Shire Jobs

This job was posted by https://idahoworks.gov : For more information, please see: https://idahoworks.gov/jobs/2307801 Supervisor Claims Production

Remote within Oregon, Idaho, Utah

Build a career with purpose. Join our

Cause

to create a person-focused and economically sustainable health care system.

As a people leader, you are willing to learn and grow, understanding that leadership is a craft that is continuously honed as you support your team and the lives that depend upon us. This role supports members, providers and various internal departments by mentoring staff, monitoring workflow, maintaining performance measures and ensuring timely and quality claims processing while adhering to State, Federal and company guidelines.

What You Bring to Cambia:

Qualifications:

• Bachelor\'s degree (Preferred)
• 3 years of experience related to claims processing, preferred in the healthcare industry
• Demonstrated leadership/supervisory experience, or the equivalent combination of education and experience.

Skills and Attributes:

You\'ll lead a team of claims professionals, setting priorities, overseeing work outputs and timelines, and developing productivity, quality, and service standards to ensure exceptional performance.

You\'ll possess strong analytical skills, identifying problems, trends, and developing solutions to implement a course of action, while also communicating effectively with all levels of the organization, both verbally and in writing.

You\'ll have a deep understanding of the insurance industry, related regulations, and mandates, as well as experience working in a high-volume claims processing center, with a proven track record of managing performance and creating an environment for service excellence.

You\'ll be able to organize, plan, and prioritize assignments within multiple projects, participating in and managing well-defined projects with minimal guidance, and leveraging your knowledge of medical terminology and/or claims coding to inform your decision-making.

As a leader, you\'ll be responsible for developing and training your team, including employees in multiple locations or working remotely, and fostering a culture of collaboration, innovation, and customer-centricity to drive results and achieve business objectives.

What You Will Do at Cambia

You\'ll lead and manage a team of claims professionals, assigning and prioritizing work, setting goals, and coordinating daily activities, while also providing regular updates and communication through 1:1 and team meetings.

You\'ll monitor individual and team results, ensuring work is completed in a timely manner, in accordance with department standards and procedures, and in compliance with medical policy and guidelines, and identify areas for process improvements.

You\'ll act as a resource for staff and others, escalating issues and partnering with other departments to resolve them, and participate in the selection process, provide ongoing coaching and performance management, and write performance reviews.

You\'ll facilitate the maintenance of reference manuals, work procedures, and procedural guidelines, and complete special projects as assigned, including leading division projects, implementing process improvement projects, and analyzing data to present to departmental leadership.

You\'ll oversee claims processing, ensuring accuracy and timeliness according to company timelines, and provide support services, including scheduling, reporting to management, meeting facilitation, and issue resolution, while also participating on project teams to recommend solutions and translate business requirements.

#LI-remote

FTEs Supervised

5-20

The expected hiring salary range is \$61,000 - \$82,800 a year depending on skills, experience, education, and training; relevant licensure / certifications; and performance istory.

The bonus target for this position is 10%. The current full salary range for this role is \$57,000 - \$94,000.

About Cambia

Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we\'re helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.

Why Join the Cambia Team?

At Cambia, you can:

Work alongside diverse teams building cutting-edge solutions to transform health care.

Earn a competitive salary and enjoy generous benefits while doing work that changes lives.

Grow your career with a company committed to helping you succeed.

Give back to your community by participating in Cambia-supported outreach programs.

Connect with colleagues who share similar interests and backgrounds through our employee resource groups. \<