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Director, Claims Solutions

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πŸ•’ March 24

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πŸ“‹ Description

β€’ Select, negotiate, and manage relationships with solution providers. β€’ Monitor vendor performance using KPIs and service standards. β€’ Lead continuous improvement based on data insights and client feedback. β€’ Develop go‑to‑market strategies and positioning for claim solutions. β€’ Oversee profitability and financial performance of all solution lines. β€’ Drive increased utilization, penetration, and standardization across clients. β€’ Serve as subject matter expert for CBCS claim solutions. β€’ Deliver training for claims, account management, and client service teams.

🎯 Requirements

β€’ Bachelor’s degree in Business, Risk Management, Insurance, Healthcare Administration, or related field. β€’ 10+ years of progressive experience in Property & Casualty claims. β€’ Deep knowledge of managed care, litigation support, investigation, and Medicare compliance solutions. β€’ Proven vendor management and contract negotiation experience. β€’ Experience driving solution utilization and financial performance. β€’ Strong financial analysis and P&L experience.

πŸ–οΈ Benefits

β€’ Health insurance β€’ Professional development opportunities β€’ Flexible working hours β€’ Paid time off

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