Claims Process Optimization Director

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

Apr 3, 2025 - 21:42

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