Providence · 8 hours ago
Senior Manager Claims *Remote*
United States
Full-time
Remote
Senior Level
$56.40/hr - $89.04/hr
7+ years expProvidence is a comprehensive health care organization that is committed to patient-focused care. The Senior Manager, Claims role involves managing a team handling multi-line health provider claims, ensuring regulatory compliance, and collaborating with various teams to provide oversight and actionable insights.
Hospital & Health Care
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 including medical negligence, organizational negligence, directors and officers, fiduciary, general liability and similar matter types
Participates in procuring and sharing conclusions to provide actionable insights to key stakeholders across the organization
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
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
Every day, 119,000 compassionate caregivers serve patients and communities through Providence St.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Brad Henry
Chief Executive Officer at Providence Willamette Falls Medical Center
Ranjit S. Hundal, MD, MBA, CPE, FACP, SFHM
Interim Chief Executive Officer
Recent News
2025-09-23
2025-09-13
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