Director - Claim Support Services

Yesterday

🇺🇸 United States – Remote

🌵 Arizona – Remote

Although this job is listed in Arizona, this company may be open to hiring remote in other states.

🐊 Florida – Remote

Although this job is listed in Florida, this company may be open to hiring remote in other states.

+2 more states

🌵 Arizona – Remote 🐊 Florida – Remote 🌲 North Carolina – Remote 🤠 Texas – Remote

💵 $103.5k - $191.6k / year

⏰ Full Time

🔴 Lead

👔 Director

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Centene Corporation

WebsiteLinkedInAll Job Openings

Contracting • Network Development • Managed Care

10,000+ employees

Founded 1984

⚕️ Healthcare Insurance

🤝 Non-profit

🌍 Social Impact

Description

• Direct the strategic analysis of Claims processes • Oversee the effective operation of Claims Support Services and Claims Projects • Ensure claims payment and quality • Monitor performance and develop business solutions to address process and/or quality gaps • Promote change through sharing of best practices • Leverage automation to achieve desired results • Interface with all organizational levels to mobilize commitment • Perform claim adjudication project analysis and preparation work flow management • Coordinate the implementation of new product or health plan expansions • Mentor and develop staff • Oversee annual operating plan process and new business initiatives

Requirements

• Bachelor's degree in a related area or equivalent experience • 7+ years of experience in claim processing payer support services in healthcare, preferably with Medicaid or equivalent business experience • Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff • Previous finance/budget experience preferred

Benefits

• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules