What are the responsibilities and job description for the Claims Manager position at Redirect Health?
Healthcare shouldn’t be something you worry about when taking care of your family.
That’s why when you join Redirect Health, your healthcare costs nothing out of your paycheck—and the same is true for your spouse and children.
This isn’t a perk.
It’s part of our mission.
Who We Are
Redirect Health exists to make healthcare affordable for small businesses and people who can’t afford traditional employer insurance.
We help real people navigate a system that is often confusing, expensive, and frustrating—and we do it with empathy, accountability, and simplicity.
If you want your work to matter to families every single day, you’ll find purpose here.
How We Work (Our Core Values In Action)
At Redirect Health, our values guide how we show up for each other, our clients, and our members.
We Do Our Best Work When We
Obsess Over People
We are always helpful, friendly, and human.
Own It to Completion
If we take something on, we see it through.
Always Improve & Adapt
We learn quickly and adjust without ego.
Always Start with “Yes, We Can Help You”
We lead with solutions and figure out the rest.
Succeed as a Team
We win together through trust and collaboration.
Detest Waste & Unnecessary Complexity
We remove friction so we can focus on what truly helps people.
If these values resonate with you, you’ll feel at home here.
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
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
Success in this role is measured by:
We’re looking for someone who:
What “Free Healthcare” Actually Means
When we say free, we mean no money out of your paycheck and no cost when you need care:
What You’ll Earn
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.
The Pay Range For This Role Is
65,000 - 75,000 USD per year(Phoenix)
That’s why when you join Redirect Health, your healthcare costs nothing out of your paycheck—and the same is true for your spouse and children.
- No monthly premiums
- No deductibles
- No surprise medical bills
This isn’t a perk.
It’s part of our mission.
Who We Are
Redirect Health exists to make healthcare affordable for small businesses and people who can’t afford traditional employer insurance.
We help real people navigate a system that is often confusing, expensive, and frustrating—and we do it with empathy, accountability, and simplicity.
If you want your work to matter to families every single day, you’ll find purpose here.
How We Work (Our Core Values In Action)
At Redirect Health, our values guide how we show up for each other, our clients, and our members.
We Do Our Best Work When We
Obsess Over People
We are always helpful, friendly, and human.
Own It to Completion
If we take something on, we see it through.
Always Improve & Adapt
We learn quickly and adjust without ego.
Always Start with “Yes, We Can Help You”
We lead with solutions and figure out the rest.
Succeed as a Team
We win together through trust and collaboration.
Detest Waste & Unnecessary Complexity
We remove friction so we can focus on what truly helps people.
If these values resonate with you, you’ll feel at home here.
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
- Thrives in building and leading strong teams
- Enjoys solving complex operational and billing challenges
- Keeps the member experience at the center of every decision
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
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
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.
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
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
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.
The Pay Range For This Role Is
65,000 - 75,000 USD per year(Phoenix)
Salary : $70,000