Claims Processing Director jobs in Wasilla, AK

Claims Processing Director plans and directs one or more departments responsible for administration of health insurance claims, payment processing, billing research, and responding to inquiries. Establishes and implements organizational policies and procedures; may offer guidance on the appropriate handling of complex or high-value claims. Being a Claims Processing Director develops and executes strategic business plans for the department. Coordinates operations with other areas of the organization. Additionally, Claims Processing Director requires a bachelor's degree. Typically reports to top management. The Claims Processing Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Claims Processing Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)

Recently Added Claims Processing Director jobs

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Advanced Practice Nurse (Nurse Practitioner)
  • U.S. Military Entrance Processing Command
  • Anchorage, AK FULL_TIME

  • Duties

    • Perform applicant physical examinations in accordance with agency standards and assist with applicant medical processing at a Military Entrance Processing Station (MEPS).
    • Ensure the confidentiality of applicants is respected and that professionalism is maintained at all times in the medical department.
    • Perform applicant medical prescreening as directed by the Chief Medical Officer.
    • Conduct complete face-to-face medical histories on applicants who have completed the prescreen process and have been authorized to process.
    • Complete all computer and non-computer based medical documentation in accordance with the Command's software packages and policies.
    • Verify problems or conditions alleged by the examinees and recommend to Command physicians if a more detailed physical exam of problem areas is required.
    • Prepare electronic and non-electronic documentation used to assess the applicant’s mental and physical fitness for service in the military.
    • Perform physical inspections of previously qualified applicants to document their status for meeting standards at the time of actual enlistment on active duty and at any other time as required.
    • Perform a variety of professional direct health care duties within the field of general medicine.

    Requirements

    Conditions of Employment

    • Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
    • Possess and maintain a current, active, valid, and unrestricted license as a registered nurse and APRN or APRN as required by the state issuing the license.
    • Possess and maintain a National Board Certification as a Family, Adult, Adult-Gero, Adult-Gero Acute Care or Acute Care Nurse Practitioner.
    • Possess and maintain current certifications/licensure in a state, U.S. territory, or the District of Columbia, Basic Life Support (BLS) certification.
    • May be required to work on Saturdays and/or shift work (work before 0600 or after 1800 hours).
    • Term employment is subject to a one year trial period.
    • May require up to 25% temporary duty travel to other MEPS to cover staffing shortages.
    • This position is a Testing Designated Position (TDP) subject to applicant testing and random drug testing.
    • Credentialing will be required.
    • Successful completion of applicable Military Health System (MHS) GENESIS Training is required in order to access the MHS GENESIS System within 30 days of on-boarding and/or as required.
    • Public Law 101-647, Section 321 and Public Law 102-190, Section 1094 require the successful completion of a Criminal History Background Check to maintain the position for which hired.
    • This position requires a National Agency Check with Written Inquiries (NACI).
    • Must be able to pass a color perception (vision) examination.
    • Pre-Employment physical is required.

    Qualifications

    This is an open continuous announcement, meaning that several vacancies may be filled throughout the announcement period. As applicants apply, a pool of candidates is generated. Once a vacancy occurs, candidates will be reviewed for qualifications and referred to the hiring manager for consideration. The first cutoff date is April 27th, 2024. Additional cutoffs will occur as vacancies are identified, upon request of management or until position(s) are filled.

    Who May Apply: US Citizens

    This is a Term position scheduled to last two (2) years. A term position may be extended to a maximum of eight (8) years depending upon the needs of management.

    Current Federal Employees who accept a TERM appointment will be separated at the end of the TERM appointment date if the Not-to-Exceed (NTE) date is not extended. There are no return/reemployment rights to the position vacated prior to accepting the TERM appointment.

    In order to qualify, you must meet the education and/or experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document.

    Basic Requirements for Advanced Practice Nurse (Nurse Practitioner):

    Education: A graduate or higher level degree in nursing from an accredited educational program in the area of expertise or specialty indicated by the position. (Areas of specialties for positions include, but are not limited to, Acute Care, Anesthesia, Community Health, Family, Geriatric, Home Health, Midwifery, Neonatal, Oncology, Pediatric, Psychiatric, Allergy and Immunology, Women's Health, Cardiovascular, Dermatology, Occupational
    Health, Orthopedic, Respiratory, or other specialties identified for the position.)

    This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. (Note: You must attach a copy of your transcripts.)

    Foreign Degree: Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools. (Note: You must attach a copy of your Commission on Graduates of Foreign Nursing Schools certification.)

    Licensure: Applicants must have passed the National Council Licensure Examination and possess a current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. (Note: You must attach a copy of your license or registration.)

