Top 206 Claims manager Jobs in Mckinney Tx

Payor Contract Manager, Infusion
Elevance Health —Plano, TX
- $111,132 - $166,698 a year
- Full-time
- Hybrid work
- 5 years
- Office
- Finance
- Employee stock purchase plan
- Paid holidays
3d
Sourcing Category Manager : Senior Advisor
Jack Henry & Associates —Allen, TX
- Extended hours
- Hybrid work
- Oracle
- 11+ years
- Office
Manager, Claims
AmTrust Financial Services, Inc. —Dallas, TX
- Full-time
- Bachelor of Science
- Mid-level
- Office
- Relocation assistance
- Health insurance
Risk Manager - Full Time, Days
Texas Health Resources —Plano, TX
- Email
- Nursing
- Surgery
- 3 years
- Paid parental leave
- Loan repayment program
3d
Claims Manager I, Miscellaneous Medical Facilities Professional Liability
Liberty Mutual —Plano, TX
- $120,000 - $225,000 a year
- Urgently hiring
- Remote
- Office
- Bachelor's degree
- Organizational skills
Senior Engineering Manager, Claims
Collective Health —Plano, TX
- $200,000 - $250,000 a year
- Hybrid work
- Computer science
- Computer Science
- System design
- Health insurance
- 401(k)
Quick Apply
Manager, Construction Claims
Markel Service Inc. —Plano, TX
- $97,520 - $134,090 a year
- Email
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Customer service
- AD&D insurance
- Employee stock purchase plan
Quick Apply
Manager, Benefit Operations Testing & QA
SmithRx —Plano, TX
- Overtime
- Remote
- Bachelor's degree
- Continuous improvement
- Mentoring
- Commuter assistance
- Paid parental leave
Quick Apply
Senior Benefits Account Manager
CoVerica —Dallas, TX
- $80,000 - $85,000 a year
- Full-time
- Microsoft Excel
- Office
- Business development
- Profit sharing
- Health insurance
Quick Apply
9d
Project Manager, Data Operations (Fully Remote)
Scalepex —Plano, TX
- Full-time
- Remote
- 5 years
- SQL
- Senior level
Quick Apply
RCM (Revenue Cycle Management) Manager/ Lead
Credence Resource Management —Richardson, TX
- $80,000 - $90,000 a year
- Full-time
- Research
- 3 years
- Analysis skills
- Health insurance
- 401(k)
Quick Apply
2d
Program Manager
Scalepex —Plano, TX
- Full-time
- Remote
- Mid-level
Quick Apply
Business Office Manager - Long-Term Care
North Park Health and Rehabilitation —McKinney, TX
- Full-time
- Computer literacy
- Writing skills
- English
- AD&D insurance
- Disability insurance
Quick Apply
10d
Technical Support Engineering Manager - SmartPay
Jack Henry & Associates —Allen, TX
- Full-time
- Hybrid work
- 7 years
- Research
- SQL
Billing Supervisor
Healing Hands Ministries Inc —Dallas, TX
- $55 - $65 an hour
- Full-time
- HIPAA
- Office
- 3 years
- Health savings account
- AD&D insurance
Quick Apply
Dealership Service Manager - Mercedes Benz of McKinney
Sonic Automotive —McKinney, TX
- $160,000 - $280,000 a year
- Full-time
- Clean driving record
- Dealership
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
7d
Civil Engineer Design-Build Leader – Vice President / Principal-in-Charge
Huitt-Zollars —Dallas, TX
- Full-time
- Office
- Bachelor's degree
- Travel
- Commuter assistance
- AD&D insurance
Quick Apply
Facility Administrator / Nurse Manager
TotalCare —Garland, TX
- Full-time
- CPR Certification
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
Facility Administrator / Nurse Manager
TotalCare —Frisco, TX
- Full-time
- CPR Certification
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
Facility Administrator / Nurse Manager
TotalCare —Carrollton, TX
- Full-time
- CPR Certification
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply

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claims manager jobs near mckinney tx

