Medical claims manager

About This Role

The Claims Manager exists to lead a high-performing team that helps members navigate billing, reimbursement, and claims challenges with clarity and confidence.

In this role, you will:

• Lead and develop the Claims team to deliver exceptional member support
• Oversee claims operations while ensuring accuracy, compliance, and efficiency
• Drive scalable processes and partner cross-functionally to improve outcomes

This is a hands-on leadership role for someone who:

• Thrives in building and leading strong teams
• Enjoys solving complex operational and billing challenges
• Keeps the member experience at the center of every decision

What You’ll Do

In this role, you will:

• Own: Team performance, structure, and daily operations of the Claims function
• Lead: Team development, coaching, goal-setting, and performance management
• Oversee: The full lifecycle of provider claims including submissions, adjudication, appeals, and dispute resolution
• Ensure: Compliance with plan benefits, regulatory requirements, and internal SOPs through audits and oversight
• Support: Members directly with escalated billing and claims issues, providing clear and empathetic communication
• Collaborate with: Internal teams including Claims, Care Logistics, and Client Success to ensure seamless coordination and resolution
• Improve: Processes, workflows, and outcomes by identifying trends and reducing repeat issues
• Track: Performance through KPIs such as speed to process, appeals rates, and negotiation success

A strong performer in this role is known for:

• Building high-performing, accountable teams
• Bringing clarity to complex billing and claims situations
• Driving operational excellence while maintaining empathy for members
• Using data and insights to continuously improve processes

How Success Is Measured

Success in this role is measured by:

• Team performance and development
• Accuracy and efficiency in claims processing and resolution
• Member satisfaction and confidence in billing support
• Improvement in key metrics (speed, appeals rates, outcomes)
• Strong collaboration across departments

What We’re Looking For

We’re looking for someone who:

• 5+ years in a supervisory or managerial role
• Experience in healthcare billing, reimbursement, or claims (Preferred)
• Proven leadership skills and operational excellence
• Strong communication and analytical thinking skills
• A customer-first mindset with a passion for solving complex problems
• A hands-on, collaborative leadership approach

Must be based in the Phoenix, AZ area or able to reliably commute to an in-person work environment.

Why Join Redirect Health

What “Free Healthcare” Actually Means When we say free, we mean no money out of your paycheck and no cost when you need care:

• No monthly premiums
• No cost to add your spouse or children
• No deductibles (we reimburse them)
• No out-of-pocket maximums

This benefit alone can save families tens of thousands of dollars.

What You’ll Earn

Salary: $70,000 per year

• FREE healthcare for you and your entire family
• Dental & Vision insurance
• Paid time off & sick time
• 401(k) access
• A mission-driven team that believes in doing the right thing

This is an in-person position located in Phoenix, AZ

Ready to Make a Difference?

If you’re looking for more than just a job—and want to help reshape how healthcare works for families—we’d love to hear from you.

Legal Stuff

Redirect Health is an Equal Opportunity Employer (EOE). Employment with Redirect Health is at-will. Nothing in this job posting or the application process creates a contract or guarantee of employment. Please note this job description is not designed to contain a comprehensive listing of activities, duties, or responsibilities required for this role. Duties, responsibilities, and activities may change at any time with or without notice. Redirect Health does not provide employment-based visa sponsorship now or in the future for this position. Applicants must be currently authorized to work in the United States without sponsorship.