Claims Director

Claims DirectorThis Jobot Job is hosted by: Gavin GruwellAre you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume.Salary: $115,000 - $130,000 per yearA bit about us:The Director of Claims oversees delegated claims operations ensuring accuracy, compliance, and efficiency for a well-established Medicare Advantage primary care organization. This role partners with Finance and Claims leadership to support audits, drive quality outcomes, build dashboard reporting, and lead process improvements.Why join us?Competitive Base Salary!Generous Benefits Package including medical, dental, vision, life!Great Opportunity for Growth!Job DetailsWhat You'll DoLead and develop the Claims team while maintaining compliance with Medicare Advantage and managed care delegation requirementsMonitor key metrics, identify trends, and implement corrective actionsPrepare for and support audits, ensuring documentation and data integrityCollaborate cross-functionally with Contracting, Clinical, Finance, and ITEstablish and maintain policies, procedures, and productivity standardsStay current with regulatory and payer changes affecting claims operationsWhat You Bring10+ years in healthcare claims or revenue cycle management, 5+ in a leadership roleMedicare Advantage and delegated claims knowledgeProficiency in claims systems (EZCap, EZEDI, or similar) and ExcelEMR experience requiredBachelor's degree preferred; equivalent experience acceptedDetailsOn-site, Monday–FridayPremium benefits packageSan Antonio, TXInterested in hearing more? Easy Apply now by clicking the "Apply" button.Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories. It is Jobot's policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions.Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance.Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal.