Director of Technical Operations

A company is looking for a Director, Technical Operations to oversee technical programs for Government Programs. Key Responsibilities Provide regulatory interpretation and operational oversight for Government Programs Monitor program regulations and ensure compliance with Medicare, Medicaid, and Exchange claims adjudication Develop and implement department goals, processes, and policies to improve operational efficiency Required Qualifications Bachelor's Degree required 5 years' experience in a PBM, health plan, or managed care environment Knowledge and experience in project management and claims adjudication Proven track record of process improvement and regulatory compliance Ability to interact cooperatively with other employees

Feb 16, 2025 - 15:14

A company is looking for a Director, Technical Operations to oversee technical programs for Government Programs. Key Responsibilities Provide regulatory interpretation and operational oversight for Government Programs Monitor program regulations and ensure compliance with Medicare, Medicaid, and Exchange claims adjudication Develop and implement department goals, processes, and policies to improve operational efficiency Required Qualifications Bachelor's Degree required 5 years' experience in a PBM, health plan, or managed care environment Knowledge and experience in project management and claims adjudication Proven track record of process improvement and regulatory compliance Ability to interact cooperatively with other employees