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Director, Medicare Advantage Claims and Configuration in Denver, CO

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compensation:

$200K - $250K*

industry:

specialty:

Healthcare Management

experience:

8 - 10 years

Job Description

ABOUT THIS ROLE


Our Operations Team ensures that we have the right infrastructure in place to support our corporate offices, Care Partners and Members and Brokers. As our Director, Medicare Advantage Claims and Configuration, you will collaborate on an end to end basis with cross functional BHP departments, venders and other constituents to support the accurate, timely, compliant and efficient processing of claims along with effective follow up on service issues that impact provider and member satisfaction. Additionally, you will have oversight over the BMS (claims) and BRC (Configuration) relationships. Responsible for the accuracy of overall configuration and timeliness of claim payments.

ROLE RESPONSIBILITIES

  • Lead the develop of Bright's Medicare Advantage (MAPD) Claims and Configuration core competency both in terms of internal execution and necessary oversight and collaboration with applicable vendors.See More

    Valid through: 2020-4-2

About bright health plan

Total Jobs:
18
Total Experts:
2
Average Pay:
$159,152
Total value of jobs:
$9,390,000
% Masters:
50%
Learn More About bright health plan
* Ladders Estimates

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