Job Title: Manager of Claims Health Plans

Location: Corvallis, OR 97330

Department: Clerical

Type: Permanent Full Time

Shift: Days

Start Date: March 5, 2024

Compensation:

\- Salary Range: $73,000 - $110,000 per year

\- Hours: 40 hours per week

Job Summary/Purpose:

\- Responsible for accurate and timely claims processing for all programs administered by Samaritan Health Plans.

\- Provides oversight to staff and ensures that organizational performance expectations, financial standards, and goals are achieved.

\- Enhances department bench strength by hiring, coaching, and mentoring direct reports.

\- Responsible for the completion and success of all internal and external claims audits.

\- Analyzes claims data and ensures compliance requirements are met.

Experience/Education/Qualifications:

\- Bachelor's degree in healthcare or a related field, or equivalent direct claims experience required.

\- Three (3) years management experience in a health plan claims department required.

\- Experience or training in collecting, analyzing, and displaying statistical reports by computerized technology, and basic medical terminology required.

\- Medicare and/or Medicaid experience preferred.

Knowledge/Skills/Abilities:

\- Leadership: Inspires, motivates, and guides others toward accomplishing goals. Achieves desired results through effective people management.

\- Conflict resolution: Influences others to build consensus and gain cooperation. Proactively resolves conflicts in a positive and constructive manner.

\- Critical thinking: Identifies complex problems, involves key parties, gathers pertinent data, considers various options in decision-making process, and develops, evaluates, and implements effective solutions.

\- Communication and team building: Leads effectively with excellent verbal and written communication. Delegates and initiates/manages cross-functional teams and multi-disciplinary projects.

Note:

\- Hybrid position, will be onsite in Corvallis 2-3 times a week or more if needed.

\- All placements need to be vaccinated or have an agency-approved medical or religious exemption for COVID-19.