Claims Operations
CareSource
full-time
Posted on:
Location Type: Remote
Location: Remote • Massachusetts • 🇺🇸 United States
Visit company websiteSalary
💰 $62,700 - $100,400 per year
Job Level
Mid-LevelSenior
About the role
- Execute and support the tasks to develop, implement and maintain reimbursement guidelines for assigned CareSource Products
- Collaborate with key stakeholders and Product to ensure Claims Reimbursement process and procedures align with the overall strategy
- Participate in Benefit Interpretation support
- Support required legislative and regulatory reviews
- Assist in the tasks to support the established budgets, timelines and task schedules
- Execute assigned tasks to collaborate with senior leadership
Requirements
- Bachelor of Arts/Science degree in Finance, Business or health care field, or other related field
- Minimum of three (3) years of product management, reimbursement policy creation, or claims experience
- Healthcare insurance industry experience
- Familiarity of the healthcare/managed care field and knowledge of government program products
- Previous experience working with state and Federal regulators/government in a managed care setting
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development
- Bonuses
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
reimbursement guidelinesclaims reimbursement processbenefit interpretationbudget managementtask scheduling
Soft skills
collaborationstakeholder engagementcommunicationleadership
Certifications
Bachelor of Arts degreeBachelor of Science degree