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Claims and Configurations Manager

remote, SD 57108

Posted: 01/13/2025 Employment Type: Contract Category: Information Technology Job Number: 27511

Job Description

Seeking a new opportunity? Don't miss this role! Dahl Consulting is currently partnering with a leading health insurance company. We work one-on-one with great candidates to help connect them with local employment opportunities. This company is hiring a Claims and Configurations Manager for a contract position! Interested? Get more details below.
  • Worksite Location: Remote
  • Compensation: $70.00-$110.00 per hour
What you’ll do as the Claims and Configurations Manager:
  • 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
Take the first step on your new career path! To submit yourself for consideration for this role, simply click the apply button and complete our mobile-friendly online application. Once we’ve reviewed your application details, a recruiter will reach out to you with the next steps! For questions or more information about this role, please call our office at (651) 772-9225.

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/

 
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