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Manager Physician Practice Operations Gynecological Oncology
Ascension
Jacksonville, FL
Oversee all daily practice site operations, managing staff, patient flow, and site policies.
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Loan Servicing Manager
TEKsystems
Durant, OK
- $125,000 to $150,000 USD / year
We are seeking an experienced Loan Servicing Manager to lead the daily operations, processes, risk controls, and team performance of a growing loan servicing department.This role is ideal…
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Merchandising Part Time Days
Lowes
Chantilly, VA
- Part-time
As a Lowe's Merchandising Services Associate, you are a key connection point between Merchandising and Store Operations, allowing us to deliver a great shopping experience in every Lowe's…
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Principal, Trade Relations Rebate Economics
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Remote, United States
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Sr Program Manager
Sierra Nevada Corporation
Sparks, NV
…fast-paced and rewarding organization? Join us! As a Sr Program Manager at SNC, you will oversee the integration and management of multiple large-scale projects or one highly complex…
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Wake Forest University
Winston Salem, NC
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Field Engineer
RNGD
Metairie, LA
The Field Engineer serves as a key connection between project management and field operations, helping ensure project information is accurate, current, organized, and communicated to the…
Added 1 min ago
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PCBA Operator I
Hach Company
Loveland, CO
- $19 to $20.82 USD / hour
…where you’ll have opportunities to foster your professional development and fuel your career…
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2026 Management & Sales Training Program (Milwaukee)
Sherwin-Williams
Milwaukee, WI · Wauwatosa, WI · Bayside, WI · Beaver Dam, WI · Brookfield, WI · Cudahy, WI · Saukville, WI · Shorewood, WI · Watertown, WI · Delafield, WI · Fort Atkinson, WI · Glendale, WI · Grafton, WI · Hartford, WI · Kenosha, WI · Lake Geneva, WI · Menomonee Falls, WI · Mequon, WI · Mukwonago, WI · Muskego, WI · Oak Creek, WI · Oconomowoc, WI · Pewaukee, WI · Pleasant Prairie, WI · Racine, WI
…million-dollar business, providing leadership and insight into the development and strategy of that store. Through the course of the program, you will learn all operations, clients, and…
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2027 Procurement Intern - Brecksville, OH
Sherwin-Williams
Brecksville, OH
Position Responsibilities include, but are not limited to, assisting the Procurement Manager with:
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Merchandise Assortment Planner
Lowes
Mooresville, NC
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Associate Design Strategist
Trustees of University of Pennsylvania
United States
…collaborators both internal and external to the University. Leads development of study protocols, managing the detailed operations of projects, analyzing qualitative and quantitative data,…
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Clinical Research Coordinator B/C
Trustees of University of Pennsylvania
United States
The CRC will assume responsibility for day-to-day study operations with oversight by the study’s project manager and Principal Investigator, Dr. George Anesi. Over time, and with success…
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Full Time - Merchandising Service Associate - Day
Lowes
Glen Carbon, IL
- $15 to $15.6 USD / hour
- Full-time
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Night Operations Department Supervisor
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Cincinnati, OH
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Full Time - Merchandising Service Associate - Day
Lowes
Ware, MA
- $16 to $16.65 USD / hour
- Full-time
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Merchandise Assortment Planner
Lowes
Mooresville, NC
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Pharmacy Manager
Walgreens
CROSS PLAINS, WI
- $67.05 to $90.55 USD / hour
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Shift Lead
Walgreens
SHEPHERDSTOWN, WV
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Assists manager or assistant store manager in reviewing order exceptions on order release day and assists in reverse logistics (e.g., 1506, returns, empty package).
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Certified Pharmacy Technician
Walgreens
LOGAN, WV
- $17.5 to $21 USD / hour
Performs duties as assigned by Pharmacy Manager, Staff Pharmacist and Store Manager including utilizing pharmacy systems to enter patient and drug information, ensuring information is…
Added 1 min ago
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Pharmacy Technician / Pharm Tech Apprenticeship
Walgreens
LOGAN, WV
- $16.5 to $20 USD / hour
Performs duties as assigned by Pharmacy Manager, Staff Pharmacist and Store Manager including utilizing pharmacy systems to enter patient and drug information, ensuring information is…
Added 1 min ago
Emerging Store Manager
Walgreens
RICHMOND, VA
…external partnerships and services as a resource for Pharmacy Operations Manager in seeking community outreach…
Added 1 min ago
Emerging Store Manager
Walgreens
MIDLOTHIAN, VA
…external partnerships and services as a resource for Pharmacy Operations Manager in seeking community outreach…
Added 1 min ago
Emerging Store Manager
Walgreens
RICHMOND, VA
…external partnerships and services as a resource for Pharmacy Operations Manager in seeking community outreach…
Added 1 min ago
Emerging Store Manager
Walgreens
PETERSBURG, VA
…external partnerships and services as a resource for Pharmacy Operations Manager in seeking community outreach…

Amerihealth Caritas

Manager Claims

United States

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Job details

Posting language: English
Posted: Nov 6, 2026

Original job description

Role Overview:

The Manager of Claims is responsible for overseeing and coordinating operational activities within the Claims Unit, including claims processing, provider claims services, research, and projects.

Manages day-to-day departmental operations and ensures priorities and tasks are completed accurately and on time.
Identifies and resolves operational issues using established processes, subject matter expertise, and sound judgment.
Ensures departmental performance standards and Service Level Agreements (SLAs) are consistently met.
Coaches and develops team members to meet or exceed individual and departmental performance goals.
Monitors employee performance and makes recommendations and decisions regarding promotions and disciplinary actions.
Assists with the development and management of the department's operating budget.
Identifies opportunities to control costs, increase productivity, improve quality, and enhance revenue.
Manages the hiring and onboarding of operations associates.
Provides ongoing coaching, career development, and professional development opportunities for new and existing team members.
Maintains knowledge of industry trends, regulatory requirements, and developments within areas of responsibility and communicates relevant updates to the team.
Supports and manages internal and customer-initiated audits, regulatory reviews, and customer certifications, including HEDIS and NCQA.
Manages operational programs and reporting to identify opportunities to improve production, quality, and overall performance.
Partners with Workforce Management to ensure staffing resources are appropriately allocated based on production needs and SLA requirements.

Education & Experience

Bachelor's degree or equivalent combination of education and relevant work experience required.
Minimum of 3 years of experience in healthcare, managed care, or the insurance industry required.
Minimum of 5 years of management experience required.
Previous claims management experience required.

Our Comprehensive Benefits Package:

Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid time off, holidays and volunteer events, health insurance coverage for you and your dependents starting Day 1, 401(k) retirement savings plan, tuition reimbursement, and more. Why Join Us: Your career starts now. We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together, we can build healthier communities. If you are driven to make a difference, we want to hear from you. About AmeriHealth Caritas Headquartered in Newtown Square, Pennsylvania, AmeriHealth Caritas is a mission-driven organization with over 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. Our services include integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at http://www.amerihealthcaritas.com