Providence Health & Services · 11 hours ago
Senior Manager Claims - Hybrid
Santa Rosa, CA
Full-time
Hybrid
Senior Level
$65.96/hr - $104.13/hr
7+ years expProvidence Health & Services is a comprehensive health care organization dedicated to serving the poor and vulnerable. The Senior Manager, Claims is responsible for managing a team that handles multi-line health provider and institutional claims, ensuring compliance and effective outcomes, while collaborating with various stakeholders across the organization.
Non ProfitHealthcareWellnessHospitalProperty & Casualty InsuranceHealth CareInsuranceMedicalPersonal Health
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 in collaboration with key system leadership
Ensuring accurate regulatory compliance, adherence to department policy and procedures, stakeholder presentations, and team development
Utilizing 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
Participating 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
Coordinating 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
Retirement 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
At Providence, our strength begins with understanding.
10001+ employees
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 StageLeadership Team
Jennifer Burrows
Chief Executive Officer
Armine Manukian
Interim Director, Patient Financial Services
Recent News
Fierce Healthcare
2025-11-21
HealthCareIT News
2025-10-22
Company data provided by crunchbase