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Claims and Configurations Manager
Job Description
- Worksite Location: Remote
- Compensation: $70.00-$110.00 per hour
- Oversee and manage both the Claims and Configurations Departments, ensuring efficient operations and alignment with company goals
- Oversee claims management processes, ensuring accuracy, compliance, and timely resolution of claims
- Direct and support the Configurations team in benefit and fee schedule setups in the HealthRules Payer (HRP) system, as well as additional system configurations and processes
- Serve as the subject matter expert on HealthRules Payer (HRP) to guide and support legacy teams
- Collaborate cross-departmentally on projects to facilitate seamless implementation into the legacy system
- Evaluate current workflows, identify inefficiencies, and recommend process improvements for enhanced performance
- Maintain a strategic approach to problem-solving and decision-making to meet project goals and departmental needs
What you’ll bring to the Claims and Configurations Manager role:
- Bachelor’s degree in business, healthcare administration, or a related field preferred
- Demonstrated experience in managing and leading teams in a claims or system configurations setting
- Solid understanding and hands-on experience with HealthRules Payer (HRP) or similar systems
- Exceptional organizational skills with the ability to manage multiple priorities and projects effectively
- Strong analytical skills to evaluate processes, identify issues, and recommend improvements
- Excellent communication and interpersonal skills to work collaboratively with team members, other departments, and external consultants
- Proven ability to manage through complex projects and drive results
- High attention to detail to ensure accuracy in claims processing and system configurations
As an equal-opportunity employer, Dahl Consulting welcomes candidates of all backgrounds and experiences to apply. If this position sounds like the right opportunity for you, we encourage you to take the next step and connect with us. We look forward to meeting you!
Dahl Consulting is proud to offer a comprehensive benefits package to eligible employees that will allow you to choose the best coverage to meet your family’s needs. For details, please review the DAHL Benefits Summary: https://www.dahlconsulting.com/benefits-w2fta/
Dahl Consulting is proud to offer a comprehensive benefits package to eligible contract employees that will allow you to choose the best coverage to meet your family’s needs. For details, please review our Benefits Summary: www.dahlconsulting.com/benefits-w2fta.
Dahl Consulting is an Equal Opportunity Employer and does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other applicable legally protected characteristics.
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