drjobs Supervisor - Claims Production

Supervisor - Claims Production

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1 Vacancy
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Job Location drjobs

Portland - USA

Monthly Salary drjobs

$ 57000 - 94000

Vacancy

1 Vacancy

Job Description

Supervisor Claims Production

Remote within Oregon Idaho Utah

Build a career with purpose. Join our Cause to create a personfocused and economically sustainable health care system.

As a people leader you are willing to learn and grow understanding that leadership is a craft that is continuously honed as you support your team and the lives that depend upon us. This role supports members providers and various internal departments by mentoring staff monitoring workflow maintaining performance measures and ensuring timely and quality claims processing while adhering to State Federal and company guidelines.

What You Bring to Cambia:

Qualifications:

Skills and Attributes:


Youll lead a team of claims professionals setting priorities overseeing work outputs and timelines and developing productivity quality and service standards to ensure exceptional performance.

Youll possess strong analytical skills identifying problems trends and developing solutions to implement a course of action while also communicating effectively with all levels of the organization both verbally and in writing.

Youll have a deep understanding of the insurance industry related regulations and mandates as well as experience working in a highvolume claims processing center with a proven track record of managing performance and creating an environment for service excellence.

Youll be able to organize plan and prioritize assignments within multiple projects participating in and managing welldefined projects with minimal guidance and leveraging your knowledge of medical terminology and/or claims coding to inform your decisionmaking.

As a leader youll be responsible for developing and training your team including employees in multiple locations or working remotely and fostering a culture of collaboration innovation and customercentricity to drive results and achieve business objectives.

What You Will Do at Cambia

Youll lead and manage a team of claims professionals assigning and prioritizing work setting goals and coordinating daily activities while also providing regular updates and communication through 1:1 and team meetings.

Youll monitor individual and team results ensuring work is completed in a timely manner in accordance with department standards and procedures and in compliance with medical policy and guidelines and identify areas for process improvements.

Youll act as a resource for staff and others escalating issues and partnering with other departments to resolve them and participate in the selection process provide ongoing coaching and performance management and write performance reviews.

Youll facilitate the maintenance of reference manuals work procedures and procedural guidelines and complete special projects as assigned including leading division projects implementing process improvement projects and analyzing data to present to departmental leadership.

Youll oversee claims processing ensuring accuracy and timeliness according to company timelines and provide support services including scheduling reporting to management meeting facilitation and issue resolution while also participating on project teams to recommend solutions and translate business requirements.

FTEs Supervised

520

#LIremote

The expected hiring salary range is $61000 $82800 a year depending on skills experience education and training; relevant licensure / certifications; and performance history.

The bonus target for this position is 10. The current full salary range for this role is $57000 $94000.

About Cambia

Working at Cambia means being part of a purposedriven awardwinning culture built on trust and innovation anchored in our 100 year history. Our caring and supportive colleagues are some of the best and brightest in the industry innovating together toward sustainable personfocused health care. Whether were helping members lending a hand to a colleague or volunteering in our communities our compassion empathy and team spirit always shine through.

Why Join the Cambia Team

At Cambia you can:

We believe a career at Cambia is more than just a paycheck and your compensation should be too. Our compensation package includes competitive base pay as well as a marketleading 401(k) with a significant company match bonus opportunities and more.

In exchange for helping members live healthy lives we offer benefits that empower you to do the same. Just a few highlights include:

Learn more about our benefits.

We are happy to offer work from home options for most of our roles. To take advantage of this flexible option we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.


Required Experience:

Manager

Employment Type

Full-Time

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