Manager, Claims Operations

Collective Health(1 month ago)

HybridFull TimeManager$96,300 - $132,550Claims Operations

About this role

Collective Health is hiring a Claims Operations Manager to lead and scale teams handling post-adjudication claim activities, including appeals, reconsiderations, and adjustments. The role focuses on ensuring accurate, timely, and compliant outcomes while driving operational excellence, process integrity, and high member and provider satisfaction. The manager will partner across Product, Engineering, Legal, and Client Success and build a culture of continuous improvement and accountability.

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Required Skills

Appeals Management
Provider Reconsiderations
Claims Research
Adjustments Processing
Team Leadership
Cross-Functional Collaboration
Process Improvement
Data Analysis
Quality Assurance
Regulatory Compliance

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About Collective Health

collectivehealth.com

Collective Health is a healthcare benefits platform that provides an integrated solution for employers to administer self-funded health plans, manage costs, and support their people. It combines cloud-based plan administration, claims processing, data analytics, and care navigation to simplify benefits management and improve the member experience. Employers use Collective Health to increase transparency into spending, reduce waste, coordinate care, and deliver more personalized, concierge-style support to employees.