Top 181 Claims supervisor Jobs in Raytown Mo

Carelon Payment Integrity Manager - Kansas
Elevance Health —Overland Park, KS
- Hybrid work
- Nursing
- Management
- Bachelor of Science
- Employee stock purchase plan
- Paid holidays
9d
Facility Manager
Cubework —Kansas City, MO
- $60,000 - $70,000 a year
- Weekends as needed
- Spanish
- Google Workspace
- English
- Paid holidays
- Health insurance
Quick Apply
Client Service Manager to Financial Advisor
Caliber Wealth Management —Overland Park, KS
- $65,000 - $75,000 a year
- Full-time
- Background check
- Microsoft Outlook
- Management
- Health savings account
- Health insurance
Quick Apply
Corporate Safety Manager
Belger Cartage Service, Inc. —Kansas City, MO
- $70,000 - $90,000 a year
- Full-time
- Up to 50% travel
- Construction site
- CDL A
- Health insurance
- Dental insurance
Quick Apply
Insurance Restoration Project Manager
ATP Restoration, LLC —Kansas City, KS
- $70,000 - $80,000 a year
- 8 hour shift
- Spanish
- Management
- Construction site
- Fuel card
- Health savings account
Quick Apply
2d
Project Manager Outside Sales-Roofing
Shamrock Roofing —Lee's Summit, MO
- From $70,000 a year
- Full-time
- Background check
- 18 years or older
- Construction site
- Opportunities for advancement
Quick Apply
2d
Project Manager Outside Sales-Roofing
Shamrock Roofing —Liberty, MO
- From $70,000 a year
- Full-time
- Background check
- 18 years or older
- Construction site
- Opportunities for advancement
Quick Apply
2d
Area Manager
Blue Streak LLC 1 —Kansas City, KS
- $100,000 - $120,000 a year
- Full-time
- Inventory management
- Senior level
- Leadership
Quick Apply
Patient Safety & Risk Management Manager
Spira Care, LLC —Kansas City, MO
- Full-time
- Microsoft Outlook
- Management
- 5 years
- Paid parental leave
- Paid holidays
Fleet Operations Manager (Outsourced Services)
City of Kansas City —Kansas City, MO
- $5,910 - $9,010 a month
- Email
- CDL B
- Background check
- 5 years
- Paid parental leave
- Paid holidays
Manager, Medical Case Management
AmTrust Financial Services, Inc. —Overland Park, KS
- $87,600 - $130,000 a year
- Full-time
- Spanish
- Nursing
- RN License
- Health insurance
- Dental insurance
Human Resource Manager
Wilkerson Crane Rental —Bonner Springs, KS
- $135,000 a year
- Full-time
- 5 years
- Office
- Bachelor's degree
- Opportunities for advancement
- Retirement plan
Quick Apply
Operations Manager
Dayton Freight —Grandview, MO
- Full-time
- Management
- Customer service
- Local
Quick Apply
1d
Manager of Credentialing and Medical
Cornerstones of Care —Kansas City, MO
- $60,000 - $62,000 a year
- Full-time
- Hybrid work
- Background check
- Pass drug screening
- HIPAA
- Health savings account
- AD&D insurance
Quick Apply
Correctional Supervisor
City of Kansas City —Kansas City, MO
- $27.25 - $40.88 an hour
- Overtime
- Background check
- Sanitation
- Pass drug screening
- Paid training
- Paid parental leave
Talent Rights & Compliance Manager (174624)
Colgate-Palmolive —Overland Park, KS
- $86,000 - $121,000 a year
- Hybrid work
- Marketing
- 3 years
- Bachelor's degree
- Profit sharing
- Paid parental leave
10d
Northland Liability Unit Manager
The Travelers Companies, Inc. —Overland Park, KS
- $109,300 - $180,200 a year
- Hybrid work
- 3 years
- High school diploma or GED
- Bachelor's degree
- Wellness program
- Continuing education credits
Sr Mgr Talent Programs and Delivery
Performance Contracting —Lenexa, KS
- Background check
- Continuous improvement
- Senior level
- Paid training
- AD&D insurance
Business Office Supervisor
Saint Luke's South Surgery Center —Overland Park, KS
- Inventory management
- Ability to walk for extended periods
- Mid-level
Quick Apply
6d
Client Service Manager
Gallagher Benefit Services —Kansas City, MO
- Full-time
- Mid-level
- 3 years
- High school diploma or GED
- Paid parental leave
- Health savings account

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claims supervisor jobs near raytown mo

Carelon Payment Integrity Manager - Kansas

Elevance Health -
Overland Park, KS

Apply Now

Job Details

9 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

Management

Full Job Description

Carelon Payment Integrity Manager - Kansas

Location: Kansas

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.

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 an accommodation is granted as required by law.

The Carelon Payment Integrity Manager - Kansas is responsible for ensuring the accuracy of claims payment through the management of a robust process for prevention, detection, and correction of billing, payment and membership errors. Works with health plan leaders, oversees the monitoring and enforcement of the fraud, waste, and abuse compliance program to prevent and detect potential fraud, waste, and abuse activities pursuant to state and federal rules and regulations.

How you will make an impact:

Coordinate and respond to inquiries from executives, ensuring timely and accurate communication.
Handle the processing and management of Payment Integrity waivers.
Assist in preparing responses to Requests for Proposals across all lines of business.
Document process flows accurately to ensure clear and effective communication of processes.
Help with preparing presentations, ensuring they are polished and ready for delivery.
Review and approve performance guarantees, ensuring compliance with standards.
Has detailed technical knowledge of claims payment accuracy and participates on cross functional teams focused on problem remediation and long-term resolution.
Anticipates the effect of changes in the business environment on future claim errors.
Evaluates regulatory compliance and Health Care Reform changes to determine potential impact.
Evaluates provider activities to assist in the detection of fraud, waste and abuse activities.
Monitors provisions of the compliance plan, including fraud, waste, and abuse policies and procedures, investigates unusual incidents and implements corrective action plans.
Develops and analyzes monthly reports.
Develops project plans and oversees project execution, issue management and progress reporting.
Develops processes to support early detection of systemic issues causing operational inefficiencies.

Minimum Requirements:

Requires a BA/BS in business, engineering, nursing, finance, or healthcare administration and minimum of 5 years related work experience, including minimum of 2 years leadership experience; or any combination of education and experience, which would provide and equivalent background.

Preferred Skills, Capabilities, and Experiences:

2-5 years of experience with Fraud, Waste and Abuse.
Experience with payment integrity.
Familiarity with claims systems and processes.
Experience with GBD Facets.

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 supervisor jobs in raytown mo

Carelon Payment Integrity Manager - Kansas

Facility Manager

Client Service Manager to Financial Advisor

Corporate Safety Manager

Insurance Restoration Project Manager

Project Manager Outside Sales-Roofing

Project Manager Outside Sales-Roofing

Area Manager

Patient Safety & Risk Management Manager

Fleet Operations Manager (Outsourced Services)

Manager, Medical Case Management

Human Resource Manager

Operations Manager

Manager of Credentialing and Medical

Correctional Supervisor

Talent Rights & Compliance Manager (174624)

Northland Liability Unit Manager

Sr Mgr Talent Programs and Delivery

Business Office Supervisor

Client Service Manager

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