Claims Manager

Director of Claims – Healthcare (onsite in San Antonio, TX)Purpose: To lead healthcare claims operations for a growing organization. This role will oversee claims processing, reporting, compliance, and team performance to ensure accurate and timely claims adjudication.Key Responsibilities:• Lead and develop the claims operations team• Ensure compliance with Medicare Advantage, managed care, and regulatory requirements• Monitor claims accuracy, productivity, and operational metrics• Support audits, reporting, and claims data integrity• Partner with Finance, Contracting, Clinical, and IT teams to improve workflows and reporting• Drive process improvements to increase efficiency and quality outcomesQualifications:• 10+ years of healthcare claims experience• 5+ years in a leadership role (Manager/Director level)• Strong knowledge of Medicare, managed care, and healthcare claims regulations• Experience with claims adjudication and operational reporting• Strong analytical and leadership skills