Senior Claims Operations Manager

Job Summary

Leading a remote team, the full-time Senior Claims Operations Manager will oversee and optimize operational functions, ensuring accurate and compliant execution of pharmacy benefit services, while driving process improvements and managing team performance.

Key responsibilities

• Provide leadership and oversight over the claims operations team to ensure efficient and compliant execution of business operations
• Manage day-to-day operational performance, ensuring service levels and quality standards are met
• Drive continuous process improvement initiatives to enhance efficiency and quality across all claims operations functions

Required qualifications

• Bachelor's degree in Business Administration or related field, or equivalent work experience, required
• 5+ years of claims operations experience required
• 3+ years of progressive leadership experience, including leading teams or complex initiatives, required
• Experience with specialty claims and copay assistance programs strongly preferred
• Experience in healthcare required