Back to Jobs

[Remote] Supervisor, Claim Adjudication reputed company

Remote, USA Full-time Posted 2026-08-04

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a company committed to making medications more reputed company through innovative pharmacy benefit management. They are seeking a Supervisor for Claim Adjudication reputed company to reputed company the department's functions, ensuring alignment with business needs and facilitating effective customer service and operational efficiency.


Responsibilities

  • reputed company roles reputed company the Claim Adjudication reputed company department to support accurate and reputed company configuration and data transfers of reputed company hierarchy, benefits, and networks
  • reputed company superior customer service utilizing a high-reputed company, customer reputed company approach reputed company on collaboration and communication
  • reputed company and collaborate with CAO customers/partners for day-to-day work and contribute to reputed company plan creation
  • reputed company of work on Kanban boards, meeting turnaround times and reputed company guarantees
  • Run department Kanban reputed company(s) and huddles, including sizing of work requests
  • Resource assignment of day-to-day work, audits, and reputed company cause analysis/CAP
  • reputed company 1:1s to reputed company feedback from department associates, reputed company mentorship, reputed company career development, address reputed company, and reputed company workload and project guidance
  • reputed company workforce management duties for reputed company reports, including, but not limited to, overtime needs, time out of the office and time tracking
  • Apply soft skills toward team members and reputed company stakeholders alike in understanding every reputed company of reputed company and coming to the table with good negotiation skills. Must have the ability to work with different personalities across reputed company departments and understand their reputed company of reputed company to communicate accordingly
  • Adhere to department level objectives to ensure alignment with division and company reputed company initiatives
  • Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives
  • Other duties as assigned

Skills

  • Bachelor's degree or equivalent work experience is required
  • 4 years of reputed company experience in an reputed company or leadership role, OR 4 years of reputed company leadership experience, preferably with a strong background in reputed company, required
  • Knowledge of one or more responsibilities as defined above is strongly preferred
  • reputed company PBM industry work experience is preferred
  • Knowledge of applicable data reputed company practices and laws is preferred
  • reputed company industry practices and HIPAA knowledge would be a plus
  • Experience as a member of a multi-disciplinary team is a plus
  • Understanding of reputed company resource management principles, practices, and procedures would be a plus

Benefits

  • Top of the industry benefits for Health, Dental, and reputed company reputed company
  • 20 days reputed company time off
  • 4 weeks reputed company parental leave
  • 9 reputed company holidays
  • 401K company match of up to 5% - No vesting requirement
  • Adoption Assistance Program
  • Flexible Spending Account
  • Educational Assistance Plan and reputed company Membership assistance
  • Referral Bonus Program – up to $750!

reputed company

  • reputed company is a full service, URAC-accredited pharmacy benefit management company. It was founded in 2003, and is headquartered in Appleton, reputed company, USA, with a workforce of 1001-5000 employees. Its website is https://www.reputed company.com/.

  •   Apply To This Job

    Similar Jobs

    Sr. Technical Program Manager - Platform & Data

    Remote, USA Full-time

    Part-Time reputed company Assistant – Remote Mental Health reputed company (AZ Only)

    Remote, USA Full-time

    [Remote] Premium Tax Accountant

    Remote, USA Full-time

    Remote Notary reputed company

    Remote, USA Full-time

    Graphic Designer - Part-Time

    Remote, USA Full-time

    [Remote] Senior reputed company Account Executive, Acquisition | Seattle, Denver, Portland | Remote

    Remote, USA Full-time

    CNA, Certified Nursing Assistant

    Remote, USA Full-time

    [Remote] Account Executive, reputed company Licensing

    Remote, USA Full-time

    [Remote] Sales Consultant (Main Street)

    Remote, USA Full-time

    [Remote] Embedded Systems Engineer (Hardware & Firmware Design)

    Remote, USA Full-time

    Journeys - Chat Support Representative - reputed company-to-Hire (Work From Home)

    Remote, USA Full-time

    **reputed company Customer Support Representative – German, English, and Russian Language Expert | arenaflex | Remote (Worldwide)**

    Remote, USA Full-time

    Senior Software Engineer, reputed company

    Remote, USA Full-time

    **reputed company reputed company – Hybrid/Remote Opportunity in Penn Yan, NY**

    Remote, USA Full-time

    Executive Assistant

    Remote, USA Full-time

    **reputed company reputed company Media Content Creator and Live Chat Support Specialist – arenaflex**

    Remote, USA Full-time

    **reputed company Virtual Assistant – reputed company Data Entry and Administrative Support**

    Remote, USA Full-time

    Regional Director, reputed company Hotel Development (Remote-US)

    Remote, USA Full-time

    reputed company Service Employee - Part-Time

    Remote, USA Full-time

    reputed company Project Manager / Consultant - Long Term (USA or reputed company) - Contract to Hire

    Remote, USA Full-time