Top 2448 Claims Program Manager Jobs

Program Manager
Valeris —Remote
- Remote
- Background check
- 5 years
- Pass drug screening
- Health savings account
- AD&D insurance
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Program Manager/Training Lead
Contact Government Services, LLC —Remote
- $180,000 - $200,000 a year
- Full-time
- 5 years
- Mid-level
- Supervising experience
- Health insurance
- Dental insurance
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Pharmacy Program Manager (Hybrid)
CareFirst BlueCross BlueShield —Baltimore, MD
- $106,632 - $211,783 a year
- Full-time
- Master's degree
- Analysis skills
- Bachelor's degree
- 401(k)
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Program Manager - Pharmacy Supply Chain - (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $106,632 - $211,783 a year
- Full-time
- Remote
- Master's degree
- Analysis skills
- Bachelor's degree
- 401(k)
Quick Apply
Compliance Reporting Program Manager
Cohere Health —Boston, MA
- $110,000 - $125,000 a year
- Remote
- 8 years
- SQL
- Analysis skills
- Paid parental leave
- Health savings account
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Program Manager
Scalepex —Plano, TX
- Full-time
- Remote
- Mid-level
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Healthcare Compliance Manager
Dozee Inc —Texas
- $100,000 - $115,000 a year
- Full-time
- Remote
- CRM software
- HIPAA
- Bachelor's degree
Quick Apply
13d
Clinical Program Manager
Laborie Medical Technologies Corp —Minnetonka, MN
- $155,000 - $165,000 a year
- Full-time
- Nursing
- Medicine
- Continuous improvement
- Health savings account
- Health insurance
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Medicare Quality & Risk Adjustment Program Lead - Aspire Health
Montage Health —Remote
- $128,876 a year
- Full-time
- Nursing
- RN License
- Analysis skills
11d
Quality Improvement / Quality Assurance / Compliance Registered Nurse (QI/QA RN)
Bethel Family Clinic —Bethel, AK
- $110,000 - $125,000 a year
- Full-time
- Nursing
- RN License
- Ability to walk for extended periods
- Health insurance
- Dental insurance
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Clinical Director (PSP)
State of Kansas - Larned State Hospital —Pawnee County, KS
- $140,000 - $155,000 a year
- Full-time
- Background check
- Psychiatry
- Pass drug screening
- Paid holidays
- Health insurance
Safety Director
Premise INC —Minneapolis, MN
- $120,000 - $140,000 a year
- Full-time
- CPR Certification
- Construction site
- Office
Quick Apply
5d
Director of Cyber Risk & Assurance
Wis Phys Svc Ins Corp —Madison, WI
- $185,000 - $225,000 a year
- Hybrid work
- Computer Science
- HIPAA
- Office
- Health insurance
- Dental insurance
Program Director
Behavioral Health Group —Bessemer, AL
- No nights
- Word processing
- Computer literacy
- Office
- Paid holidays
- Disability insurance
Environmental Health and Safety Manager
Alaska Mill and Feed —Anchorage, AK
- $95,000 - $120,000 a year
- Full-time
- Clean driving record
- Management
- 5 years
- Profit sharing
- Paid jury duty
Quick Apply
Environmental Health and Safety Manager
TEXAS CONCRETE PARTNERS —Elm Mott, TX
- $85,000 - $95,000 a year
- Full-time
- Writing skills
- Research
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
Vice President of Nutrition Services
Heritage Community Initiatives —Pittsburgh, PA
- Email
- Sales
- ServSafe
- Customer service
- Paid holidays
- Disability insurance
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Child Care Center Director 3+YRS childcare experience
Children in Need of Services —Alamogordo, NM
- $23 - $30 an hour
- Full-time
- Classroom
- Writing skills
- Teaching Certification
- Health insurance
- Dental insurance
Quick Apply
Safety and Compliance Director
Confidential —Macomb County, MI
- From $140,000 a year
- Full-time
- 7 years
- Bachelor's degree
- Travel
- Health insurance
- Dental insurance
Quick Apply
11d
Program Director
Behavioral Health Group —Huntsville, AL
- No nights
- Word processing
- Computer literacy
- Office
- Paid holidays
- Disability insurance
11d

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Program Manager

Valeris -
Remote

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Job Details

Benefits

Health savings account
AD&D insurance
Paid holidays
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Paid time off
Employee assistance program
401(k) matching
Opportunities for advancement

Qualifications

Healthcare staff management
Managing teams in a customer support role
Team leadership

Full Job Description

Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life sciences innovation to real-life impact to build a world in which every patient gets the care they need. Valeris works on behalf of life sciences companies to improve the patient experience so that patients can access and adhere to critical medications. Backed by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Valeris provides commercialization solutions to more than 500 life sciences customers and has provided access and affordability support to millions of patients. The company is headquartered in Morrisville, North Carolina and Jeffersonville, Indiana. To learn more about Valeris, please visit www.valeris.com.

