Director of Claims Configuration

A company is looking for a Director, Claims and Benefits Configuration to lead a team managing plan and benefit configuration. Key Responsibilities Lead, coach, and develop a high-performing team Own and prioritize Configuration operations roadmaps to implement and improve operational processes Utilize data to drive business decisions and develop KPIs to measure effectiveness Required Qualifications A bachelor's degree or 4 years of commensurate experience 10+ years of experience in health plan operations, health insurance, or data analysis 7+ years of experience in building and developing technical or operational teams within healthcare 6+ years of experience in analytics and deriving insights from complex datasets Experience in health plan configuration, specifically benefit concepts

May 8, 2025 - 00:03
 0
Director of Claims Configuration
A company is looking for a Director, Claims and Benefits Configuration to lead a team managing plan and benefit configuration. Key Responsibilities Lead, coach, and develop a high-performing team Own and prioritize Configuration operations roadmaps to implement and improve operational processes Utilize data to drive business decisions and develop KPIs to measure effectiveness Required Qualifications A bachelor's degree or 4 years of commensurate experience 10+ years of experience in health plan operations, health insurance, or data analysis 7+ years of experience in building and developing technical or operational teams within healthcare 6+ years of experience in analytics and deriving insights from complex datasets Experience in health plan configuration, specifically benefit concepts