Director, HMO Claims Services
 Scripps Health | |
 United States, California, San Diego | |
 Nov 17, 2024 | |
|
Description
This is a full-time leadership position, eligible for Scripps Health annual Management Incentive Compensation Plan. This position is partial remote and located in San Diego and does require residence in San Diego. The weekly schedule will be 2 days in the office and 3 days remote. Join the Scripps Health team and work alongside passionate caregivers and provide patient-centered healthcare. Receive endless appreciation while you build a rewarding career with one of the most respected healthcare organizations nationwide. Why join Scripps Health? AWARD-WINNING WORKPLACE:
The Director of HMO Payment (Claims) Services for Scripps Health Plan, leads claims payment team and ensures accurate and timely payment of provider and institutional claims. Candidate will manage successful Plan and DMHC Audit performance, staff education and training, and manages PDR process. This individual will interface with all MSO and Plan departments to ensure proper workflow and serve as SME for IS implementations and reporting. (This is not a revenue cycle - claims billing position) Successful candidate will demonstrate:
#LI-JS1 Qualifications
Required Education/Experience/Specialized Skills:
Preferred Education/Experience/Specialized Skills/Certification: .
Job
:
Finance
Primary Location
:
Central San Diego County-SAN DIEGO-SCRIPPS HEALTH PLAN SERVICES
Work Locations
:
SCRIPPS HEALTH PLAN SERVICES
10790 RANCHO BERNARDO ROAD 4S-300
SAN DIEGO
92127 Organization
:
Scripps Health Corp
Job Posting
:
Nov 13, 2024, 4:21:21 PM
Benefit Status
:
FT - FULL-TIME WITH BENEFITS
Minimum Rate (USD)
:
67.29
-
Maximum Rate (USD)
:
99.80
In compliance with the California Pay Transparency Act, Scripps Health posts the pay range for all jobs. Please note that actual pay will be determined based on relevant experience and internal equity within the pay range. Please also note this range is applicable for employees who reside in California only. A geographical pay differential may be applied for remote employees who reside out of state. Scripps Health strives to ensure that our employees receive equal pay for equal work in line with our commitment to being an equal opportunity employer.
Scripps Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with disability. | |