{"schemaVersion":"jobsearcher.job.v1","id":"9717370f6f2e3b89bcb46d3f","url":"https://jobsearcher.com/jobs/9717370f6f2e3b89bcb46d3f","canonicalUrl":"https://jobsearcher.com/jobs/9717370f6f2e3b89bcb46d3f","title":"Manager, Claims (Remote)","description":"tango is a leader in the home health management industry and is preparing for significant growth! Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. We partner with health plans to provide a comprehensive suite of products and services designed to manage the total cost of care.\n\nWe are currently looking for a Claims Manager to join our growing team!\n\nThe Claims Manager provides tactical, technical leadership for claims operations with a focus on issue resolution, process improvement, auditing, and cross-functional support. This role is specialized in technical troubleshooting, claims reconciliation, batch processing, and collaboration with internal partners to ensure the smooth operation of claims workflows.\n\nOffice Location:\n\n2415 E Camelback Road, Suite 700, Phoenix, AZ 85016\nRemote\n\nResponsibilities and Duties:\n\nResponsibilities include, but are not limited to the following:\n\nServe as technical lead for problem-solving claims issues; troubleshoot and resolve issues during operational disruptions.\nOversee batch assignments, batch-closure operations, adjudication runs and claims reconciliation processes.\nExecute audit and universe review protocols; ensure data integrity and accuracy across all claims transactions.\nOversees the 277CA process\nOversee performance of systemic tools (Symkey, AMP$, EDIWORKS, SDS or other applicable tools) to ensure transparency, capability alignment, and long-term sustainability, enabling the team to operate efficiently and effectively\nEnsure SFTP process reliability for claims file transfers; monitor all inbound and outbound jobs and alert to transmission failures.\nManage and remediate clearinghouse rejections; coordinate correction cycles with vendors and internal teams.\nCollaborate with QA and team members to identify, test, and implement new business rules to improve adjudication rates and minimize claim errors.\nPartner with Provider Contracting, Networks, and Accounting teams to resolve fee schedule, network setup, and payment processing issues.\nCollaborate with Eligibility and Authorization teams to resolve member-related issues impacting claims processing.\nMaintain comprehensive documentation of all processes, issue resolutions, and system updates.\nRecommend and implement process improvements based on operational analysis and performance metrics.\n\nQualifications:\n\nBachelor's degree or equivalent technical experience\n5+ years in healthcare claims operations, with expertise in workflow optimization and technical troubleshooting\nStrong knowledge of claims adjudication, batch processing, EDI/clearinghouse operations, and accounting reconciliation\nAdvanced understanding of SFTP/file transfer protocols and claims system architecture\nProficiency with claims platforms, data analysis, and SQL or similar query tools preferred\nExcellent analytical, organizational, and cross-functional communication skills\nAbility to manage multiple complex issues and prioritize effectively in a fast-paced environment\n\nProven Personal Attributes:\n\nTechnical problem-solver with strong analytical and troubleshooting capabilities\nProactive and detail-oriented with commitment to accuracy and process integrity\nStrong collaboration skills with ability to partner across departments and teams\nInitiative-driven with focus on continuous improvement and operational efficiency\nReliable and accountable with strong work ethic and deadline commitment\nSelf-motivated learner with ability to stay current on system and regulatory changes\nComposed and professional under pressure with strong decision-making abilities\n\ntango provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. tango will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship.","company":"Tango","rawCompany":"tango","isRemote":true,"isActive":false,"createdAt":"2026-08-15T13:32:59.954Z","occupations":[{"code":"13-1031.00","title":"Claims Adjusters, Examiners, and Investigators","slug":"claims-adjusters-examiners-and-investigators"},{"code":"43-9041.00","title":"Insurance Claims and Policy Processing Clerks","slug":"insurance-claims-and-policy-processing-clerks"},{"code":"11-3021.00","title":"Computer and Information Systems Managers","slug":"computer-and-information-systems-managers"}],"industries":[{"code":"524291","title":"Claims Adjusting","slug":"claims-adjusting"},{"code":"524292","title":"Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds","slug":"pharmacy-benefit-management-and-other-third-party-administration-of-insurance-and-pension-funds"},{"code":"524298","title":"All Other Insurance Related Activities","slug":"all-other-insurance-related-activities"}],"jobPosting":{"@context":"https://schema.org","@type":"JobPosting","title":"Manager, Claims (Remote)","description":"tango is a leader in the home health management industry and is preparing for significant growth! Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. We partner with health plans to provide a comprehensive suite of products and services designed to manage the total cost of care.\n\nWe are currently looking for a Claims Manager to join our growing team!\n\nThe Claims Manager provides tactical, technical leadership for claims operations with a focus on issue resolution, process improvement, auditing, and cross-functional support. This role is specialized in technical troubleshooting, claims reconciliation, batch processing, and collaboration with internal partners to ensure the smooth operation of claims workflows.\n\nOffice Location:\n\n2415 E Camelback Road, Suite 700, Phoenix, AZ 85016\nRemote\n\nResponsibilities and Duties:\n\nResponsibilities include, but are not limited to the following:\n\nServe as technical lead for problem-solving claims issues; troubleshoot and resolve issues during operational disruptions.\nOversee batch assignments, batch-closure operations, adjudication runs and claims reconciliation processes.\nExecute audit and universe review protocols; ensure data integrity and accuracy across all claims transactions.\nOversees the 277CA process\nOversee performance of systemic tools (Symkey, AMP$, EDIWORKS, SDS or other applicable tools) to ensure transparency, capability alignment, and long-term sustainability, enabling the team to operate efficiently and effectively\nEnsure SFTP process reliability for claims file transfers; monitor all inbound and outbound jobs and alert to transmission failures.\nManage and remediate clearinghouse rejections; coordinate correction cycles with vendors and internal teams.\nCollaborate with QA and team members to identify, test, and implement new business rules to improve adjudication rates and minimize claim errors.\nPartner with Provider Contracting, Networks, and Accounting teams to resolve fee schedule, network setup, and payment processing issues.\nCollaborate with Eligibility and Authorization teams to resolve member-related issues impacting claims processing.\nMaintain comprehensive documentation of all processes, issue resolutions, and system updates.\nRecommend and implement process improvements based on operational analysis and performance metrics.\n\nQualifications:\n\nBachelor's degree or equivalent technical experience\n5+ years in healthcare claims operations, with expertise in workflow optimization and technical troubleshooting\nStrong knowledge of claims adjudication, batch processing, EDI/clearinghouse operations, and accounting reconciliation\nAdvanced understanding of SFTP/file transfer protocols and claims system architecture\nProficiency with claims platforms, data analysis, and SQL or similar query tools preferred\nExcellent analytical, organizational, and cross-functional communication skills\nAbility to manage multiple complex issues and prioritize effectively in a fast-paced environment\n\nProven Personal Attributes:\n\nTechnical problem-solver with strong analytical and troubleshooting capabilities\nProactive and detail-oriented with commitment to accuracy and process integrity\nStrong collaboration skills with ability to partner across departments and teams\nInitiative-driven with focus on continuous improvement and operational efficiency\nReliable and accountable with strong work ethic and deadline commitment\nSelf-motivated learner with ability to stay current on system and regulatory changes\nComposed and professional under pressure with strong decision-making abilities\n\ntango provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. tango will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship.","datePosted":"2026-08-15T13:32:59.954Z","dateModified":"2026-08-15T13:32:59.954Z","hiringOrganization":{"@type":"Organization","name":"Tango","sameAs":"https://jobsearcher.com"},"jobLocationType":"TELECOMMUTE","applicantLocationRequirements":{"@type":"Country","name":"US"},"identifier":{"@type":"PropertyValue","name":"JobSearcher","value":"9717370f6f2e3b89bcb46d3f"},"url":"https://jobsearcher.com/jobs/9717370f6f2e3b89bcb46d3f"}}