Claims Operations
CareSource
full-time
Posted on:
Location Type: Remote
Location: Massachusetts • United States
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Salary
💰 $62,700 - $100,400 per year
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 & Tools
reimbursement guidelinesclaims reimbursement processbenefit interpretationbudget managementtask scheduling
Soft Skills
collaborationstakeholder engagementcommunicationleadership
Certifications
Bachelor of Arts degreeBachelor of Science degree