# Senior Manager, Claims Systems at Collective Health

- Company: Collective Health
- What the company does: Collective Health offers the first integrated solution that empowers employers to administer plans, manage costs, and take care of their people—all in one place. Backed by NEA, SoftBank VF and GV.
- Company website: https://collectivehealth.com/
- Type: Startups
- Level: Senior
- Location: San Francisco, CA | Lehi, UT | Plano, TX
- Work setup: On-site
- Posted: 2026-10-28
- Apply by: 2026-12-12
- Apply: https://jobs.collectivehealth.com/apply/?gh_jid=8319002&utm_source=1752vc&utm_medium=careers
- Page: https://www.1752.vc/careers/jobs/collective-health-senior-manager-claims-systems/

## About the role

This role requires deep technical knowledge of end-to-end claims adjudication, EDI transactions, benefit hierarchy, health plan configuration, and claims system logic. The ideal candidate can independently identify systemic gaps, translate complex operational issues into actionable technical requirements, and partner with Product and Engineering to drive sustainable solutions. Found on 1752vc Careers, the job board for startup and VC roles.

## What they're looking for

- 10+ years of experience in health insurance operations, third-party administration (TPA), or health plan claims systems, including direct management experience or equivalent practical experience
- EDI & Claims Systems Expertise: Strong technical understanding of EDI 837 transactions, clearinghouse exchanges, file ingestion, system coding and logic, and error resolution
- End-to-End Adjudication Knowledge: Demonstrated expertise in claims adjudication workflows, benefit hierarchy, health plan configuration, pend rules, and identifying systemic processing gaps
- Accumulator Operations: Experience with accumulator reconciliation, cross-benefit transfers, over-accumulation research, and synchronization
- Technical Problem-Solving: Ability to independently diagnose complex system defects, identify root causes, and translate findings into actionable solutions for Product and Engineering
- Cross-Functional Collaboration: Experience partnering with technical and operational stakeholders to prioritize system improvements, resolve defects, and reduce manual processing

Tags: Health Plan Operations

Source: 1752vc Careers, https://www.1752.vc/careers/jobs/collective-health-senior-manager-claims-systems/