Manager, Claims & Contract Support Services

Location: Tacoma, WA
Position Purpose: Oversee the operation of the Contract Implementation Analyst and Claims Liaison teams 
 
  • Oversee the claims operation function, including contracting and configuration
  • Monitor staff performance to identify any process or quality gaps and develop/implement business solutions to correct issues
  • Provide management with necessary data to expedite resolution of claims issues and support in policy decisions related to claims operations
  • Serve as the subject matter expert in resolution of claims and configuration issues
  • Manage the health plan’s workflow to assure timely, accurate submission and implementation of contracts
  • Act as health plan interface on software product upgrades/implementations that affect contract implementation
  • Promote change through establishment and sharing of best practices
  • Interface with all organizational levels to mobilize commitment and ensure accurate configuration, contract implementation, and claims operations

Qualifications:
Education/Experience:
  • Bachelor’s degree in related field or equivalent experience.
  • 5+ years of provider relations/services, provider contracting and/or claims administration experience in a managed care environment.
  • Experience with Medicare and Medicaid claims and contracting preferred.
Tami Andrade Fitzpatrick
Senior Recruiter
720-845-6562
tami@proenlist.com
www.proenlist.com


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