Vice President of Claims Operations

Job Summary

A company is looking for a Vice President, Claims Configuration Operations.

Key Responsibilities

• Lead and manage the claims department to ensure accurate and timely processing of Medical and Behavioral claims
• Set strategic claims vision and ensure compliance with federal, state, and company guidelines
• Collaborate with internal leadership to enhance efficiency and prioritize claims adjudication processes

Required Qualifications

• Bachelor's Degree in Business Administration, Management, or Finance required
• Master's Degree preferred
• 10+ years of experience in claims operations management, ideally in managed care or Medicaid
• Previous management experience with staff hiring, training, and performance management required
• Experience interacting at the executive level and overseeing all claims management activities