Top 12451 Senior claims manager Jobs in United States

Business Process Optimization Retail Manager
Cotiviti —Remote
- $148,000 - $189,000 a year
- Full-time
- Remote
- Microsoft Access
- Computer Science
- Customer service
- Paid holidays
- Disability insurance
Product Owner Consultant (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $128,240 - $229,229 a year
- Full-time
- Remote
- Team management
- Product management
- US work authorization
- 401(k)
Quick Apply
Manager, Quality Measures - Remote
Optum —Washington, DC
- $112,700 - $193,200 a year
- Full-time
- Hybrid work
- Medicine
- 6 years
- Management
Quick Apply
Revenue Cycle Manager
Wisdom Teeth Guys —Remote
- $120,000 - $145,000 a year
- Full-time
- Remote
- Supervising experience
- Senior level
Quick Apply
Senior CSM, PBM
Rightway —Remote
- $125,000 - $145,000 a year
- 5 years
- Research
- Master's degree
Quick Apply
Sr Manager, Post Pay Audit
Health Business Solutions LLC —Remote
- Remote
- 5 years
- Analysis skills
- Supervising experience
Strategic Customer Success Manager
HealthSnap —Remote
- $120,000 - $135,000 a year
- Full-time
- Remote
- Analysis skills
- Mentoring
- Senior level
- Health insurance
- Dental insurance
Quick Apply
Billing Support Operations Manager (Remote)
Rula —Los Angeles, CA
- $99,000 - $114,950 a year
- Full-time
- Remote
- 5 years
- Experience equivalent to degree accepted
- Senior level
- Paid parental leave
- Health savings account
Senior Claims Manager EPL - Remote
Providence —Orange, CA
- $42.02 - $85.88 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Master's degree
- Paid parental leave
- Paid holidays
VP, Logistics & Warehousing (US Remote)
Fictiv —Schaumburg, IL
- $200,000 - $255,000 a year
- PRN
- Remote
- 5 years
- ERP systems
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Compliance Manager
Lemonade —Remote
- $115,000 - $135,000 a year
- Full-time
- Remote
- Google Workspace
- 7 years
- Bachelor's degree
- Health insurance
- Parental leave
2d
Senior Claim Supervisor
Vermont Mutual —Remote
- $105,000 - $135,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Office
Quick Apply
13d
Senior Manager, Revenue Cycle Operations
Health Business Solutions LLC —Remote
- Remote
- 5 years
- Bachelor's degree
- Mentoring
Compliance Lead (Pharmacy)
Humana —Remote
- $115,200 - $158,400 a year
- Full-time
- Remote
- Research
- Master's degree
- Bachelor's degree
- Paid parental leave
- Paid holidays
9d
Senior Manager, Clinical and Coding
Health Business Solutions LLC —Remote
- Remote
- Nursing
- Business development
- Bachelor's degree
Claims Training Specialist
CorVel Corporation —Folsom, CA
- $77,960 - $120,368 a year
- Full-time
- Remote
- Classroom
- Computer literacy
- HIPAA
- Health savings account
- Disability insurance
Quick Apply
Manager, Customer Success Operations
GitLab —Remote
- $115,200 - $194,400 a year
- Full-time
- Remote
- Senior level
- 4 years
- Employee stock purchase plan
- Health insurance
Claims Manager
TeamHealth —Remote
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Hospital
- Paid holidays
- Health insurance
10d
Senior Manager, Compliance Operations & Analytics
BeiGene —Remote
- $153,400 - $198,400 a year
- Full-time
- 7 years
- No education required
- Computer literacy
- Health savings account
- Employee stock purchase plan
Manager, Claims Compliance
Uber —Chicago, IL
- $117,000 - $162,000 a year
- Full-time
- Office
- 3 years
- Presentation skills
- 401(k)

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senior claims manager jobs near united states

Business Process Optimization Retail Manager

Cotiviti -
Remote

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Job Details

Full-time
$148,000 - $189,000 a year

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
Paid time off
Family leave
Vision insurance
Life insurance

