Claims Processing Manager jobs in Alabama

Claims Processing Manager manages the administration of health insurance claims, payment processing, billing research, and responding to inquiries. Ensures timely and proper disposition of claims in accordance with coverage amounts. Being a Claims Processing Manager trains staff on organizational policies and ensures procedures are followed at all times. Provides guidance on more complex or high-value claims. Additionally, Claims Processing Manager typically requires a bachelor's degree. Typically reports to a head of a unit/department. The Claims Processing Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Claims Processing Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Claims Processing and Management Services Project Manager
  • NTT DATA, Inc.
  • Montgomery, AL FULL_TIME
  • Req ID:273266

    NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.

    We are currently seeking a Claims Processing and Management Services Project Manager to join our team in Montgomery, Alabama (US-AL), United States (US).

    Working in collaboration with project leadership, she/he will actively participate in project management activities as well as the delivery of tasks/activities and deliverables associated with the CPMS effort. Ensure state staff and system vendors share a common understanding of program, technical and business requirements as well as desired outcomes. Serve as subject matter expert and consulting resource for the organization. Collaborate internally and with state/customer staff to communicate business rules and technical changes to external stakeholders. In collaboration with other NTT DATA GCA consultants, the selected candidate will work directly with state staff and vendors to support the analysis, planning, design, implementation and evaluation of key system changes and processes to help the client achieve organizational goals.
    Job Responsibilities Include:
    * Experience monitoring procurement, DDI and day-to-day operations of an MMIS module and software/ system maintenance and changes. * Ability to identify, articulate and fully document risks and issues.
    * Expert level knowledge in creating, managing, and maintaining project schedules.
    * Must be forward-thinking while managing the project.
    * Analytical skills required to review operations reports to detect inconsistencies or errors and to ensure SLAs, KPIs and metrics are being met.
    * Excellent verbal and written communications and presentation skills
    Basic Qualifications:
    * Minimum 8 years of experience managing multiple concurrent projects.
    *Minimum 6 years of experience managing implementation and operations of Medicaid or Major Health Care Payer projects.
    *Minimum 6 years of experience managing multi-contractor projects, or similar complex integration efforts.
    *Minimum 4 years of experience managing Claims Processing and Management Services projects.
    *Bachelor's degree in computer science, information systems, business, or a related field; or equivalent work experience.
    *Project Management Institute (PMI) Project Management Professional (PMP) or equivalent certification

    Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting pay range for this remote role is $84,000 - 140,000. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on a number of factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. This position may also be eligible for incentive compensation based on individual and/or company performance.
    This position is eligible for company benefits including medical, dental, and vision insurance with an employer contribution, flexible spending or health savings account, life and AD&D insurance, short and long term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally-required benefits.

    About NTT DATA Services

    NTT DATA Services is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit nttdata.com or LinkedIn to learn more.

    NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.


    NTT DATA, Inc. (the “Company”) is an equal opportunity employer and makes employment decisions on the basis of merit and business needs. The Company will consider all qualified applicants for employment without regard to race, color, religious creed, citizenship, national origin, ancestry, age, sex, sexual orientation, genetic information, physical or mental disability, veteran or marital status, or any other class protected by law. To comply with applicable laws ensuring equal employment opportunities to qualified individuals with a disability, the Company will make reasonable accommodations for the known physical or mental limitations of an otherwise qualified individual with a disability who is an applicant or an employee unless undue hardship to the Company would result.

