Manager Service Delivery

Job Summary

Leading operational excellence initiatives, the full-time Manager Service Delivery will develop and execute strategies for Medicaid claims processing, ensuring compliance and efficiency while working remotely.

Key responsibilities

• Optimize the end-to-end claims lifecycle, including mailroom intake and data entry processes
• Design and implement standardized processes and best practices across claims streams
• Analyze claims data and denial trends to identify improvement opportunities and drive performance enhancements

Required qualifications

• Five or more years of experience in Medicaid operations, claims management, or business analysis
• Strong analytical skills with experience using data and reporting tools such as Excel and Power BI
• Proven ability to lead cross-functional initiatives in a healthcare payer environment
• In-depth knowledge of Medicaid claims processing and CMS guidelines
• Excellent communication and stakeholder management skills, particularly with senior leadership