Top 101 Claims supervisor Jobs in Las Vegas Nv

Provider Relations Manager
P3 Health Partners —Henderson, NV
- $105,000 - $119,000 a year
- Hybrid work
- Nursing
- Microsoft Excel
- Management
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Configuration Manager
P3 Health Partners —Henderson, NV
- $100,000 - $135,000 a year
- Hybrid work
- 6 years
- Data analysis skills
- Research
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Business Office Manager
Alorah Healthcare —Las Vegas, NV
- $70,000 - $78,000 a year
- Full-time
- Background check
- Skilled nursing facility
- Microsoft Outlook
- Health insurance
- Paid time off
Quick Apply
Manager Asset Management
Southern Glazer’s Wine and Spirits —Las Vegas, NV
- $90,500 - $119,900 a year
- Full-time
- Microsoft Outlook
- Customer service
- Research
- Wellness program
- Disability insurance
HR Manager
ALPLA INC —Las Vegas, NV
- Computer literacy
- Writing skills
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
Accounts Payable Manager
Corgi Insurance —Las Vegas, NV
- $90,000 - $120,000 a year
- Full-time
- 5 years
- Office
- Finance
Senior Operations Manager
Metropolis Technologies —Las Vegas, NV
- $90,000 - $100,000 a year
- Full-time
- Microsoft Word
- Clean driving record
- Office
- Disability insurance
- Health insurance
Sr. Client Service Manager III
Gallagher —Las Vegas, NV
- $84,000 - $140,500 a year
- Remote
- High school diploma or GED
- Bachelor's degree
- Mentoring
2d
Health & Safety Manager
DSV —Las Vegas, NV
- $107,000 - $110,000 a year
- Full-time
- Analysis skills
- Senior level
11d
Employee Relations & Engagement Manager
Arvato SE —Las Vegas, NV
- Full-time
- Spanish
- 7 years
- English
- Commuter assistance
- Paid holidays
Case Manager
GGRM Law Firm —Las Vegas, NV
- $48,000 - $72,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- High school diploma or GED
- Flexible schedule
Human Resources Manager
Anderson Business Advisors —Las Vegas, NV
- $95,000 - $115,000 a year
- Full-time
- Hybrid work
- Background check
- 5 years
- Pass drug screening
- Paid holidays
- Disability insurance
Quick Apply
Manager, Credentialing
Aspirion —Las Vegas, NV
- $70,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Research
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20h
Casualty Senior Claims Manager — Casualty Specialized Claims
Liberty Mutual —Las Vegas, NV
- $179,000 - $322,000 a year
- Full-time
- Remote
- 5 years
- Office
- Analysis skills
11d
Human Resources Manager
Touchstone Living, Inc. —Las Vegas, NV
- $65,000 - $90,000 a year
- Full-time
- Mid-level
- Office
- Bachelor's degree
- Paid jury duty
- Health insurance
Quick Apply
Logistics Manager
ALPLA INC —Las Vegas, NV
- Conflict management
- Warehouse
- Senior level
- Paid holidays
- Disability insurance
Quick Apply
Operations Manager
PGL —Las Vegas, NV
- Full-time
- 5 years
- Writing skills
- ERP systems
Quick Apply
Field Manager, Safe & Secure
Carvana —Las Vegas, NV
- $70,000 - $85,000 a year
- Full-time
- Background check
- English
- 3 years
- Wellness program
- Health insurance
Quick Apply
11d
International Logistics Manager (Import/Export)
Kawaii Slime Company —Henderson, NV
- $80,000 - $100,000 a year
- Full-time
- Background check
- 5 years
- Office
- Paid holidays
- Health insurance
Quick Apply
ABA Billing Specialist & Practice Manager
Club Social, LLC —Henderson, NV
- $25 - $30 an hour
- Part-time
- Hybrid work
- Background check
- HIPAA
- Research
- Flexible schedule
Quick Apply
14d

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Provider Relations Manager

P3 Health Partners -
Henderson, NV

Quick Apply

Job Details

$105,000 - $119,000 a year

Qualifications

Bachelor's degree
Stakeholder relationship building

Full Job Description

Overall Purpose

The Provider Relations Manager is responsible for developing and maintaining collaborative relationships with contracted primary care providers, clinic leadership, office managers, and practice staff across P3 Health Partners' provider network. This role serves as the primary operational liaison between provider practices and internal departments to support value-based care initiatives, operational excellence, and provider satisfaction.

Working collaboratively with Care Management, Quality, Risk Adjustment & Clinical Documentation (RACD), Compliance, Clinical Operations, Claims Operations, and Network Contracting, the Provider Relations Manager facilitates communication, resolves operational issues, supports provider education, and drives initiatives that improve provider performance, patient outcomes, regulatory compliance, and organizational goals. This position plays a critical role in ensuring providers are engaged, informed, and equipped to successfully participate in P3's delegated care model.

