Claims Manager — $0 Healthcare for You and Your Entire Family

Redirect Health•Phoenix, AZ

1d•$70,000

About The Position

The Claims Manager exists to lead a high-performing team that helps members navigate billing, reimbursement, and claims challenges with clarity and confidence. In this role, you will: Lead and develop the Claims team to deliver exceptional member support Oversee claims operations while ensuring accuracy, compliance, and efficiency Drive scalable processes and partner cross-functionally to improve outcomes This is a hands-on leadership role for someone who: Thrives in building and leading strong teams Enjoys solving complex operational and billing challenges Keeps the member experience at the center of every decision

Requirements

5+ years in a supervisory or managerial role
Proven leadership skills and operational excellence
Strong communication and analytical thinking skills
A customer-first mindset with a passion for solving complex problems
A hands-on, collaborative leadership approach

Nice To Haves

Experience in healthcare billing, reimbursement, or claims (Preferred)

Responsibilities

Team performance, structure, and daily operations of the Claims function
Team development, coaching, goal-setting, and performance management
The full lifecycle of provider claims including submissions, adjudication, appeals, and dispute resolution
Compliance with plan benefits, regulatory requirements, and internal SOPs through audits and oversight
Members directly with escalated billing and claims issues, providing clear and empathetic communication
Internal teams including Claims, Care Logistics, and Client Success to ensure seamless coordination and resolution
Processes, workflows, and outcomes by identifying trends and reducing repeat issues
Performance through KPIs such as speed to process, appeals rates, and negotiation success