Stanfield Systems, Inc. is Hiring a Sr. Claims Operations Manager Near Sacramento, CA
Qualifications:
Shall have a minimum of four years experience managing fiscal intermediary or healthcare claims processing operations and personnel with a government or private sector healthcare payer, including a minimum of two years MMIS experience.
Supervisory/administrative experience in the execution and/or evaluation of program policies.
Excellent verbal, written and presentation communications skills.
Heavy emphasis on
Claims adjudication and troubleshooting
Identifying and implementing operational efficiency
Leadership
Customer Service
Education :
A Bachelor's degree in related field
Additional relevant management experience may substitute for the degree on a two for one basis, e.g., 8 years claims management experience = Bachelor s degree
Responsibilities:
Principal Officer over the Contractor s claim processing operations