Top 1486 Senior claims manager Jobs in Texas

Associate, Network Contracting & Services (Texas + West Region)
Oscar Health —Dallas, TX
- $87,188 - $114,434 a year
- Remote
- Mid-level
- Travel
- Organizational skills
- Paid parental leave
- Paid holidays
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7d
Regional Manager
Health & Human Services Comm —Fort Worth, TX
- $6,377.50 - $8,581.66 a month
- Online Application
- Up to 50% travel
- 5 years
- Writing skills
- Health insurance
- Opportunities for advancement
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12d
Senior Claims Manager EPL - Remote
Providence —Texas
- $42.02 - $85.88 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Master's degree
- Paid parental leave
- Paid holidays
Claims Manger, Select Professional
AXA —Dallas, TX
- $139,300 - $219,300 a year
- Analysis skills
- Supervising experience
- Bachelor's degree
- Retirement plan
9d
Senior Manager, Construction Claims
Markel Service Inc. —Plano, TX
- $118,960 - $163,570 a year
- Email
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Customer service
- AD&D insurance
- Employee stock purchase plan
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5d
Field Reimbursement Manager - Remote
Medtronic —Texas
- $133,600 - $200,400 a year
- Full-time
- Remote
- 7 years
- Sales
- Master's degree
- Health savings account
- Employee stock purchase plan
Payor Contracts Manager
Omnicell —Grapevine, TX
- $100,000 - $175,000 a year
- Remote
- Microsoft Excel
- 5 years
- Analysis skills
Lead SIU Investigator
Centene —Texas
- $70,100 - $126,200 a year
- Full-time
- Remote
- Master's degree
- High school diploma or GED
- Mentoring
- Paid holidays
- Health insurance
2d
Regional HSE Manager
DHL —Fort Worth, TX
- $85,000 - $150,000 a year
- Full-time
- 5 years
- Bachelor's degree
- Mentoring
- Paid holidays
- Health insurance
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Senior Director, Escalated Provider Issue Resolution
Oscar Health —Dallas, TX
- $196,732 - $258,211 a year
- Overtime
- Remote
- 7 years
- Microsoft Excel
- SQL
- Paid parental leave
- Paid holidays
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2d
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)
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Healthcare Compliance Investigations Manager
NorthStar Anesthesia —Irving, TX
- Full-time
- Hybrid work
- Microsoft Excel
- HIPAA
- Mid-level
Sr. Mgr. Provider Data - Kelsey Seybold - Pearland, TX.
Optum —Pearland, TX
- $91,700 - $163,700 a year
- Full-time
- Microsoft Excel
- Pass drug screening
- Office
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Director of Implementations
CorVel Corporation —Fort Worth, TX
- $119,127 - $197,729 a year
- Full-time
- Remote
- 8 years
- Bachelor's degree
- Travel
- Health savings account
- Disability insurance
Quick Apply
Sr. Fleet Manager
NTI Connect LLC —Dallas, TX
- Full-time
- Background check
- Pass drug screening
- Analysis skills
- Paid holidays
- Paid time off
Quick Apply
Senior Contract Manager
Trimark Associates —Austin, TX
- $130,000 a year
- Full-time
- Remote
- Master's degree
- Analysis skills
- US work authorization
Quick Apply
Senior Director, Contracts
Elbit America —Fort Worth, TX
- Full-time
- Office
- Travel
- Organizational skills
- Paid parental leave
- AD&D insurance
9d
Senior Counsel, Medical Risk Management
UT Southwestern —Dallas, TX
- Full-time
- Mentoring
- Senior level
- Leadership
- Paid parental leave
- Paid holidays
Casualty Claims Manager
GoAuto Management Services LLC —Irving, TX
- From $114,982.40 a year
- Full-time
- Mid-level
- Analysis skills
- Mentoring
- Paid holidays
- Disability insurance
Lead Sonographer / Imaging Services Manager (RVT/RDMS)
Be Well Primary Care —Fort Worth, TX
- $85,000 - $110,000 a year
- Full-time
- Background check
- 5 years
- Outpatient experience
- Health insurance
- Dental insurance
Quick Apply

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senior claims manager jobs near texas

Associate, Network Contracting & Services (Texas + West Region)

Oscar Health -
Dallas, TX

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Job Details

$87,188 - $114,434 a year
7 days ago

Benefits

Paid parental leave
Paid holidays
Disability insurance
Health insurance
Dental insurance
Parental leave
Vision insurance
Paid sick time

Qualifications

Price negotiation
Data management
Direct contracting
Data analytics
Healthcare financial management
Cross-functional collaboration
Cross-functional communication

Full Job Description

Hi, we're Oscar. We're hiring an Associate to join our Network Contracting & Services team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

The Associate, Network Contracting & Services is responsible for managing contracts with key healthcare providers in Oscar's network (hospital/health systems and individual provider groups) to build and maintain a robust network in assigned market/region; while also ensuring access to quality care and optimizing costs by analyzing provider performance and negotiating reimbursement rates, often involving complex contract terms and compliance with regulatory guidelines. The Associate also supports network growth and recruiting efforts by engaging with prospective providers directly; assisting with resolution of provider issues; supporting cost- saving initiatives; executing the local network strategy; and ensuring providers across our service area have the information and support they need to provide best-in-class member care.

You will report into the Senior Director, Network Contracting & Services.

Work Location: This is a remote position based in the field, open to candidates who reside in Texas. Your daily work will involve a blend of work from your home office and frequent local travel for client meetings. Occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role is: $87,188 - $114,434 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

Implement contracting strategies under the direction of Network Director and/or Senior Manager and in partnership with Market Leaders that align with the company's overall network adequacy, development and cost management objectives.
Manage and negotiate contracts with assigned healthcare providers, focusing on favorable terms and compliance with organizational standards and regulatory requirements.
Supports comprehensive reviews and analyses of assigned provider contracts, identifying areas for improvement and optimization.
Utilizes data and analytics of provider financial issues and competitor strategies to support informing negotiation and contracting decisions.
Meet defined metrics and SLAs including but not limited to provider outreach and contract completion.
Collaborate with the provider services team regarding the servicing, education and communication to our provider network.
Monitor assigned networks to gauge compliance with standards, developing corrective action plans with network contracting and market leadership to remediate deficiencies.
Compliance with all applicable laws and regulations
Other duties as assigned

Requirements:

3+ years of experience in healthcare client management, healthcare consulting, or provider healthcare contracting, healthcare operations, or a related field
2+ years of experience supporting provider network strategy development and negotiating provider contracts
1+ years experience running financial analyses on a markets or product lines, and working cross-functionally to support driving improvement opportunities
1+ years experience navigating and organizing large data sets such as claim files and provider rosters

Bonus points:

Associate's degree or equivalent professional working experience.

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care - an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ([email protected]) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

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Refine Your Search

senior claims manager jobs in texas

Associate, Network Contracting & Services (Texas + West Region)

Regional Manager

Senior Claims Manager EPL - Remote

Claims Manger, Select Professional

Senior Manager, Construction Claims

Field Reimbursement Manager - Remote

Payor Contracts Manager

Lead SIU Investigator

Regional HSE Manager

Senior Director, Escalated Provider Issue Resolution

Senior Engineering Manager, Claims

Healthcare Compliance Investigations Manager

Sr. Mgr. Provider Data - Kelsey Seybold - Pearland, TX.

Director of Implementations

Sr. Fleet Manager

Senior Contract Manager

Senior Director, Contracts

Senior Counsel, Medical Risk Management

Casualty Claims Manager

Lead Sonographer / Imaging Services Manager (RVT/RDMS)

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