Teams at Lumeris

Serve as a senior claims operations resource researching, processing, and resolving complex paper and electronic claims per CMS guidance. Act as SME, handle adjustments, work cross-functionally, make outbound calls, mentor junior staff, lead payment integrity initiatives, and participate in client/vendor meetings while maintaining regulatory compliance and departmental workflows.

Lead and manage a large software engineering team building a cloud-based platform. Provide technical coaching, oversee Agile delivery, participate in architecture, ensure project schedules, promote best practices, assess risks, and drive scalable solutions while collaborating cross-functionally and fostering continuous improvement.