Manager, Claims

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

*Applicants for this job have the flexibility to work remote from home anywhere in the United States.

Position Purpose: Manage the day to day operations of the assigned Claims Department to accurately and timely process members' medical claims and accumulations.

• Resolve processing/system issues within assigned department.
• Prioritize work volumes on a daily basis.
• Oversee status of production in assigned department to ensure production and quality goals are being met.
• Analyze impact of new implementations on assigned department and reallocate staff duties as necessary.
• Assist in development of annual budget for Claims Department.
• Drives change initiatives to address future-oriented business needs.
• Identifies process and infrastructures needed to support change and considers broad range of internal/external factors when making decisions.
• Performs other duties as assigned.
• Complies with all policies and standards.

Education/Experience: Bachelor's degree or equivalent experience. 3+ years of experience in operations management, financial management or analysis, or claims operations experience, preferably in a managed care setting. Two or more years in a supervisory capacity including hiring, training, assigning work and managing the performance of staff.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act