Supervisor, Service Operations
Core
Oversee a team of claim processors and manage daily Medicaid claim operations to meet state-required metrics and health plan goals.
Role type
Team lead for claims processing operations
Builds
Medicaid claim processing workflows and team performance
Domain
Healthcare operations / Insurance claims
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Team management, performance coaching, process improvement, risk identification, resource allocation, business reporting, inventory management, project management, advanced Excel, SQL, Quick Base, QNXT Claim System
Preferred skills
2+ years experience processing claims on QNXT, navigating claim policies and procedures
Responsibilities
Manage employee performance and development, identify risks and barriers to improve processes, act as liaison between staff and other areas, complete business reports tracking trends and results, allocate resources to meet volume and performance standards, build a cohesive team through collaboration
Seniority
Mid-level, hands-on IC