Qualifications

Data model design
Financial forecasting
Data visualization software proficiency
Requirements specification
Requirements design
Data modeling projects
Managing retail teams
Customer service
Technical documentation
Business intelligence report generation
Schema design
Budget forecasting
SQL
Business intelligence tools
Bachelor's degree
Requirements analysis
Data-driven problem-solving
Managing projects
Technical project management
Financial forecasting analysis
Retail management
Management experience within retail industry
Cross-functional communication

Full Job Description

Overview:

The Cotiviti Retail Business Process Optimization (BPO) Team is seeking a Manager to work closely with our operations, R&D, and client teams. We are looking for an individual who is a self-starter, interested in developing their own skills and experiences as well as being a trusted go-to resource for other BPO team members. We are looking for an individual who is technically sound but also curious and interested in learning our unique and results oriented business. This individual must possess a complete understanding of retail audit recovery work, best practices for managing audit teams, great interpersonal skills and be comfortable with conducting presentations. Experience with BI tools in translating data into meaningful and inciteful visualizations is a must.

Responsibilities:

Identify opportunities for improvement in Current Cotiviti Audit processes.
Help Cotiviti audit teams maximize resources and drive top end revenue and bottom-line margin growth.
Utilize BI tools to enhance and support existing reporting/data warehouse environment, including use of SQL Management Studio, Power BI and Tableau, Excel, MS Access.
Support the Retail/Cotiviti management and other stakeholders in evaluating, defining, standardizing, and reporting on key KPI's to drive financial evaluation and performance.
Manage development lifecycle of report generation (development, test/QA, UAT, bug fix/retest cycles)
Ensure proper documentation and training materials
Provide expertise for the design and requirements for both executive and client facing reports, scorecards, and dashboards.
Lead collaborative conversations with client teams to drive stickiness and growth opportunities
Field and provide support for ad hoc data analysis requests/recommendations from Retail management others on the leadership team
Hire, develop, coach, lead and retain top-tier talent, with a focus on building and improving a team and culture that is able to assist in employing best in class practices to support and drive high levels of internal and external customer satisfaction.

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and the requirements of the job change.

Qualifications:

Bachelor’s degree in Business, Accounting, Computer Science, Information Management, or related field.
8+ years of audit and management experience in the Retail space.
8+ years claims recovery lifecycles and expertise with financial forecasting.
8+ years with working with retail client data and translating to audit tools and optimized workflows.
2+ years direct work experience with Microsoft Power BI and SSRS and data modeling.
1 year direct work experience with Microsoft Tableau.
Ability to document technical requirements for business processes and development needs.
Expert in SQL programming, database structures and schemas.
Demonstrated and proven project management skills.
Strong attention to detail and accuracy.
Ability to work independently and remotely with minimal supervision.
Superior analytical and problem-solving skills.
Ability to effectively communicate and collaborate with internal and external stakeholders with a customer service focus and mindset.

Mental Requirements:

Communicating with others to exchange information.
Assessing the accuracy, neatness, and thoroughness of the work assigned.

Physical Requirements and Working Conditions:

Remaining in a stationary position, often standing or sitting for prolonged periods.
Repeating motions that may include the wrists, hands, and/or fingers.
Must be able to provide a dedicated, secure work area.
Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
No adverse environmental conditions expected.

Base compensation ranges from $148,000 to $189,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.

Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.

Date of posting: 7/9/2026

Applications are assessed on a rolling basis. We anticipate that the application window will close on 9/9/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

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Refine Your Search

senior claims manager jobs in united states

Business Process Optimization Retail Manager

Product Owner Consultant (Remote)

Manager, Quality Measures - Remote

Revenue Cycle Manager

Senior CSM, PBM

Sr Manager, Post Pay Audit

Strategic Customer Success Manager

Billing Support Operations Manager (Remote)

Senior Claims Manager EPL - Remote

VP, Logistics & Warehousing (US Remote)

Compliance Manager

Senior Claim Supervisor

Senior Manager, Revenue Cycle Operations

Compliance Lead (Pharmacy)

Senior Manager, Clinical and Coding

Claims Training Specialist

Manager, Customer Success Operations

Claims Manager

Senior Manager, Compliance Operations & Analytics

Manager, Claims Compliance

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