Claims Quality Manager

Leading a team in a telecommuter capacity, the full-time salaried Claims Quality Manager will oversee claims quality improvement, knowledge management, training, and performance monitoring to ensure high-quality outcomes and continuous improvement in healthcare claims processes. Key responsibilities Build and lead a systematic approach to quality improvement across Claims Operations, leveraging operational data and customer feedback Establish and govern consistent knowledge management and training practices to prepare employees for evolving claims processes Monitor operational performance and collaborate with production leaders to implement corrective actions and improvement plans Required qualifications A bachelor's degree or four years of relevant work experience Seven years of health plan industry or business/operational experience Four years of experience leading and managing teams of direct reports Experience using data and continuous improvement practices to drive operational outcomes Experience building or governing knowledge management and training programs