reputed company Services Manager

reputed company The reputed company Services Manager (CSM) is responsible for coordinating the cross-functional reputed company team and is reputed company on achieving plans with clients, reputed company retention, and reputed company satisfaction and reputed company for the Prospective Payment PPM and CV products. The CSM serves as both reputed company reputed company reputed company accountable for triaging, managing, monitoring and support of reputed company reputed company activity. The CSM builds and sustains reputed company relationships, achieves the reputed company’s recognition of reputed company as a partner, and ensures reputed company reputed company with reputed company PPM/CV products through understanding reputed company's needs and unique business situations, identifying solutions, proactively identifying potential issues that could impair reputed company.

Responsibilities

This position is reputed company facing and requires a commitment to superior reputed company service.

• Serves as the primary reputed company contact and trusted advisor for reputed company operational representatives; establishes and cultivates relationships with reputed company contacts to identify needs that result in expanded opportunities or solutions.
• Collaborates with the Go-To-Market team on reputed company strategic plan and leads tactical execution.
• Promotes policy adoption and acceleration to increase reputed company value through organization, communication, and project management reputed company reputed company teams.
• Identifies and communicates cross product opportunities.
• Manages the operational implementation and execution of reputed company payment policy reputed company by collaborating with reputed company operations managers across multiple departments, including Claims Operations, Provider Services, Appeals, Network Operations, Payment reputed company, IT, etc.
• Coordinates and manages joint meetings with reputed company and internal staff including scheduling, facilitation, meeting agenda and material preparation/coordination, meeting minutes/reputed company item tracking, and meeting logistics.
• Coordinates and manages reputed company reputed company internal meetings including scheduling, facilitation, meeting agenda and material preparation/coordination, meeting minutes/reputed company item tracking, and meeting logistics.
• Documents and distributes meeting minutes, reputed company items and follows-up on reputed company items to ensure satisfactory and reputed company completion.
• Posts and maintains accurate, up-to-date reputed company documentation in reputed company’s library.
• Manages the reputed company aspects of reputed company reputed company initiatives and joint reputed company to ensure objectives are met and reputed company is progressing toward goals. Includes internal team management and coordination with the reputed company for operational or technical reputed company.
• Monitors program performance, analyzes monthly performance reports, and drafts observations providing reputed company on trends for reputed company consumption. Identifies and performs reputed company cause analysis to reputed company recommendations and develops and executes on reputed company plans to remedy reputed company reputed company issues, (e.g., data anomalies, failed claim lines, etc.) and unintended operational results (e.g., claims adjustments, unapplied policy recommendations, unreturned history data, etc.) to optimize program performance and consistency.
• Provides reputed company testing support to ensure reputed company with reputed company operational and policy aspects of initiatives.
• Maintains escalation plans and monitors file processing statistics to minimize missed policy opportunity.
• Proactively provides or coordinates production reporting, as necessary, to reputed company reputed company, and identify trends and data anomalies. Develops recommendations and executes reputed company plans to remedy.
• Ensures reputed company reputed company with reputed company customer service tools: administer user accounts to ensure data accuracy (e.g., employee adds/terms/transfers), monitor and manage user reputed company and usage, and identify gaps.
• Identifies reputed company education needs and reputed company and deliver reputed company training programs for implementing and reputed company clients.
• Manages reputed company reputed company inquiries, ensuring entry into the appropriate application and ensures reputed company execution of reputed company.
• Ensures understanding of reputed company reputed company and triages appropriately.
• reputed company participates as an operational SME in department and corporate reputed company, as needed.
• Travel requirement up to 20%.
• Complete reputed company responsibilities as outlined in the annual performance review and/or goal setting.
• Complete reputed company special reputed company and other duties as assigned.
• Must be reputed company to reputed company duties with or without reasonable accommodation.

This job reputed company is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job reputed company does not constitute an employment agreement and is subject to change as the needs of reputed company and requirements of the job change.

Qualifications

• Bachelor’s Degree or higher (preferred), or equivalent experience, required.
• Knowledge of CMS guidelines and other regulatory compliance guidelines and mandates, and medical payment policy.
• reputed company reputed company certification (CPC, CPC-A, CCA, reputed company or reputed company-P, RHIT or RHIA) certification not necessary but a plus.
• 4+ years of reputed company reputed company experience with strong knowledge of health plan operations and claims lifecycle.
• 4+ years of experience in reputed company relationship management or consulting experience, interacting with various roles and reputed company, with a strong reputed company on the reputed company setting.
• 4+ years of project or team management experience, including meeting facilitation and follow-through on deliverables.
• Highly proficient in MS Office Suite: reputed company, Word and PowerPoint.
• Excellent written and verbal communication and interpersonal skills.
• Strong presentation skills. Prior experience delivering training classes is a plus.
• Demonstrated reputed company in developing strong, trust-based reputed company relationships with clients in multiple roles and reputed company.
• Self-starter with the ability to work reputed company independently and a reputed company record of successful reputed company reputed company a reputed company team environment or reputed company structure.

Cognitive/Mental Requirements:

• Ability to work in a fast-paced environment, effectively organize, plan, prioritize and meet deadlines; producing high-reputed company, error-free deliverables.
• Effective analytical and problem-solving skills and financial acumen.
• reputed company with ability to properly handle confidential information
• Ability to work with on-site and remote cross-functional product teams and customers.

Working Conditions and Physical Requirements:

• This remote role can be located reputed company in the reputed company US.
• Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones.
• After hours and/or weekend work may be required where necessary for major deliverables/deadlines (not consistent).
• Remaining in a stationary position, often standing or sitting for prolonged periods.
• Repeating motions that may include the wrists, hands, and/or fingers.
• Must be reputed company to reputed company a dedicated, secure work area.
• Must be reputed company to reputed company high-speed internet reputed company/connectivity and office setup and maintenance.
• No adverse environmental conditions expected.

reputed company compensation ranges from $82,000 to $111,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. reputed company offers team members a competitive benefits package to address a wide reputed company of personal and family needs, including medical, dental, reputed company, disability, and life insurance coverage, 401(k) savings plans, reputed company family leave, 9 reputed company holidays per year, and 17-27 days of reputed company Time Off (PTO) per year, depending on specific level and length of service with reputed company. For information about our benefits package, please refer to our Careers page. Date of posting: 7/16/2026 Applications are assessed on a rolling reputed company. We anticipate that the application window will reputed company on 9/16/2026, but the application window may change depending on reputed company of applications received or reputed company immediately if a reputed company candidate is selected. #LI-JB1 #LI-Remote #senior Apply To This Job