Manager, Claims and Encounters
Company: Oklahoma Complete Health
Posted on: November 18, 2023
You could be the one who changes everything for our 28 million
members. Centene is transforming the health of our communities, one
person at a time. As a diversified, national organization, you'll
have access to competitive benefits including a fresh perspective
on workplace flexibility.
Oklahoma Complete Health, a Centene company, is committed to
providing quality healthcare solutions to transform the health of
At Oklahoma Complete Health, we are community advocates and
change-makers in search of an inclusive culture grounded by our
commitment to work-life balance, competitive compensation, and
continuous career development. Join us and be a part of a
collaborative, growing network of innovative thinkers delivering
solutions at the local level.
***Must Reside in Oklahoma***
Position Purpose: Manage and coordinate staff engaged in business
and strategic analysis. Oversee geographically distributed
cross-functional team to analyze business process to link them to
business application technology solutions.
Oversee the analysis of business processes and development of
functional requirements and appropriately document and communicate
captured information for validation and re-usability
Collaborate with IT to design and maintain changes to encounter
systems, including ensuring system build content meets contractual
Evaluate programming techniques, training needs, and select and
implement various trainings
Advise and consult with plans and user departments, identifying
problem areas, and determine and recommend procedural changes
Serve as the primary liaison for business unit operations and
corporate IT, claims and encounter counterparts to ensure systems,
processes and tools meet business requirements
Create and maintain re-usable policies, procedures and formats
suitable to the new business technology development activities of
Education/Experience: Bachelor's degree in Healthcare
Administration, IT or related field or equivalent experience. 5+
years of claims payment or encounters administration experience.
Medicaid and/or Medicare experience preferred.
Our Comprehensive Benefits Package: Flexible work solutions
including remote options, hybrid work schedules and dress
flexibility, Competitive pay, Paid time off including holidays,
Health insurance coverage for you and your dependents, 401(k) and
stock purchase plans, Tuition reimbursement and best-in-class
training and development.
Centene is an equal opportunity employer that is committed to
diversity, and values the ways in which we are different. All
qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, sexual orientation,
gender identity, national origin, disability, veteran status, or
other characteristic protected by applicable law.
Keywords: Oklahoma Complete Health, Lawton , Manager, Claims and Encounters, Executive , Lawton, Oklahoma
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