Healthcare Claims Supervisor

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $59.5k - $80.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

General Dynamics Information Technology

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1954

💼 Consulting

🏥 Healthcare

📦 Logistics

Consulting • Healthcare • Logistics

General Dynamics Information Technology is a company at the forefront of technological innovation, offering a wide range of services including consulting, digital modernization, and application services. The company is heavily involved in implementing solutions related to artificial intelligence, cloud computing, cybersecurity, high-performance computing, and quantum technologies. GDIT is committed to supporting government and defense sectors, providing mission-critical services such as logistics and supply chain management, intelligence, and homeland security. The company also focuses on diverse and inclusive hiring practices and actively promotes employee well-being. Through its digital accelerator solutions and pioneering use of emerging technologies, GDIT aims to propel agencies' missions forward and address complex technological challenges.

📋 Description

• Supervise day-to-day operations of a medical claims processing team reviewing, analyzing, and adjudicating professional, facility, and complex claims • Oversee workload distribution, staffing coverage, productivity expectations, and performance monitoring • Coach, mentor, and train staff on claims rules, system changes, policy updates, and adjudication procedures • Conduct quality reviews, identify error trends, and implement process improvements • Serve as a subject matter resource for escalations, benefit interpretations, complex claims, and policy questions • Ensure proper claim documentation, consistent policy application, and audit-ready recordkeeping • Collaborate with Medical Policy, Utilization Management, Finance, Provider Services, and Compliance teams • Track metrics and prepare reports on productivity, quality, timeliness, inventory aging, and issue trends • Support testing and validation of system updates, benefit modifications, policy changes, and workflows • Contribute to hiring, onboarding, performance evaluations, and staff development • Ensure compliance with HIPAA and program confidentiality requirements • Participate in operational redesign and continuous improvement initiatives • Support the World Trade Center Health Program, a limited federal healthcare program administered by NIOSH/CDC/HHS

🎯 Requirements

• 5+ years of experience in medical claims processing within a payer, TPA, or government healthcare environment • 2+ years of lead, senior, or supervisory experience supporting claims operations • Strong understanding of claims adjudication, reimbursement methodologies, and regulatory requirements • Knowledge of professional and facility claim formats, modifiers, bill types, and industry-standard adjudication rules • Proficiency with claims processing systems; Plexis is a plus • Strong analytical skills to interpret claims data, identify root causes, and resolve complex issues • Excellent communication skills for coaching staff and collaborating across operational teams • High attention to detail and commitment to accuracy and compliance • Ability to work independently and lead a remote or distributed team effectively • US citizenship is not required • MBI (T2) public trust requirement • Ability to complete the employer’s identity verification process and participate on camera during virtual interviews

🏖️ Benefits

• Comprehensive medical plan options, including plans with Health Savings Accounts • Dental plan options • Vision plan • 401(k) plan with pre-tax and post-tax contributions and company match • Full-flex work weeks where possible • Paid time off, including vacation, sick, personal, holiday, parental, military, bereavement, and jury duty leave • Typically 15 days of paid leave per calendar year • 10 paid holidays per year • Up to 160 hours of paid family leave in a rolling 12-month period for eligible employees • Short- and long-term disability benefits • Life insurance • Accidental death and dismemberment insurance • Personal accident insurance • Critical illness insurance • Business travel and accident insurance • AI-powered career tool identifying career steps and learning opportunities • Internal mobility team supporting career goals • Benefits and wellness packages • Remote work / telecommuting • Identity verification and security process