Claims Manager
Sidecar Health is redefining health insurance. Our mission is to make excellent healthcare affordable and attainable for everyone. We know that to accomplish this lofty mission, we need driven people who will make things happen.
The passionate people who make up Sidecar Health’s team come from all over, with backgrounds as tech leaders, policy makers, healthcare professionals, and beyond. And they all have one thing in common—the desire to fix a broken system and make it more personalized, affordable, and transparent.
Sidecar Health has raised more than $175M from top-tier investors. The company is currently valued at over $1B—and growing quickly. Our membership has increased sharply in the two short years we’ve been on the market, and we’re poised for rapid growth over the coming year.
If you want to use your talents to transform healthcare in the United States, come join us!
About the Role
The Claims Manager will be responsible for oversight of day-to-day operations of the claims department, including claims evaluation, adjudication, auditing, performance management, staffing, training, personnel development and the identification and implementation of quality improvement initiatives. The claims manager is also responsible for leading the claims team in the successful completion of daily tasks, and charged with ensuring that all tasks meet the requirements mandated by existing policies and procedures, requirements mandated by contracted health plans, state health care agencies, and the Centers for Medicare and Medicaid Services (CMS)
What You'll Do
- Responsible for quality and performance metrics of the processing team and performance management
- Manage claims projects as assigned by claims director
- Draft and maintain documentation, including policies & procedures, workflows pertaining to claims operations, and encounter data collection and submission
- Ensure that claims payment system data and processes are properly maintained and up to date, such as fee schedules or provider billing information
What You'll Bring
- Certified medical coder (AAPC) and management experience
- Willingness and ability to work in a fast-paced startup environment
- Compassionate, empathetic, detail-oriented, computer literate
- Strong interpersonal communication skills; effectively communicates in verbal and written form
- Outstanding customer service experience
- High School Diploma (or equivalent)
- Experience in healthcare/insurance
What You'll Get
- Comprehensive Medical, Dental, and Vision benefits
- Paid vacation and company holidays
- Opportunity to make an impact at a rapidly growing mission-driven company transforming healthcare in the U.S.
Sidecar Health is an Equal Opportunity employer committed to building a diverse team. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.