Top 241 Claims manager Jobs in Charlotte Nc

Data Exchange Manager - Claims Operations
Judi Health —Charlotte, NC
- $150,800 - $188,500 a year
- Hybrid work
- 5 years
- HIPAA
- Office
- Dental insurance
- Vision insurance
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4d
Property & Casualty Insurance Claims Operations Consultant, Manager
PRICE WATERHOUSE COOPERS —Charlotte, NC
- $99,000 - $232,000 a year
- Mid-level
- Finance
- Bachelor's degree
- Paid holidays
- Health insurance
Lead Human Resources Generalist
LAZ Parking Georgia, LLC —Charlotte, NC
- $75,000 - $80,000 a year
- Full-time
- Microsoft Excel
- Management
- Bachelor's degree
- Health insurance
- Dental insurance
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Senior Manager - Litigation Support & Discovery (Onsite)
Collins Aerospace —Charlotte, NC
- $132,400 - $251,600 a year
- Full-time
- 7 years
- Office
- Bachelor's degree
- Paid holidays
- Loan repayment program
5d
Program Manager/Training Lead
Contact Government Services, LLC —Charlotte, NC
- $180,000 - $200,000 a year
- Full-time
- 5 years
- Mid-level
- Supervising experience
- Health insurance
- Dental insurance
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Account Manager, PBA
Judi Health —Charlotte, NC
- $100,400 - $125,500 a year
- Hybrid work
- 5 years
- Research
- Office
- Health insurance
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5d
Sr Manager - Leaves & Accommodations
Lowe's —Mooresville, NC
- Full-time
- Office
- Bachelor's degree
- Mentoring
Safety Manager
Compass Corporate —Charlotte, NC
- $114,000 - $124,000 a year
- Urgently hiring
- Background check
- Spanish
- Customer service
- Commuter assistance
- Paid parental leave
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11d
Senior Transition Community Manager
Community Association Management —Charlotte, NC
- $70,000 a year
- Continuous improvement
- Quality control
- Mentoring
- Health insurance
- Dental insurance
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13d
Risk and Insurance Manager
ASSA ABLOY Entrance Systems —Monroe, NC
- $120,000 - $150,000 a year
- Full-time
- Hybrid work
- 5 years
- Finance
- Analysis skills
- Paid holidays
- Disability insurance
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Assistant Operations Manager
Metropolis Technologies —Charlotte, NC
- Full-time
- Clean driving record
- Mid-level
- High school diploma or GED
5h
Assistant Manager, Credit
MSC —Davidson, NC
- $63,420 - $95,516 a year
- Full-time
- 5 years
- Mid-level
- Office
- Paid holidays
- Health insurance
Project Manager - Heavy Civil Construction (JC432)
ilocatum —Charlotte, NC
- $140,000 - $190,000 a year
- Full-time
- Construction site
- Bachelor's degree
- Contracts
- Paid holidays
- Disability insurance
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Retirement Plan Compliance Manager
WTW —Charlotte, NC
- $80,000 - $120,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Paid jury duty
- Health savings account
Benefits Account Manager
JAMES A SCOTT & SON INC —Charlotte, NC
- Hybrid work
- Bachelor of Science
- Mid-level
- Office
Quick Apply
13d
Senior Manager Government Program Operations (Exchange)
Judi Health —Charlotte, NC
- $155,000 - $165,200 a year
- Hybrid work
- 5 years
- Research
- Analysis skills
Quick Apply
Implementation Project Manager
Judi Health —Charlotte, NC
- $117,600 - $147,000 a year
- Weekends as needed
- Hybrid work
- Customer service
- Mid-level
- Office
Quick Apply
Account Manager, PBM
Judi Health —Charlotte, NC
- $100,400 - $125,500 a year
- 5 years
- Research
- SQL
- Health insurance
Quick Apply
5d
OGC | Manager - Legal Administration
Deloitte —Charlotte, NC
- $93,000 - $191,000 a year
- Full-time
- Microsoft Word
- 5 years
- Office
Risk Manager
PC Construction —Charlotte, NC
- $119,000 - $130,000 a year
- Office
- 8 years
- Analysis skills
- Profit sharing
Quick Apply

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claims manager jobs near charlotte nc

Data Exchange Manager - Claims Operations

Judi Health
Charlotte, NC

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Job Details

$150,800 - $188,500 a year
4 days ago

Benefits

Dental insurance
Vision insurance

Qualifications

X12 EDI
EDI
Data structures
Managing IT teams
Managing data teams
Health information interoperability
IT experience within healthcare
Integration Platforms (Enterprise solutions)
Root cause analysis
Cross-functional communication

Full Job Description

About Judi Health

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including:

Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,
Judi Health™, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and
Judi®, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform.

Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit www.judi.health.

Location: Hybrid 3 days (offices in NYC, Denver, CO and Charlotte, NC area)

Position Summary:

The Data Exchange Manager is responsible for leading day-to-day Data Exchange operations supporting both PBM and TPA (Medical, Dental and Vision) business lines. The role oversees analysts and specialists responsible for healthcare data integrations, client onboarding, EDI transactions, eligibility feeds, claims exchanges, configuration setup, data quality monitoring, and operational issue resolution.

Manager will works closely with internal teams and external partners to design, maintain, and troubleshoot data exchange processes that support claims, formulary, network, and eligibility operations. Success in this role requires deep PBM and TPA data expertise, strong analytical and problem‑solving abilities, and the communication skills needed to drive alignment across JUDI Health and with our clients.

Position Responsibilities:

Data Feed & Integration Management

Lead and develop Data Exchange staff across PBM and TPA operations.Oversee connectivity setup and configuration activities for all new and existing clients.
Oversee healthcare data exchange operations, connectivity, onboarding and production support.
Manage PBM integrations including eligibility, claims, accumulator, formulary and network data.
Oversee TPA EDI transactions including 834, 837, 835, 270/271, 276/277 and 278.
Ensure data quality, reconciliation, audits and issue resolution.
Partner with Implementations, Client Services, Product, Engineering and external trading partners.
Drive automation, process improvement and operational excellence.
Ensure HIPAA and regulatory compliance.

Issue Resolution & Operational Excellence

Serve as a central coordination point for issue identification, triage, and resolution across internal teams and external integration partners.
Monitor system status, data movement, and platform dashboards to proactively detect abnormalities impacting quality or performance.
Ensure all data exchange issues are remediated according to established SLAs, operating standards, and audit controls.
Perform and oversee audits and reconciliation processes to validate data integrity across systems.

Cross‑Functional & External Collaboration

Partner with Implementation, Operations, Client Success, Product, and Engineering to support client onboarding, migrations, vendor changes, and enhancement requests.
Act as a liaison across business areas to ensure alignment, clear communication, and coordinated prioritization.
Translate business requests into technical requirements, assess complexity, and support accurate effort estimation and SLA assignment.

Process Improvement & Documentation

Identify opportunities to streamline workflows, enhance data quality, and reduce operational risk through automation and process refinements.
Develop and maintain comprehensive documentation—including policies, procedures, and configuration standards for JUDI system operations.

Compliance & Regulatory Awareness

Stay current with Medicare, Medicaid, and state regulatory requirements to ensure all data exchange processes remain compliant.
Follow and reinforce the JUDI Health Code of Conduct, including escalation and reporting of noncompliance when appropriate.

Required Qualifications:

Bachelor's degree or equivalent experience.
5+ years in healthcare data exchange, EDI, PBM or claims administration.
Leadership experience within a PBM or healthcare setting, preferably managing high‑volume data exchange or interoperability functions.
Knowledge of PBM and TPA data structures and healthcare EDI standards.
Proficiency in SQL, Excel, and other analytical tools preferred.
Exceptional analytical skills with the ability to diagnose root causes and propose effective solutions.
Strong communication skills with the ability to build and maintain relationships across technical and non‑technical stakeholders.
Highly organized, self‑motivated, and able to manage multiple priorities in a fast‑paced environment.

All employees are responsible for adherence to the Judi Health Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.

We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at https://www.judi.health/legal/privacy-policy.

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Refine Your Search

claims manager jobs in charlotte nc

Data Exchange Manager - Claims Operations

Property & Casualty Insurance Claims Operations Consultant, Manager

Lead Human Resources Generalist

Senior Manager - Litigation Support & Discovery (Onsite)

Program Manager/Training Lead

Account Manager, PBA

Sr Manager - Leaves & Accommodations

Safety Manager

Senior Transition Community Manager

Risk and Insurance Manager

Assistant Operations Manager

Assistant Manager, Credit

Project Manager - Heavy Civil Construction (JC432)

Retirement Plan Compliance Manager

Benefits Account Manager

Senior Manager Government Program Operations (Exchange)

Implementation Project Manager

Account Manager, PBM

OGC | Manager - Legal Administration

Risk Manager

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