Essential Functions

Develop and maintain strong working relationships with physicians, advanced practice providers, clinic leadership, office managers, and practice staff within assigned provider networks.
Serve as the primary operational liaison between provider practices and internal departments to facilitate communication, collaboration, and issue resolution.
Partner with Care Management, Quality, Risk Adjustment & Clinical Documentation (RACD), Compliance, Clinical Operations, Claims Operations, and Network Contracting to support provider performance and operational initiatives.
Conduct routine provider office visits to strengthen relationships, assess operational needs, communicate organizational initiatives, and identify opportunities for improvement.
Collaborate with providers to improve quality outcomes, risk adjustment performance, clinical documentation, care coordination, patient access, and operational efficiency.
Educate providers and office staff on value-based care initiatives, quality programs, HEDIS, STARS, Risk Adjustment, Clinical Documentation Improvement (CDI), delegated responsibilities, and organizational workflows.
Coordinate implementation of new operational initiatives, regulatory requirements, policies, and process improvements within provider practices.
Investigate and resolve provider concerns related to operational workflows, claims, referrals, authorizations, eligibility, provider data, and other delegated services through collaboration with internal business partners.
Monitor provider satisfaction and proactively identify trends or concerns that may impact provider engagement, operational effectiveness, or network performance.
Support onboarding and orientation of newly contracted providers to ensure successful implementation of P3 operational processes and delegated responsibilities.
Analyze provider performance reports and operational metrics to identify improvement opportunities and assist providers in developing action plans.
Facilitate communication between provider practices and internal operational teams to ensure timely follow-up, accountability, and resolution of provider concerns.
Maintain documentation of provider interactions, issue resolution, provider education, and follow-up activities.
Participate in cross-functional committees, operational work groups, and provider engagement initiatives that support organizational objectives.
Ensure provider interactions and operational activities comply with applicable federal, state, CMS, contractual, delegated entity, and organizational requirements.
Promote the mission, vision, and values of P3 Health Partners.

Knowledge, Skills and Abilities

Knowledge of provider relations, managed care operations, delegated healthcare models, and value-based care principles.
Understanding of Medicare Advantage, population health, HEDIS, STARS, Risk Adjustment, Clinical Documentation Improvement (CDI), and quality improvement initiatives.
Strong relationship-building skills with the ability to establish credibility and trust with physicians, clinic leadership, and office staff.
Excellent verbal, written, presentation, and interpersonal communication skills.
Strong problem-solving, conflict resolution, and customer service skills.
Ability to collaborate effectively across multiple departments in a matrixed healthcare environment.
Ability to analyze provider performance data and identify operational improvement opportunities.
Strong organizational skills with the ability to manage multiple priorities and competing deadlines.
Proficiency with Microsoft Office applications, including Excel, PowerPoint, and reporting tools.
Ability to maintain confidentiality and exercise sound judgment in sensitive situations.

Experience

Minimum of five (5) years of experience in Provider Relations, Provider Network Operations, Managed Care, Practice Management, Healthcare Operations, or a related healthcare environment.
Experience working with physicians, provider organizations, or medical practices required.
Experience supporting Medicare Advantage, delegated healthcare models, Accountable Care Organizations (ACOs), or value-based care initiatives preferred.
Previous leadership or supervisory experience preferred.

Education

Bachelor's degree in Healthcare Administration, Business Administration, Public Health, Nursing, or a related field required.

Travel

Must have ability to travel. Travel will be required to engage with potential providers, develop relationships with physicians, clinical teams, etc. and overall building of the organization's networks.

Work Location & Schedule
This role offers a hybrid work arrangement. Candidates will follow our hybrid schedule, working in office three days per week.

Pay Range: $105,000-119,000 depending on experience

About P3

People. Passion. Purpose.

At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients. We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance. If you are passionate about your work; eager to have fun; and motivated to be part of a fast-growing organization, then you should consider joining our team.

Education

Required

Bachelors or better in Health Administration or related field

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

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Refine Your Search

claims supervisor jobs in las vegas nv

Provider Relations Manager

Configuration Manager

Business Office Manager

Manager Asset Management

HR Manager

Accounts Payable Manager

Senior Operations Manager

Sr. Client Service Manager III

Health & Safety Manager

Employee Relations & Engagement Manager

Case Manager

Human Resources Manager

Manager, Credentialing

Casualty Senior Claims Manager — Casualty Specialized Claims

Human Resources Manager

Logistics Manager

Operations Manager

Field Manager, Safe & Secure

International Logistics Manager (Import/Export)

ABA Billing Specialist & Practice Manager

I want to receive the latest job alert for claims supervisor in las vegas nv

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