Claims Process Optimization Director

Job is Expired
Location: Remote
Compensation: To Be Discussed
Reviewed: Thu, Apr 03, 2025
Claims Processing Process Optimization Data Analysis SQL

Job Summary

A company is looking for an Associate Director, Claims Process Optimization to join their Claims team.

Key Responsibilities
  • Develop foundational processes for scaling claims operations and simplify claims data and operations
  • Collaborate with internal teams and external partners to enhance claims processes and ensure compliance
  • Utilize data to drive business decisions and develop KPIs to measure effectiveness in claims operations
Required Qualifications
  • A bachelor's degree or 4 years of relevant experience
  • 7+ years of experience in health plan operations or healthcare data analysis
  • 7+ years of experience using data software such as Excel, SQL, or Python
  • 4+ years of experience in building and developing technical or operational teams
  • 3+ years of experience in designing and improving workflows in operational settings
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