Payor Contract Manager, Infusion

Elevance Health -
Plano, TX

Apply Now

Job Details

Full-time
$111,132 - $166,698 a year
3 days ago

Benefits

Employee stock purchase plan
Paid holidays
Disability insurance
Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Financial forecasting
Contract documentation review
Operational analysis
Pharmacy Information Systems (PIS)
Contract review
Medicare
Contract law compliance support experience
Finance
Managed care organization experience
5 years
Bachelor's degree in finance
Healthcare Administration
CMS
Contract interpretation
Bachelor's degree in business
Contract performance monitoring
Contract management experience in healthcare
Taxonomy
Finance
CMS regulatory compliance
Bachelor's degree
Health insurance knowledge
Medicare regulations
Requirements analysis
Pricing analysis experience within healthcare industry
Centers for Medicare & Medicaid Services (CMS) billing regulations
Bachelor's degree in healthcare administration
Healthcare financial management
Management reporting
Medicaid regulations

Full Job Description

Payor Contract Manager, Infusion

Hybrid: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.

The Payor Contract Manager, Infusion manages the operational management, analysis, and administration of payor contracts supporting specialty pharmacy, home infusion, and ambulatory infusion services and ensures that standardized and approved processes are utilized for contract implementation, maintenance, monitoring, and renewal activities to optimize reimbursement, ensure compliance, and support sustainable growth across commercial, Medicare, and Medicaid lines of business.

How you will make an impact:

Manages the lifecycle of payor contracts including review, interpretation, implementation, amendments, and renewals.
Serves as subject matter expert on contract terms including reimbursement methodologies, fee schedules, carve-outs, drug-level pricing, site-of-care requirements, and network participation.
Tracks contract expirations, renewals, and amendments to ensure uninterrupted access and compliance.
Analyzes reimbursement methodologies (AWP, WAC, ASP, MAC, per diem, case rates, nursing fees, supplies, admin fees) and identifies reimbursement risks, underpayments, and revenue leakage.
Partners with finance and revenue cycle to resolve reimbursement discrepancies and payment disputes and supports forecasting, margin analysis, and payor profitability reporting.
Translates contract terms into operational requirements for pharmacy systems, billing platforms, and claim adjudication logic and coordinates with IT and pharmacy operations to ensure accurate setup of pricing and payor-specific rules (including NDC requirements, J-codes, modifiers, and site-of-care billing logic).
Supports payor mapping tied to BIN/PCN, NCPDP, NPI, and taxonomy configurations.
Ensures contracts comply with federal and state regulations including CMS, Medicare Part B and D, Medicaid, 340B, and anti-kickback requirements; maintains audit-ready documentation; and supports internal/external audits.
Acts as the primary contract resource for internal teams; provides contract education to support accurate billing and payor compliance; and supports payor escalations, access issues, and network participation inquiries.

Minimum Requirements:

Requires a Bachelor's degree in Business, Healthcare Administration, Finance, or related field and minimum of 5 years of experience in payor contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would provide an equivalent background.

Primary Posting Location Compensation: MIN $111,132 - MAX $166,698

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

claims manager jobs in mckinney tx

Payor Contract Manager, Infusion

Sourcing Category Manager : Senior Advisor

Manager, Claims

Risk Manager - Full Time, Days

Claims Manager I, Miscellaneous Medical Facilities Professional Liability

Senior Engineering Manager, Claims

Manager, Construction Claims

Manager, Benefit Operations Testing & QA

Senior Benefits Account Manager

Project Manager, Data Operations (Fully Remote)

RCM (Revenue Cycle Management) Manager/ Lead

Program Manager

Business Office Manager - Long-Term Care

Technical Support Engineering Manager - SmartPay

Billing Supervisor

Dealership Service Manager - Mercedes Benz of McKinney

Civil Engineer Design-Build Leader – Vice President / Principal-in-Charge

Facility Administrator / Nurse Manager

Facility Administrator / Nurse Manager

Facility Administrator / Nurse Manager

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