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Remote Senior Manager, Medical Claims Policy & Config

Remote / Online - Candidates ideally in
Columbus, Franklin County, Ohio, 43224, USA
Listing for: Brighton Health Plan Solutions
Full Time, Remote/Work from Home position
Listed on 2026-08-29
Job specializations:
  • Management
    Healthcare Management
Salary/Wage Range or Industry Benchmark: 120000 - 160000 USD Yearly USD 120000.00 160000.00 YEAR
Job Description & How to Apply Below

Brighton Health Plan Solutions is seeking a Senior Manager of Medical and Clinical Claim Policy and Configuration to lead policy content and system configuration across Medical Management, Claims, IT, and Legal. This remote, full-time role requires shaping policies, maintaining CES configurations, and guiding policy updates with regulatory alignment.

You will collaborate with multiple business units to implement policies, manage claim policy web content, and develop analyses for CPT/HCPCS/ICD

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Position Requirements
10+ Years work experience
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