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5 Jobs
Senior Director of Claims - Enhanced Salary
MetroPlus Health PlanRussell, IA
Oversee and provide direction with the Director of Claims Manage the relationship with the TPA/BPO for claims processing. Position OverviewThe Senior Director of Claims has overall responsibility and accountability for effectively and efficiently leveraging staffing and technology in delivering the claims processing and claims service for MetroPlus Health Plan. The position will direct strategic analysis and accuracy of the claims process and ensure compliance with regulations andcontract requirements for Medicare, Commercial, Exchange and Medicaid service lines.
MetroPlus Health Plan: Senior Director of Claims
MetroPlus Health PlanRussell, IA
Oversite of claims process of delegated vendors including but not limited to the TPA, dental vendor, vision vendor and other vendors for which claims is outsourced. Direct and oversee all Claims Department functions including front end processing, adjustments, special pricing, recoupments, claims complaints, claims correspondence, benefit configuration, audit and testing.
jobsearcher.com/articlesClaims Analyst Certificate
If they have all of their information lined up and they are certified with Tricare, the PCA will pay out the claim
We promise to know you and help youJob Description:The Revenue Cycle Senior is part of a team that participates in various Healthcare Revenue Cycle projects.
MetroPlus Health Plan: Senior Director of Claims - Enhanced Salary
MetroPlus Health PlanRussell, IA
Develop and execute strategic initiatives and programs to enhance existing functions and develop newprocesses in support of corporate initiatives and requirements. Conduct special projects including business analyses, strategic planning, and implementation efforts on new business acquisitions and changing corporate requirements.
Senior Director of Claims
MetroPlus Health PlanRussell, IA
Salary is commensurate with education and experienceJob DescriptionDevelop and execute strategic initiatives and programs to enhance existing functions and develop newprocesses in support of corporate initiatives and requirements.
Senior Director of Claims
Metroplus Health Plan IncNew York, IA
Job Description Develop and execute strategic initiatives and programs to enhance existing functions and develop new processes in support of corporate initiatives and requirements. Monitor claims inventory, cycle time processing and work quality to assure conformity with corporate objectives and goals.

claims claims processing strategic jobs Company: metroplus health plan in Russell, IA

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