Senior Manager Claims *Remote* jobs in United States
info-icon
This job has closed.
company-logo

Providence Health & Services · 9 hours ago

Senior Manager Claims *Remote*

positionUnited States
timeFull-time
remoteRemote
senioritySenior Level
money$65.96/hr - $104.13/hr
date7+ years exp

Providence Health & Services is a comprehensive health care organization serving various states, and they are seeking a Senior Manager for their Claims team. This role involves the management and supervision of a team handling multi-line health provider and institutional claims, ensuring regulatory compliance and developing team capabilities.

Health CareHospitalInsuranceMedicalNon ProfitPersonal Health
check
H1B Sponsor Likelynote

Responsibilities

Management and supervision of a team handling multi-line health provider and institutional claims
Responsible for file management, stewardship and file outcomes of the team
Ensuring accurate regulatory compliance, adherence to department policy and procedures
Stakeholder presentations, and team development
Utilizes expertise to coach to best outcomes for high exposure, complex matters
Participates in procuring and sharing conclusions to provide actionable insights to key stakeholders
Collaboration with various teams to provide consultation, oversight, risk avoidance and mitigation recommendations, data analytics, and efficiency execution
Coordinates with operational staff as needed to ensure efficient outcomes

Qualification

Claims managementMedical negligence expertiseSupervisory experienceInsurance experienceProgram planningProject managementLeadership trainingData analyticsStakeholder presentationsTeam development

Required

Bachelor's Degree or an equivalent combination of education and experience
Coursework/Training: Formal education or training in supervision, management, or leadership
7 years of documented direct management or supervisory experience in a in a medical negligence and multi-line setting
7 years of Claims experience
2 years of experience in an insurance or managed care setting
Demonstrated experience in program planning, development and evaluation

Preferred

Master's Degree
Project management, Six Sigma, Lean, Change Acceleration Process (CAP) experience
Experience with HEDIS, CAHPS, Medicare 5-Star Rating, NCQA and/or URAC accreditation

Benefits

401(k) Savings Plan with employer matching
Health care benefits (medical, dental, vision)
Life insurance
Disability insurance
Time off benefits (paid parental leave, vacations, holidays, health issues)
Voluntary benefits
Well-being resources

Company

Providence Health & Services

twittertwittertwitter
Glassdoor3.6
company-logo
At Providence, our strength begins with understanding.
dateFounded in 1859
location
Renton, Washington, USA
people-size10001+ employees
web-link
https://www.providence.org/

H1B Sponsorship

Providence Health & Services has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (35)
2024 (28)
2023 (34)
2022 (39)
2021 (26)
2020 (21)

Funding

Current Stage
Late Stage

Leadership Team

leader-logo
Jennifer Burrows
Chief Executive Officer
leader-logo
Laureen Driscoll
Division Chief Executive
linkedin

Recent News

Techmeme
Microsoft Research, Providence, and UW develop the GigaTIME AI model, aiming to perform tumor analysis in a fraction of the time and cost of existing methods (Lisa Stiffler/GeekWire)
2025-12-10
Fierce Healthcare
Providence cutting around 450 positions in Washington, Oregon
2025-11-21
HealthCareIT News
Providence teams up with Humana for VBC data exchange
2025-10-22
Company data provided by crunchbase