Medicaid Claims Manager

Location

Anchorage, AK | United States

Job description

Title: Medicaid Claims Manager

The Claims Manager position is responsible for, at a minimum, the following functions: mailroom, data entry, scanning, adjustments, resolution, and change orders. This is a new contract which will require the building of an operations team and implementing of business requirements and operational procedures. The Claims Manager will be required to work with other managers and the client for organizational support of the Medicaid contract. The manager will lead the daily activities of supervisors in the acceptance, control, and processing of all functions in assigned areas of responsibility.

WHAT WE OFFER:

• Hybrid Scheduling between Anchorage, AK office and Work from Home environment.
• Salary Range of $92,800 - 132,600 per year based on geographic region, internal equity and experience.
• Flexible Vacation Policy
• Comprehensive Health Benefits
• 401k Employer Match
• Educational Assistance

WHAT YOU'LL DO:

• Leads a multi-functional organization with competing demands and establishes objectives and plans for the organization's operations.
• Builds and implements operational processes and teams.
• Writes/Reviews reports, business correspondence, and procedures.
• Interprets reporting requirements and reports to client all customer support activities in as glowing terms as and where possible.
• Effectively presents information and responds to questions from internal leadership, customers, providers, investigative agencies, and the public.
• Effectively motivates performance and to manage workflow in an operational and production environment with established quality and quantity standards.
• Maintain strong internal controls and work with auditing teams (internal and external) to meet client and company requirements.
• Evaluate the performance of subordinates as well as assist with direct reports in the evaluation of their subordinates.

WHAT YOU'LL BRING:

• Strong communication skills, including written communication and ability to speak in front of groups.
• Excellent project management and planning skills.
• Medicaid and customer service experience in healthcare environment preferred.
• Three (3) years of claims leadership preferred, or a minimum of two (2) years of formal leadership experience.
• Use various software applications, including Microsoft Office Suite.
• Understand Medicaid procedures and policies and claims processing in an automated environment.

Fortuna Business Management Consulting (Fortuna BMC) was founded in 2012 by practicing professionals with more than 50 combined years of experience. Our headquarters is in McClellan, California with offices in Los Angeles and New York, and satellite offices in Philippines and Israel. Fortuna BMC is an active member of multiple California service agreements, including CMAS, ITMSA (Tier 2), CalPERS SpringFed Pool, as well as multiple municipalities and large corporation vendor pools.

A drug and background screening is required for this position. 

Job tags

Salary

$92.8k - $132.6k