SCAN Health Plan in the United States is seeking a Program Manager - Claims to oversee escalations, provider abrasion, and complex, high-dollar claims. You will adjudicate per policies and contracts, collaborate with cross-functional teams, and lead triage during AEP/OEP, while supporting Total Cost of Care initiatives and data-driven process improvements.
The role requires 5+ years in healthcare claims operations, strong analytical skills, and the ability to drive staffing plans and system
#J-18808-LjbffrClaims Program Manager – Health Plan (Remote) in long beach at Unknown Company
This position is listed as contract and onsite.