Supervisor, Claims Administration

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
 

**Must reside near Rocky Mount, NC- 3 days onsite work**

Position Purpose: Ensure the timely and accurate adjudication of claims. Supervise the daily activities of the Claims Administration department, including all activities from receipt of mail through claim closing processes. Review claim production reports for trends and implement process improvement initiatives.

• Supervise the claims administration department including staffing issues, training and new employee orientation
• Define and execute process changes for new plan implementations
• Ensure that claim staff members adhere to corporate, claim, and medical management and various applicable policy and procedures
• Develop quality and production standards using proven quantitative and qualitative methods
• Develop appropriate management reports used to track department operations
• Develop and monitor quality checks to ensure that claims are processed accurately and in accordance with payor, State and Federal guidelines
• Maintain and update departmental policy and procedure manuals
• Participate in company committees as needed

Education/Experience: Associate's degree or equivalent experience. Bachelor’s degree preferred. 4+ years of medical surgical claims processing experience, including knowledge of claims processing methodology. Previous experience as a lead in a functional area or managing cross functional teams on large scale projects.

Pay Range: $55,100.00 - $99,000.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act