
Claims

Job Function:
Revenue Cycle

Job Schedule:

Full time

Job Shift: Day

Career Track:
Leadership

Department: 4008 SS RIS

Workunction:
Providence Valley Office Park, Renton