    Additional Licensure Requirement: Applicants must possess licensure or registration by a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States in the clinical specialty required by the position. (Note: You must attach a copy of your license or registration.)

    Exemption: You are exempt from the basic requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet the requirements below. (Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status.)

    **Some states require a collaborative practice agreement for individuals hired outside of their state of licensure.**

    Degree or diploma from a professional nursing program approved by the legally designated State accrediting agency at the time the program was completed by the applicant.

    Active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.

    In addition to meeting the basic requirements above, to qualify for this position you must also meet the qualification requirements listed below:

    Professional Nursing Experience: One or more full years of professional nursing experience equivalent to the GS-12 grade level in the Federal service which includes: 1) Providing and/or coordinating patient care; 2) Conducting screening examinations; 3) Ordering and/or reviewing diagnostic tests to treat health conditions; and 4) Maintaining patient medical records. This definition of professional nursing experience is typical of work performed at the next lower grade/level position in the federal service (GS-12).

    Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone-no substitution of education for professional nursing experience is permitted.

    Education

    FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/

    Additional information

    • Male applicants born after December 31, 1959, must complete a Pre-Employment Certification Statement for Selective Service Registration.
    • You will be required to provide proof of U.S. Citizenship.
    • One year trial/probationary period may be required.
    • Direct Deposit of Pay is required.
    • Selection is subject to restrictions resulting from Department of Defense referral system for displaced employees.
    • If you have retired from federal service and you are interested in employment as a reemployed annuitant, see the information in the Reemployed Annuitant information sheet.
    • This is a Medical Career Field position.
    • Multiple positions may be filled from this announcement.
    • Salary includes applicable locality pay or Local Market Supplement.
    • Payment of Permanent Change of Station (PCS) costs is not authorized, based on a determination that a PCS move is not in the Government interest.
    • A relocation and/or recruitment incentive may be authorized.
    • Superior Qualifications may be authorized.
    • Credit for Prior Non-Federal Work Experience and Certain Military Service for Determining Annual Leave Accrual Rate may be authorized.

    • Benefits

      A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

      Review our benefits

      Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

    How You Will Be Evaluated

    You will be evaluated for this job based on how well you meet the qualifications above.

    Once the announcement has closed, a review of your application package (resume, supporting documents, and responses to the questionnaire) will be used to determine whether you meet the qualification requirements listed on this announcement.

    If, after reviewing your resume and/or supporting documentation, a determination is made that you have inflated your qualifications and/or experience, you may lose consideration for this position. Please follow all instructions carefully when applying, errors or omissions may affect your eligibility.

    You should list any relevant performance appraisals and incentive awards in your resume as that information may be taken into consideration during the selection process. If selected, you may be required to provide supporting documentation..

    Veterans and Military Spouses will be considered along with all other candidates.

    • Benefits

      A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

      Review our benefits

      Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

    • Required Documents

      As a new or existing federal employee, you and your family may have access to a range of benefits. Your benefits depend on the type of position you have - whether you're a permanent, part-time, temporary or an intermittent employee. You may be eligible for the following benefits, however, check with your agency to make sure you're eligible under their policies.

      The documents you are required to submit vary based on whether or not you are eligible for preference in federal employment. A complete description of preference categories and the associated required documents is in the Applicant Checklist for Public Announcements.

      As described above, your complete application includes your resume, your responses to the online questionnaire, and documents which prove your eligibility to apply. If you fail to provide these documents, you will be marked as having an incomplete application package and you will not be considered any further.

      1. Your resume:

      • Your resume may be submitted in any format and must support the specialized experience described in this announcement.
      • If your resume includes a photograph or other inappropriate material or content, it will not be used to make eligibility and qualification determinations and you may not be considered for this vacancy.
      • For qualifications determinations your resume must contain hours worked per week and the dates of employment (i.e., HRS per week and month/year to month/year or month/year to present). If your resume does not contain this information, your application may be marked as incomplete and you may not receive consideration for this position.
      • For additional information see: What to include in your resume.
      2. Other supporting documents:
      • Cover Letter, optional
      • Most recent Performance Appraisal, if applicable
      • This position has an individual occupational requirement and/or allows for substitution of education for experience. If you meet this requirement based on education you MUST submit a copy of your transcript with your application package or you will be rated ineligible. See: Transcripts and Licenses
      • This position requires a job-related license or certification. You MUST submit a copy of your license or certification with your application package or you will be rated ineligible. See: Transcripts and Licenses
      NOTE: Documents submitted as part of the application package, to include supplemental documents, may be shared beyond the Human Resources Office. Some supplemental documents such as military orders and marriage certificates may contain personal information for someone other than you. You may sanitize these documents to remove another person's personal information before you submit your application. You may be asked to provide an un-sanitized version of the documents if you are selected to confirm your eligibility.

