Director of Claims and Provider Services

Location: Remote
Compensation: Salary
Staff Reviewed: Fri, May 10, 2024
This job expires in: 13 days

Job Summary

A company is looking for a Director of Claims and Provider Services.

Key Responsibilities:
  • Implement strategies to streamline operations, reduce processing times, improve quality, satisfaction and enhance overall effectiveness
  • Ensure compliance with regulatory requirements, industry standards, and internal policies
  • Own and improve key performance indicators (KPIs) for performance of internal and offshore operations

Required Qualifications:
  • Bachelor's degree in Health Administration, Business, or equivalent combination of experience and education
  • 8+ years of experience in operations, with a focus on leadership and strategy
  • Strong analytical and problem-solving skills, with proficiency in data analytics tools
  • Proven leadership competencies in designing, developing and implementing process structure, tools and measurement indicators that drive operational results
  • Extensive knowledge of managed care reimbursement process, regulations, and compliance requirements

COMPLETE JOB DESCRIPTION

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