Director, CareIQ Service – Network Performance

🔥 14 hours ago

🇺🇸 United States – Remote

💵 $98.2k - $152.6k / year

⏰ Full Time

🔴 Lead

👔 Director

🦅 H1B Visa Sponsor

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Logo of CorVel Corporation

CorVel Corporation

1001 - 5000 employees

Founded 1987

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

CorVel Corporation is a risk management and healthcare services company that provides integrated claims and care solutions for payors and employers. It specializes in workers' compensation, liability and disability management, provider and pharmacy networks, and alternative risk solutions, and it offers technology platforms that use AI and data analytics to streamline claims administration, improve outcomes, and reduce costs.

📋 Description

• Lead Client Performance, Provider Relations, Vendor Performance, and Service Delivery Excellence functions • Govern vendor and network performance, relationships, service-level adherence, contract performance, network adequacy, and capacity planning • Oversee service delivery performance and quality management • Lead escalation governance and root cause analysis • Drive process improvement and operational excellence initiatives • Own business analytics, KPIs, and performance reporting • Optimize workflows and implement automation and AI-driven efficiencies • Collaborate cross-functionally to improve scalability, consistency, and customer outcomes • Oversee client onboarding, implementation, service adoption, training, and customer success programs • Resolve complex client, provider, vendor, and operational escalations at the executive level • Develop and oversee quality assurance programs, service audits, corrective action plans, and continuous improvement initiatives • Manage resource planning, budgeting, productivity, expenses, and operational performance • Lead organizational change, process transformation, and strategic growth readiness initiatives • Establish governance frameworks, accountability standards, and performance management processes • Own client experience strategy, feedback programs, service-level insights, satisfaction trends, and retention support • Partner with Product leadership to implement, operationalize, and scale CareIQ products and services • Improve implementation success, service adoption, retention, quality, customer outcomes, productivity, efficiency, scalability, and vendor accountability

🎯 Requirements

• Minimum of Bachelor’s degree in business, healthcare/related field, or a combination of education and equivalent experience • At least 5 years of prior management experience in healthcare services required • Prior managerial experience in Client Performance, Provider Relations, Vendor Performance, and Service Delivery Excellence functions preferred • Master’s degree in business, healthcare or related field with experience preferred • Strong leadership and mentoring skills • Demonstrated ability to provide superior service to internal and external stakeholders • Demonstrated ability to build trust and strong cross-functional relationships across an organization • Proven project management and process improvement skills • Proven skill in prioritizing, problem solving and accelerating change • Ability to multitask in a dynamic, fast-paced environment • Strong proficiency in Microsoft Office applications required • Excellent written and verbal communication skills

🏖️ Benefits

• Medical (HDHP) w/Pharmacy • Dental • Vision • Long Term Disability • Health Savings Account • Flexible Spending Account Options • Life Insurance • Accident Insurance • Critical Illness Insurance • Pre-paid Legal Insurance • Parking and Transit FSA accounts • 401K • ROTH 401K • Paid time off • Career advancement opportunities • Supportive culture • Remote work

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