      If you are relying on your education to meet qualification requirements:

      Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.

      Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.

    • How to Apply

      To apply for this position, you must complete the online questionnaire and submit the documentation specified in the Required Documents section above.

      The complete application package must be submitted by 11:59 PM (EST) on 11/20/2024 to receive consideration

      • To begin, click Apply to access the online application. You will need to be logged into your USAJOBS account to apply. If you do not have a USAJOBS account, you will need to create one before beginning the application (https://apply.usastaffing.gov/ViewQuestionnaire/12380694).
      • Follow the prompts to select your resume and/or other supporting documents to be included with your application package. You will have the opportunity to upload additional documents to include in your application before it is submitted. Your uploaded documents may take several hours to clear the virus scan process.
      • After acknowledging you have reviewed your application package, complete the Include Personal Information section as you deem appropriate and click to continue with the application process.
      • You will be taken to the online application which you must complete in order to apply for the position. Complete the online application, verify the required documentation is included with your application package, and submit the application. You must re-select your resume and/or other documents from your USAJOBS account or your application will be incomplete.
      • It is your responsibility to verify that your application package (resume, supporting documents, and responses to the questionnaire) is complete, accurate, and submitted by the closing date. Uploaded documents may take up to one hour to clear the virus scan.
      • Additional information on how to complete the online application process and submit your online application may be found on the USA Staffing Applicant Resource Center.
      To verify the status of your application, log into your USAJOBS account (https://my.usajobs.gov/Account/Login), all of your applications will appear on the Welcome screen. The Application Status will appear along with the date your application was last updated. For information on what each Application Status means, visit: https://www.usajobs.gov/Help/how-to/application/status/.

      Agency contact information

      Army Applicant Help Desk

      Website

      https://portal.chra.army.mil/hr_public?id=app_inq

      Address

      BR-W37NAA US ARMY MIL ENTRANCE PROCESSING CMD
      DO NOT MAIL
      North Chicago, IL 60064
      US

      Next steps

      If you provided an email address, you will receive an email message acknowledging receipt of your application. Your application package will be used to determine your eligibility, qualifications, and quality ranking (as applicable) for this position. If you are determined to be ineligible or not qualified, your application will receive no further consideration.

    • Fair and Transparent

      The Federal hiring process is set up to be fair and transparent. Please read the following guidance.

      • Equal Employment Opportunity (EEO) Policy
      • Reasonable accommodation policy
      • Financial suitability
      • Selective Service
      • New employee probationary period
      • Signature and false statements
      • Privacy Act
      • Social security number request

    Required Documents

    The documents you are required to submit vary based on whether or not you are eligible for preference in federal employment. A complete description of preference categories and the associated required documents is in the Applicant Checklist for Public Announcements.

    As described above, your complete application includes your resume, your responses to the online questionnaire, and documents which prove your eligibility to apply. If you fail to provide these documents, you will be marked as having an incomplete application package and you will not be considered any further.

    1. Your resume:

    • Your resume may be submitted in any format and must support the specialized experience described in this announcement.
    • If your resume includes a photograph or other inappropriate material or content, it will not be used to make eligibility and qualification determinations and you may not be considered for this vacancy.
    • For qualifications determinations your resume must contain hours worked per week and the dates of employment (i.e., HRS per week and month/year to month/year or month/year to present). If your resume does not contain this information, your application may be marked as incomplete and you may not receive consideration for this position.
    • For additional information see: What to include in your resume.
    2. Other supporting documents:
    • Cover Letter, optional
    • Most recent Performance Appraisal, if applicable
    • This position has an individual occupational requirement and/or allows for substitution of education for experience. If you meet this requirement based on education you MUST submit a copy of your transcript with your application package or you will be rated ineligible. See: Transcripts and Licenses
    • This position requires a job-related license or certification. You MUST submit a copy of your license or certification with your application package or you will be rated ineligible. See: Transcripts and Licenses
    NOTE: Documents submitted as part of the application package, to include supplemental documents, may be shared beyond the Human Resources Office. Some supplemental documents such as military orders and marriage certificates may contain personal information for someone other than you. You may sanitize these documents to remove another person's personal information before you submit your application. You may be asked to provide an un-sanitized version of the documents if you are selected to confirm your eligibility.

    If you are relying on your education to meet qualification requirements:

    Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.

    Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.


    Help

    This job is open to

    • The public

      U.S. Citizens, Nationals or those who owe allegiance to the U.S.

