Vice President of Claims Operations

Job Summary

A company is looking for a Vice President, Claims Configuration Operations (Health Plan).

Key Responsibilities

• Oversee business operations, procurement opportunities, and new product implementations
• Establish strategic visions and operational objectives while ensuring compliance with regulations
• Direct the development of operational work processes and manage budget and revenue targets

Required Qualifications

• Bachelor's Degree in Business Administration, Finance, Accountancy, or a related field required
• Master's Degree preferred
• 9+ years of operations, management, or administration experience in the Healthcare or Insurance industry required
• Experience in business development and/or Request for Proposal (RFP) preferred
• Extensive knowledge of state legislative and regulatory processes preferred