Job Description
Job Title:Claims Inventory Manager
Location:Remote (Up to 25% Travel)
Tax Term (W2, C2C):W2
Job Type (Permanent/Contract):Contract
Duration: Long Term
Description:
We are seeking an experienced Claims Inventory Manager with expertise in healthcare claims processing and Facets configuration. The ideal candidate will have a strong understanding of the claims lifecycle, the ability to bridge business and technical teams, and proven experience leading cross-functional initiatives in a healthcare environment.
Role and Responsibilities:
- Lead and coordinate healthcare claims inventory initiatives across business and technology teams.
- Manage and optimize healthcare claims processing throughout the claims lifecycle.
- Analyze Facets configuration and assess configuration impacts on business processes.
- Facilitate discussions between business stakeholders and technical teams to define and implement solutions.
- Coordinate cross-functional teams consisting of client and delivery resources.
- Manage competing priorities and adjust project plans based on business needs.
- Identify risks, dependencies, and business impacts while ensuring timely resolution.
- Facilitate stakeholder meetings, drive decision-making, and track action items.
- Ensure effective communication across business, operations, and technology teams.
- Support continuous process improvement initiatives within claims operations.
Required Skills:
- Healthcare Claims Processing
- Claims Lifecycle Management
- Facets Configuration
- Healthcare Operations
- Program/Project Coordination
- Cross-Functional Team Leadership
- Business & Technical Stakeholder Management
- Business Process Analysis
- Risk & Issue Management
- Requirements Gathering
- Communication & Facilitation
- Healthcare Domain
Qualifications:
- 12+ years of experience in healthcare claims operations or related roles.
- Strong knowledge of healthcare claims processing and the end-to-end claims lifecycle.
- Hands-on experience with Facets configuration and its business impact.
- Proven ability to lead cross-functional teams across business and technology organizations.
- Excellent stakeholder management, communication, and facilitation skills.
- Ability to manage multiple priorities in a fast-paced healthcare environment.
Numbers & Facts
| Location | Baltimore, MD (Remote) |
| Industry | Computer/IT Services |
| Salary | $90–$95 Per Hour |
| Company Size | 500 to 999 employees |
| Website | https://www.apolisrises.com/ |
Benefits
Paid Sick Days, Employee Referral Program, Employee Events, Retirement / Pension Plans
About Company
Since 1996, RJT has provided successful SAP, Oracle, and IT consulting solutions and staffing services to clients around the world. The new Apolis brings you the same personalized service fortified with a greater array of IT solutions, global expertise, and cost-management strategies.
We are a global IT consultancy that seamlessly integrates experts and leading-edge solutions into your organization so you can focus on what really matters.