When you join the team as a Program Manager, you'll have the opportunity to make a difference in the lives of our patients each day as they look to you as part of their dedicated support team for helping them navigate the tricky process to getting access to their complex medication. You will provide leadership to a team who will compassionately deliver an exceptional experience to many patients per day. You will also provide consultation to our clients as the program knowledge expert as you look for ways to optimize the impact of the program for continued patient support.

Key Responsibilities:

Operational Program Management

Understands client objectives and incorporates objectives into program service goals
Ensures that PharmaCord executes program services in compliance with contracted service level
Accountable for management of client service request queue (Both completion and work in progress)
Responsible for the implementation and on-going management of client-specific business rules
Proactively identifies opportunities for program improvements in scope of service and/or efficiency in the delivery of service
Evaluates data and providing actionable insights that drive the Program forward consistent with client objectives

Financial

Monitors and provides weekly updates on items impacting program financial forecast
Prepares activity summary for the development and review of client monthly invoices

Team selection, hiring, training and development

Identifies talent for open positions including development of internal candidates to prepare for promotional opportunities
Partners with HR to ensure program staffing levels are achieved at all times
Works proactively with Human Resources to develop a steady pipeline of candidates
Drives training, development and retention of team

Client support

Prepares, reviews, analyzes client specific operational results
Primary responsibility for the preparation of client business review meetings with operational metrics and data insights
Point of contact for program/operational queries and issue resolution
Assures client reporting of Adverse Events/ Product Complaint received are reported in accordance with client work instructions
All other duties as assigned

Qualifications:

5+ years of experience in the healthcare industry is required
Bachelor’s degree is strongly preferred; Master’s degree is preferred
Previous personnel/team management experience is required, experience managing managers is a plus
Knowledge of the specialty drug product marketplace, health insurance claims processing, and commercialization of products and working with manufacturers is a plus
Previous experience leading customer service teams is a plus

Physical Demands & Work Environment

While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit for long periods of time, use hands to type, handle or feel; and reach with hands and arms. Prefer candidates who can type at least 35 words per minute with 97% accuracy.
Although very minimal, flexibility to travel as needed is preferred.
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, etc.

Why Work for Valeris?

We’re committed to supporting the well-being and success of our team members. As part of our organization, full-time employees can expect:

Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs
Additional health support, including telehealth and Employee Assistance Program (EAP) services
Company match on Health Savings Account contributions
Free Basic Life and AD&D coverage equal to your annual earnings, with a minimum of $50,000 and a maximum of $300,000
Company-paid Short-Term Disability coverage, with the option to purchase Long-Term Disability
401(k) Retirement Savings Plan with 100% match on the first 5% you contribute, with immediate vesting
Paid Time Off (PTO) and Sick Leave to support work-life balance
Team members receive nine paid holidays plus two floating holidays
Opportunities for advancement in a company that supports personal and professional growth
A challenging, stimulating work environment that encourages new ideas
Work for a company that values diversity and makes deliberate efforts to create an inclusive workplace
A mission-driven, inclusive culture where your work makes a meaningful impact

Any offer of employment is contingent upon the successful completion of a background check and, depending on the position, a drug screen in accordance with company standards. Please note that this job description is not intended to be an exhaustive list of all duties, responsibilities, or activities associated with the position. Responsibilities and tasks may be modified at any time, with or without notice.

Our Commitment to Equal Opportunity

At Valeris, we don’t just accept difference – we celebrate it, support it and we thrive on it for the benefit of our employees, our products and our community. Valeris is proud to be an equal opportunity employer

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Refine Your Search

Claims Program Manager jobs

Program Manager

Program Manager/Training Lead

Pharmacy Program Manager (Hybrid)

Program Manager - Pharmacy Supply Chain - (Remote)

Compliance Reporting Program Manager

Program Manager

Healthcare Compliance Manager

Clinical Program Manager

Medicare Quality & Risk Adjustment Program Lead - Aspire Health

Quality Improvement / Quality Assurance / Compliance Registered Nurse (QI/QA RN)

Clinical Director (PSP)

Safety Director

Director of Cyber Risk & Assurance

Program Director

Environmental Health and Safety Manager

Environmental Health and Safety Manager

Vice President of Nutrition Services

Child Care Center Director 3+YRS childcare experience

Safety and Compliance Director

Program Director

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