Conduent

Conduent

Operations Claims Processing Manager

Montgomery, AL, United States · Contract

Sponsorship not specifiedDetected 1 day ago
CompliancePerformance ManagementLeadershipClaims Management

About the role

  • The Operations Claims Processing Manager is responsible for leading all Medicaid Claims Processing operations and serves as the primary point of contact for claim-related operational functions.
  • This role provides leadership and oversight for Claims Resolution, Drug Rebate activities, Medical Policy, Financial Transactions, and Data Entry operations.

Responsibilities

  • This individual will drive process improvements, ensure SLA and KPI achievement, and maintain compliance with CMS regulations and Medicaid State Plan requirements.

Requirements

  • The ideal candidate is an experienced Medicaid operations leader with a strong background in claims processing, regulatory compliance, performance management, and operational excellence.

This listing is sourced directly from Conduent's careers page and normalized into a canonical job model.