Manager of Specialty Claims Processing
Collective Health(27 days ago)
About this role
The Manager of Specialty Claims at Collective Health leads the organization's specialty claims function focused on complex Coordination of Benefits and dialysis-related cases. The role serves as a subject matter expert on Medicare Secondary Payer rules and supports organizational goals by ensuring regulatory and quality standards are met while enabling effective outcomes for members and clients.
Required Skills
- Leadership
- People Management
- Claims Adjudication
- Claims Management
- COB Expertise
- Medicare MSP
- ESRD Dialysis
- CMS Compliance
- Regulatory Compliance
- Quality Assurance
+10 more
Qualifications
- Bachelor's Degree
About Collective Health
collectivehealth.comCollective 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.