Claims Team Lead

Job Summary

A company is looking for a Team Lead - U.S. Claims (Implementation Focus).

Key Responsibilities

• Lead end-to-end client implementation, ensuring operational readiness and successful go-live
• Coordinate with cross-functional teams to validate systems and processes prior to launch
• Support development of process documentation and oversee team performance management

Qualifications

• Minimum 5 years of experience processing medical claims, preferably on the payer side
• At least 2 years in a leadership role within claims or healthcare operations
• Proven experience in client implementations and transitions
• Strong knowledge of Medicare and Medi-Cal claims and CMS guidelines
• Experience in quality assurance and training within a claims environment