Senior Manager Claims - Hybrid

Senior Manager Claims
* Hybrid*

Candidates residing in the greater Seattle, WA;
Renton, WA;
Spokane, WA;
Portland, OR;
Santa Rosa, CA; or Irvine, CA areas are encouraged to apply.

The Senior Manager, Claims role is responsible for management and supervision of 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.

This role works hybrid and the candidate will need to work on site 4 days each week.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Integrity Compliance Audit Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

• Bachelor’s Degree or an equivalent combination of education and experience.
• Coursework/Training:
  Formal education or training in supervision, management, or leadership.
• 7 years of documented direct management or supervisory experience in a medical negligence and multi-line setting.
• 7 years of Claims experience.
• 2 years of experience in an insurance or managed care setting.
• Demonstrated 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.

California:
All Northern California - Except Humboldt: Min: $65.96, Max: $104.13

California:
All Southern California - Except Bakersfield: Min: $58.79, Max: $92.82

Oregon:
Portland Service Area: Min: $56.40, Max: $89.04

Washington:
Western : Min: $58.79, Max: $92.82

Washington:
Eastern: Min: $50.19, Max: $79.23

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.