Healthcare Claims Supervisor

General Dynamics Information Technology

. Supervise day-to-day operations of a medical claims processing team reviewing, analyzing, and adjudicating professional, facility, and complex claims .

Posted 9/17/2026full-timeRemote • United StatesMid-LevelSenior💰 $59,500 - $80,500 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in medical claims processing, including adjudication, compliance with HIPAA, and operational leadership. Proven ability to analyze claims data, implement process improvements, and mentor staff in a healthcare environment.

Highest-signal resume keywords

Medical Claims ProcessingClaims AdjudicationRegulatory ComplianceClaims Processing SystemsAnalytical Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AdjudicationReimbursement MethodologiesClaims FormatsModifiersBill TypesProcess ImprovementQuality ReviewData AnalysisPerformance MonitoringDocumentation

Soft Skills

CoachingMentoringCommunicationAttention to DetailLeadership

Tools & Technologies

Claims Processing SystemsPlexis

Certifications & Qualifications

MBI (T2) Public Trust Requirement

Industry Keywords

HealthcarePayerTPAGovernment HealthcareHIPAAOperational RedesignContinuous ImprovementWorld Trade Center Health Program

About the role

Key responsibilities & impact

Supervise day-to-day operations of a medical claims processing team reviewing, analyzing, and adjudicating professional, facility, and complex claims
Oversee workload distribution, staffing coverage, productivity expectations, and performance monitoring
Coach, mentor, and train staff on claims rules, system changes, policy updates, and adjudication procedures
Conduct quality reviews, identify error trends, and implement process improvements
Serve as a subject matter resource for escalations, benefit interpretations, complex claims, and policy questions
Ensure proper claim documentation, consistent policy application, and audit-ready recordkeeping
Collaborate with Medical Policy, Utilization Management, Finance, Provider Services, and Compliance teams
Track metrics and prepare reports on productivity, quality, timeliness, inventory aging, and issue trends
Support testing and validation of system updates, benefit modifications, policy changes, and workflows
Contribute to hiring, onboarding, performance evaluations, and staff development
Ensure compliance with HIPAA and program confidentiality requirements
Participate in operational redesign and continuous improvement initiatives
Support the World Trade Center Health Program, a limited federal healthcare program administered by NIOSH/CDC/HHS

Requirements

What you’ll need

5+ years of experience in medical claims processing within a payer, TPA, or government healthcare environment
2+ years of lead, senior, or supervisory experience supporting claims operations
Strong understanding of claims adjudication, reimbursement methodologies, and regulatory requirements
Knowledge of professional and facility claim formats, modifiers, bill types, and industry-standard adjudication rules
Proficiency with claims processing systems; Plexis is a plus
Strong analytical skills to interpret claims data, identify root causes, and resolve complex issues
Excellent communication skills for coaching staff and collaborating across operational teams
High attention to detail and commitment to accuracy and compliance
Ability to work independently and lead a remote or distributed team effectively
US citizenship is not required
MBI (T2) public trust requirement
Ability to complete the employer’s identity verification process and participate on camera during virtual interviews

Benefits

Comp & perks

Comprehensive medical plan options, including plans with Health Savings Accounts
Dental plan options
Vision plan
401(k) plan with pre-tax and post-tax contributions and company match
Full-flex work weeks where possible
Paid time off, including vacation, sick, personal, holiday, parental, military, bereavement, and jury duty leave
Typically 15 days of paid leave per calendar year
10 paid holidays per year
Up to 160 hours of paid family leave in a rolling 12-month period for eligible employees
Short- and long-term disability benefits
Life insurance
Accidental death and dismemberment insurance
Personal accident insurance
Critical illness insurance
Business travel and accident insurance
AI-powered career tool identifying career steps and learning opportunities
Internal mobility team supporting career goals
Benefits and wellness packages
Remote work / telecommuting
Identity verification and security process