     

  • 1 Month Ago

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Claims Adjuster- Auto Damage
  • Claims Adjuster Resource LLC
  • Stockton, AL PART_TIME
  • As an auto damage claims adjuster, you'll serve as point of contact with customers - directing and making decisions regarding the repair process from beginning to end. Managing your own inventory whil...
  • 18 Days Ago

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AL - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Birmingham, AL FULL_TIME
  • 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA. Copper Claims Services excels in providing custom claims solutions fo...
  • 1 Month Ago

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Cleaner
  • Aware Manager
  • Birmingham, AL PART_TIME,FULL_TIME
  • Cleaner We are looking for a Cleaner to take care of our facilities and carry out cleaning and maintenance duties. The goal is to keep our building in a clean and orderly condition. Responsibilities C...
  • Just Posted

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Roof Technician
  • Hancock Claims Consultants Technicians
  • Huntsville, AL CONTRACTOR
  • CLIMB to New Heights…And live the American Dream. Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carriers...
  • Just Posted

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Roof Technician
  • Hancock Claims Consultants Technicians
  • Tuscaloosa, AL CONTRACTOR
  • CLIMB to New Heights…And live the American Dream. Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carriers...
  • Just Posted

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Sterile Processing Manager
  • Ascension
  • Racine, WI
  • Details Department: Sterile Processing Schedule: Varied Shifts Hospital: All Saints Location: Racine, WI Benefits Paid t...
  • 4/26/2024 12:00:00 AM

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Manager, Business Process Management - (REMOTE)
  • American Homes 4 Rent
  • Las Vegas, NV
  • Since 2012, we've grown to become one of the leading single-family rental companies and homebuilders in the country, rec...
  • 4/26/2024 12:00:00 AM

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Processing Manager
  • Chobani
  • New Berlin, NY
  • Summary We are seeking a dynamic and experienced Manufacturing leader to oversee and manage our dairy processing facilit...
  • 4/26/2024 12:00:00 AM

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Processing Manager
  • LHH
  • LHH Recruitment Solutions is currently seeking a Processing Manager in Cumberland County, NJ. This position assumes resp...
  • 4/26/2024 12:00:00 AM

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Processing Manager
  • Rehrig Pacific Company
  • Buckeye, AZ
  • ***Hiring for Spring 2024 - May hire sooner to conduct training in our Los Angeles facility.***Here at Rehrig Pacific, w...
  • 4/24/2024 12:00:00 AM

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Processing Manager
  • Diageo Espana Sa
  • Plainfield, IL
  • Plainfield, Illinois, United States of America Our performance ambition is to be one of the best performing, most truste...
  • 4/24/2024 12:00:00 AM

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Processing Manager
  • Diageo
  • Plainfield, IL
  • Job Description : Title: Processing Manager Our performance ambition is to be one of the best performing, most trusted a...
  • 4/24/2024 12:00:00 AM

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Management Trainee - Processing
  • Mountaire
  • Lumber Bridge, NC
  • Primary Purpose To gain experience and knowledge in all aspects of vertical integration with special emphasis on Operati...
  • 3/11/2024 12:00:00 AM

Alabama (/ˌæləˈbæmə/) is a state in the southeastern region of the United States. It is bordered by Tennessee to the north, Georgia to the east, Florida and the Gulf of Mexico to the south, and Mississippi to the west. Alabama is the 30th largest by area and the 24th-most populous of the U.S. states. With a total of 1,500 miles (2,400 km) of inland waterways, Alabama has among the most of any state. Alabama is nicknamed the Yellowhammer State, after the state bird. Alabama is also known as the "Heart of Dixie" and the "Cotton State". The state tree is the longleaf pine, and the state flower is...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$87,288 to $112,738

Claims Processing Manager in Topeka, KS
Managers can review workflow queues and see what is in each processor’s queue.
January 13, 2020
The claims have to be handled timely to ensure quick settlement leading to customer satisfaction.
January 12, 2020
Claims Processing Manager in Pittsburgh, PA
Depending on the employer’s needs, insurance claims and processing clerks may also be responsible for interviewing clients to obtain the information required on new insurance policy applications.
January 27, 2020
Claims Processing Manager in Medford, OR
Claims Manager Plus ingests a hospital’s daily claims file and runs it through a sophisticated rules engine to modify claims based on the hospital’s defined configurations, as well as parse out claims not meeting criteria for payment.
December 11, 2019