  • 3 Days Ago
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U
MEDICAL TECHNICIAN
  • U.S. Military Entrance Processing Command
  • Anchorage, AK FULL_TIME
  • Duties Maintain applicant’s medical record during the examination process. Manage medical consultations to include verifying doctor’s orders or requests from the Service liaisons. Perform customer ser...
  • 25 Days Ago
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U
Test Administrator
  • U.S. Military Entrance Processing Command
  • Anchorage, AK FULL_TIME
  • Duties Conducts specified aptitude examination sessions ranging in size from 1 to 40 person (enlistment tests), and 1 to 250 persons (student tests). Instruct applicants on testing procedures and star...
  • 1 Month Ago
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U
Lead Human Resources Assistant (Military/Office Automation)
  • U.S. Military Entrance Processing Command
  • Anchorage, AK FULL_TIME
  • Duties Administer required briefings to applicants concerning Military Entrance Processing Command (MEPS) procedures. Greet visitors and applicants to the MEPS. Operate a keyboard to record and transc...
  • 1 Month Ago
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P
Sales Processing
  • PeopleAK
  • Anchorage, AK FULL_TIME
  • Sales Support Specialist Anchorage, AK Contract to Perm $25/an hour 60 days from start date Our client: is a fast-growing oil and machinery based company that is looking for a qualified sales support ...
  • 6 Days Ago
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Sales Processing
  • PeopleAK
  • Anchorage, AK FULL_TIME
  • Sales Support Specialist Anchorage, AK Contract to Perm $25/an hour 60 days from start date Our client: is a fast-growing oil and machinery based company that is looking for a qualified sales support ...
  • 6 Days Ago
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0 Claims Processing Director jobs found in Wasilla, AK area

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Regional Human Resources Director
  • BBSI
  • Anchorage, AK
  • Job Category: Full Time – DIRECT HIRE Location: Anchorage, Alaska Compensation: $96,000 - $115,000/year + Comprehensive ...
  • 4/24/2024 12:00:00 AM
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A
Office Manager
  • Alaska Behavioral Health
  • Anchorage, AK
  • Job Description Job Description Job Title|Alaska Behavioral Health Steven A. Cohen Military Family Clinic Who We Are Our...
  • 4/23/2024 12:00:00 AM
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Tax Specialist (Tax Compliance Officer) - Direct Hire - 6-Month Register
  • Internal Revenue Service
  • Anchorage, AK
  • Summary Positions under this announcement are being filled using a Direct Hire Authority (DHA). For information on the R...
  • 4/22/2024 12:00:00 AM
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I
Tax Law Specialist, Temp NTE 1 Year, MBE up to 5 years, MBMP
  • Internal Revenue Service
  • Anchorage, AK
  • Summary Click on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT ...
  • 4/22/2024 12:00:00 AM
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Regional Human Resources Director
  • Bbsi
  • Anchorage, AK
  • Job Category: Full Time DIRECT HIRE Location: Anchorage, Alaska Compensation: $96,000 - $115,000/year + Comprehensive Be...
  • 4/21/2024 12:00:00 AM
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F
Management and Program Analyst
  • Federal Aviation Administration
  • Anchorage, AK
  • Summary The Accountability Board Division (ABD) is a part of the FAA Office of Human Resource Management (AHR), Accounta...
  • 4/20/2024 12:00:00 AM
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About Wasilla, Alaska

Wasilla is a city in Matanuska-Susitna Borough, United States and the sixth-largest city in Alaska. It is located on the northern point of Cook Inlet in the Matanuska-Susitna Valley of the southcentral part of the state. The city's population was 7,831 at the 2010 census, up from 5,469 in 2000. Estimates in 2016 put the population at roughly 9,748. Wasilla is the largest city in the borough and a part of the Anchorage metropolitan area, which had an estimated population of 396,142 in 2013. Established at the intersection of the Alaska Railroad and Old Carle Wagon Road, the city prospered at th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$172,410 to $231,685
Wasilla, Alaska area prices
were up 2.8% from a year ago
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What does a Claims Processing Director do?

Claims Processing Director in Portsmouth, NH
Insurance claims and processing clerks work closely with insurance brokers and agents, handling the administrative duties behind insurance policy renewals, claims processing and new policies.
December 28, 2019
Claims Processing Director in Santa Barbara, CA
Complete with new dashboards, reporting functionality, business intelligence tools, and improved security, FileHandler Enterprise is the new benchmark for Claims Management Software.
February 08, 2020
Claims Processing Director in San Diego, CA
Pulpstream makes it possible for you to have one system for tracking all claims.
January 07, 2020