Director - Claims Life Cycle Management & Implementation

February 12

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Logo of CareSource

CareSource

CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.

Medicaid • MyCare Ohio • Health Insurance Marketplace • Medicare Advantage • Health Insurance

1001 - 5000 employees

Founded 30+ years

⚕️ Healthcare Insurance

📋 Description

• Oversee and direct strategic enhancement of claim outcomes • Collaborate with cross-functional teams to implement project strategies • Define and influence functional requirements for claims processes • Ensure compliance with regulatory and contract obligations in new business implementations • Foster a culture of continuous improvement in claims processes

🎯 Requirements

• Bachelor's degree in business administration, healthcare administration, or a related field • Minimum of five (5) years of progressive experience in healthcare claims management • Minimum of three (3) years of project management experience • Facets experience is required • Management/leadership experience is required

🏖️ Benefits

• Comprehensive total rewards package • Supportive work environment • Inclusive culture

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