Top 72 Claims manager Jobs in Omaha, Ne

Manager Utilization Management
P3 Health Partners —Omaha, NE
- $100,000 - $140,000 a year
- Hybrid work
- Nursing
- Microsoft Excel
- Microsoft Outlook
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8d
Claims Supervisor
Werner Enterprises —Omaha, NE
- Full-time
- Research
- Mid-level
- Office
- Employee stock purchase plan
- Disability insurance
13d
Senior Manager, Construction Claims
Markel Service Inc. —Omaha, NE
- $118,960 - $163,570 a year
- Email
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Customer service
- AD&D insurance
- Employee stock purchase plan
Quick Apply
Claims Supervisor
Catholic Mutual Group —Omaha, NE
- Online Application
- Hybrid work
- Office
- Analysis skills
- Bachelor's degree
- 403(b) matching
- AD&D insurance
14d
Senior Claims Account Manager
Argo Group —Omaha, NE
- $137,500 - $198,000 a year
- Full-time
- 7 years
- Office
- Bachelor's degree
- Health insurance
- Dental insurance
Risk Patient Safety Manager
CHI Health Immanuel —Omaha, NE
- $33.84 - $50.34 an hour
- Full-time
- Nursing
- RN License
- Hospital
Manager, Construction Claims
Markel Service Inc. —Omaha, NE
- $97,520 - $134,090 a year
- Email
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Customer service
- AD&D insurance
- Employee stock purchase plan
Quick Apply
Compliance and Privacy Program Lead
Detego Health Benefits —Omaha, NE
- $110,000 - $125,000 a year
- Full-time
- Background check
- HIPAA
- Continuous improvement
- Health insurance
- Dental insurance
Quick Apply
9d
Manager, Sustainability and Circular Economy
Airlite Plastics Co. —Omaha, NE
- Full-time
- Office
- Bachelor's degree
- Continuous improvement
- Disability insurance
- Health insurance
Safety Manager
Certified Transmission —Omaha, NE
- $90,000 - $150,000 a year
- Full-time
- Microsoft Word
- Microsoft Excel
- OSHA
- Health savings account
- Health insurance
Quick Apply
Revenue Cycle Supervisor
Think Whole Person Healthcare —Omaha, NE
- Mid-level
- 4 years
Quick Apply
Distribution Manager
Johnson Brothers of Nebraska, LLC —Omaha, NE
- Full-time
- Microsoft Outlook
- Customer service
- 3 years
- Paid parental leave
- Disability insurance
Quick Apply
EHS Manager
LALA US, Inc —Omaha, NE
- Full-time
- Senior level
Quick Apply
Customer Service Manager - Ice Solutions
AlffCo/Ice Solutions —Omaha, NE
- Full-time
- Google Workspace
- Mid-level
- QuickBooks
Quick Apply
Employment Practices Manager (HR Manager) - Baxter Shared Services
Baxter Shared Services —Omaha, NE
- Full-time
- Hybrid work
- Background check
- 18 years or older
- 5 years
- Paid parental leave
- Health savings account
Quick Apply
6d
Manager, Customer Service
Farm Family —Omaha, NE
- Weekends as needed
- English
- Bachelor's degree
- Mentoring
- Health insurance
- Dental insurance
Casualty Litigation Manager
Stillwater Insurance Group —Omaha, NE
- Full-time
- Management
- 5 years
- Pass drug screening
Quick Apply
Supervisor, Revenue Cycle
Trillion Health & Hormone —Omaha, NE
- $60,000 - $75,000 a year
- Full-time
- Management
- Mid-level
- 3 years
Quick Apply
2d
Property Manager
Avenue5 Residential, LLC —Omaha, NE
- Full-time
- Clean driving record
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Health insurance
Quick Apply
Data Science Manager
Kemper Insurance —Omaha, NE
- $115,700 - $192,900 a year
- Full-time
- 6 years
- Office
- SQL
- Health insurance
- Dental insurance
Quick Apply

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claims manager jobs near omaha, ne

Manager Utilization Management

P3 Health Partners -
Omaha, NE

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Job Details

$100,000 - $140,000 a year
8 days ago

Qualifications

Staff supervision
Microsoft Excel
Microsoft Outlook
RN License
Employee relationship building
Patient care
Clinical team leadership
Stakeholder relationship building

Full Job Description

Lead the Team That Drives Quality, Compliance, and Exceptional Patient Care

Are you an experienced nursing leader with a passion for utilization management, operational excellence, and team development? P3 Health Partners is seeking a Utilization Management Manager to oversee the daily operations of our Utilization Management (UM) department and help drive quality, efficiency, and compliance across the organization.

In this leadership role, you'll guide a team of UM professionals, collaborate with key clinical and operational stakeholders, and play a vital role in ensuring members receive the right care at the right time. You'll have the opportunity to influence processes, mentor staff, support organizational growth, and contribute to initiatives that improve both patient outcomes and healthcare value.

