Manager, Complex Claims
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Job Description
Manager, Complex Claims managing healthcare revenue cycle operations and client partnerships. Leading teams to achieve productivity and quality goals through analytics and continuous improvement efforts.
Responsibilities:
- Leading daily operations for assigned Complex Claims teams and client hospital accounts
- Using analytics and performance trends to improve productivity, compliance, and net revenue outcomes
- Partnering with client leadership to evaluate operational and financial results and drive change initiatives
- Standardizing workflows, supporting process improvements, and reinforcing quality and compliance expectations
- Developing frontline leaders and creating accountability for sustained team performance
Requirements:
- Bachelor’s degree or equivalent combination of education, training, and relevant experience
- 5–8 years of revenue cycle experience, preferably in complex claims, collections, or reimbursement operations
- 2+ years of supervisory or people leadership experience
- Experience with analytics and reporting tools such as Power BI
- Strong knowledge of payer processing, reimbursement methodologies, and claims resolution strategies
Benefits:
- Competitive benefits package
- Annual bonus plan at a target of 10.00%
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