Washington State Claims Operations Supervisor

Job Summary

A company is looking for a Supervisor, Claims BPO Operations.

Key Responsibilities

• Supervise and manage Operations staff, including hiring, training, and performance management
• Oversee system configuration, testing, and implementation of claims and encounter data
• Ensure compliance and performance of claims operations, including managing vendor relationships and operational controls

Required Qualifications

• Bachelor's degree in health care or equivalent experience
• Minimum five (5) years of managed care/health plan operations experience
• Minimum four (4) years of leadership experience in a related field
• Experience overseeing healthcare claims operations and third-party administration
• Background in Medicaid, Medicare, and OIC claims administration preferred