NJDA Career Center
Claims Manager
Universal Health Services, Inc.
Founded in 1978, Universal Health Services, Inc. (UHS)* is one of the nation's largest and most respected healthcare management companies, operating through its subsidiaries-acute care hospitals, behavioral health facilities and ambulatory centers nationwide. With more than 74,000 people employed by UHS subsidiaries, UHS's business strategy is to continue to grow by building or purchasing healthcare facilities across the country, while continuing to strengthen UHS's well-reputed franchise with its customary exceptional service and effective cost control. Our success is driven by a service philosophy based on integrity, competence, compassion, and a responsive management style. UHS has been recognized as a Fortune 500 company and is listed as one of Fortune's Most Admired Companies. UHS's Acute Care Division is comprised of 25 high performing hospitals and several ambulatory care facilities across the nation and prides itself on providing superior patient care. Prominence Health Plan, established in Reno in 1993 as St. Mary's Health Plan, was acquired in 2014 by Universal Health Services (UHS), one of Fortune Most Admired Companies. In addition to the HMO, Prominence Health Plan also offers Point of Service health plans, a preferred health insurance company that offers Preferred Provider Organization (PPO) health plans, and CDS Group Health, a third-party administrator. We are a fast-growing, rapidly-changing healthcare organization offering the excitement of a start-up with the support of a Fortune 500 company. We are looking for talented, enthusiastic people to help shape the future of our organization. Job Summary: This Manager of Claims reports directly to the Director of Operations and is responsible for the claims' department. Provides training to staff in accordance with contracts, rules, regulations, company policies and procedures Manager is responsible for ensuring high performance levels for department in compliance with employer service level agreements as well as identifying and implementing process improvement activities to assure compliance with standards set forth by the DOI and ERISA. The Manager is responsible for the implementation process for their department and overall administration of the code auditing software for the claims processing system.
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