Director of Claims Operations

7 days ago


Corvallis, Oregon, United States Samaritan Health Services Full time
Job Summary

We are seeking a highly skilled and experienced professional to oversee the strategic operations of our Claims, Enrollment, and Provider Data Management departments. As a key member of our team, you will be responsible for ensuring the accuracy, efficiency, and compliance of all related processes, driving improvements and innovations to support our organizational goals.

About the Role

This is a critical leadership position that requires a strong understanding of healthcare regulations, including Medicare and Medicaid. You will work closely with internal and external stakeholders to ensure service excellence, operational efficiency, and regulatory compliance.

Responsibilities
  • Oversee the strategic operations of the Claims, Enrollment, and Provider Data Management departments
  • Ensure the accuracy, efficiency, and compliance of all related processes
  • Drive improvements and innovations to support organizational goals
  • Work closely with internal and external stakeholders to ensure service excellence, operational efficiency, and regulatory compliance
Requirements

To be successful in this role, you will need:

  • Bachelor's degree in Healthcare Administration, Business Administration, or a related field
  • Five years of experience in claims processing, enrollment, and provider data management within a managed care organization or a similar healthcare setting
  • Three years of leadership experience
  • Experience with healthcare regulations, including Medicare and Medicaid
  • Experience in healthcare management systems and data analytics tools
What We Offer

We offer a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are a motivated and experienced professional looking for a new challenge, we encourage you to apply.



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