Senior Claims Manager

Description

As a Provider-Led Arkansas Shared Savings Entity (PASSE), Empower serves Medicaid clients with complex behavioral health, developmental or intellectual disabilities.  The Senior Claims Manager is a newly created role accountable for operations analysis, with a key focus on the end-to-end Healthcare claims and encounters.  This role will coordinate and work with various administrative departments, support multiple business partners and programs, and interact with external partners and vendors to ensure efficiencies and accurate outcomes. 

This role is executed by overseeing claims operations, working with external vendors to support claims management, configuration and reporting, and performing detailed operational, claims and encounters business analysis to ensure effective and efficient claims and encounters processing and continuous improvement.

This role will also coordinate with all Empower stakeholders to help support alignment with Empower Healthcare Solutions’ overall mission, core values, and strategic plan and in compliance

Qualifications

• Preferred residence in or relocate to Little Rock, AR
• Bachelor’s degree in business, health services administration, or related field
• 5+ years of experience in Claims Operations
• Clear thinker, strong problem solver, and cross-functional collaborator
• Experience overseeing and working collaboratively with vendor resources
• Deep understanding of end-to-end claims operations
• Excellent analytical skills
• Demonstrated adaptability and flexibility to a rapidly moving business environment
• Experience with Medicaid and/or Medicare plans
• Prior experience developing methods and criteria for measuring and summarizing data for complex analyses
• Ability to lead and facilitate cross-functional meetings and solution design sessions