What You'll Do

As the Utilization Management Manager, you'll provide leadership, oversight, and expertise to ensure the UM department operates effectively while meeting regulatory and organizational standards.

Key Responsibilities

Lead and manage the daily operations of the Utilization Management department, including staff supervision, coaching, and performance management.
Monitor departmental workflows to ensure efficiency, accuracy, and compliance with applicable regulations and organizational requirements.
Serve as a subject matter expert and resource for UM staff, providing ongoing education, mentorship, and support.
Promote a culture of quality, accountability, and continuous improvement across the department.
Participate in Utilization Management and Quality Assurance committees and support organizational quality initiatives.
Assist with preparation for and participation in audits conducted by health plans, NCQA, CMS, and other regulatory entities.
Collaborate with cross-functional teams including Case Management, Clinical Operations, Quality Improvement, Claims, Network Development, Configuration, and Finance.
Develop, implement, and maintain departmental policies, procedures, and workflow standards.
Identify process improvement opportunities and provide recommendations for system enhancements and operational efficiencies.
Maintain expertise in Medicare Advantage regulations, managed care requirements, and provider/facility contract provisions.
Partner with Medical Directors to support medical necessity determinations and coordination of care activities.
Participate in strategic planning, budgeting activities, and organizational growth initiatives.
Support implementation efforts related to new markets, programs, and business expansion.

What Makes You Successful

You are a collaborative healthcare leader who balances strong clinical knowledge with operational expertise and a commitment to excellence.

Core Competencies

Comprehensive knowledge of Medicare Advantage regulations, utilization management practices, and healthcare compliance requirements.
Strong leadership and team development skills.
Excellent verbal and written communication abilities, including presenting complex information to diverse audiences.
Strong organizational and project management capabilities.
Ability to prioritize competing demands in a fast-paced environment.
Sound judgment, critical thinking, and decision-making skills.
Ability to foster strong relationships across departments and levels of the organization.
Experience utilizing referral management systems, MCG criteria, CMS guidelines, and payer portals.
Continuous improvement mindset focused on quality, efficiency, and member outcomes.

Qualifications

Required

Graduate of an accredited school of nursing.
Active, unrestricted Registered Nurse (RN) license in the state of Arizona, California, Nebraska, Nevada, or Oregon.
Ability to obtain licensure in all delegated markets within one year of hire.
Minimum of five (5) years of clinical nursing experience.
Minimum of two (2) years of experience within managed care, an HMO, or a global risk-bearing provider organization.
Minimum of two (2) years of supervisory or management experience.
Proficiency with Microsoft Office applications, including Word, Excel, PowerPoint, and Outlook.

Preferred

Bachelor's degree in Nursing (BSN).
Experience leading utilization management teams within a Medicare Advantage environment.
Experience supporting regulatory audits and accreditation activities.

Work Hours & Travel

Monday - Friday; occasional oversight of Saturday/Sunday progress; 8 AM - 5 PM CT
This role offers a hybrid work arrangement. Candidates will follow our hybrid schedule, working in office three days per week.
Occassional travel to delegated markets (currently AZ, CA, NE, NV, OR).

Salary Range: $100,000 - $140,000 annually.

The posted salary range reflects P3 Health Partners' good-faith estimate for this role at the time of posting. Placement within the range will be based on qualifications, experience, education, geographic location, and internal equity considerations. In addition to base salary, eligible employees may have access to a comprehensive benefits package and other compensation opportunities.

Why Join 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 obstacles and positively disrupt the business of healthcare, transforming it from sickness care into wellness guidance.

As a Utilization Management Manager, you'll play a critical role in helping ensure our members receive high-quality, coordinated, and cost-effective care. You'll work alongside dedicated healthcare professionals and leaders who are committed to innovation, collaboration, and improving the healthcare experience for both patients and providers.

At P3, you'll have the opportunity to make a meaningful impact while growing your career in a fast-paced and evolving organization. If you are passionate about your work, eager to have fun, and motivated to be part of a mission-driven team, we encourage you to join us.

Help shape the future of healthcare while leading a team committed to clinical excellence and positive patient outcomes.

Licenses & Certifications

Required

RN License

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 manager jobs in omaha, ne

Manager Utilization Management

Claims Supervisor

Senior Manager, Construction Claims

Claims Supervisor

Senior Claims Account Manager

Risk Patient Safety Manager

Manager, Construction Claims

Compliance and Privacy Program Lead

Manager, Sustainability and Circular Economy

Safety Manager

Revenue Cycle Supervisor

Distribution Manager

EHS Manager

Customer Service Manager - Ice Solutions

Employment Practices Manager (HR Manager) - Baxter Shared Services

Manager, Customer Service

Casualty Litigation Manager

Supervisor, Revenue Cycle

Property Manager

Data Science Manager

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Lead the Team That Drives Quality, Compliance, and Exceptional Patient Care

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