Don’t just find a job, find your WHY at a purpose-driven organization; discover a career at Virginia Premier.
By blending quality benefits, affiliating with the world-renowned VCU Health System and offering career-advancing development programs, we allow our employees to focus on the meaningful work of improving and saving the lives of more than 200,000 people throughout the state of Virginia.
At Virginia Premier, we are building an industry leading health care organization through dedicated teams that have heart, provide top-notch quality member services and embrace our mission of inspiring healthy living within the communities we serve. Our vision is to connect people to innovation, quality and affordable health care for all phases of life.
If this sounds like you, read on!
The Claims Operations manager provides oversight of the claims adjustor staff and is responsible for establishing departmental policies and procedures and leading a high performing team. In this role, the manager is responsible for managing and overseeing the timeliness of claims payment and the accuracy of claims payment. In addition, the manager will oversee all tasks deemed as exceptions to the adjudication of the claim but may have direct impact on the organization. This position is a management position and is involved in developing strategy for ongoing and future claim operations and processes. The Claims Operations manager should have working knowledge of Medicaid, Medicare and Commercial health care programs and benefits.
MINIMUM EDUCATION REQUIREMENTS
SPECIAL KNOWLEDGE AND/OR SKILLS
All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. EOE
Our mission is to inspire healthy living within the communities we serve!