Senior Manager in Claims Audit with Focus on Investigative Practices

Elevate your career in claims auditing as a Senior Manager dedicated to compliance and investigative practices. Leverage your leadership to drive team success in a hybrid environment.

As the Senior Manager for Claims Audit, you will lead the investigations into provider compliance and fraud detection across health and dental claims. This role empowers you to shape your team’s practices through coaching and optimizing operational processes. With a strong focus on collaboration and innovative problem-solving, you will enhance service delivery while fostering a positive team atmosphere.

Key Responsibilities:
• Lead audit and investigation operations ensuring quality standards
• Prioritize team workload and client service needs
• Create and refine guidelines for audits and investigations
• Mentor and train team members for professional growth
• Implement operational initiatives in Claims Audit Services

Requirements:
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