Director, Client Services – Managed Care

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $110k - $135k / year

⏰ Full Time

🔴 Lead

📁 Client Services

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Sedgwick

WebsiteLinkedInAll Job Openings

10,000+ employees

🏗️ Construction

💼 Consulting

🏥 Healthcare

Construction • Consulting • Healthcare

Sedgwick is a global provider of technology-enabled risk, benefits, and integrated business solutions. They help people and organizations by managing and mitigating risk with solutions in accident, health, disability, unemployment compensation, and liability claims administration, among others. Sedgwick offers services such as claims administration, building consulting, forensic accounting, and forensic engineering. Their specialties include property restoration, brand protection, and loss prevention across several industries, including agriculture, construction, and environmental sectors. The company emphasizes diversity, equity, and inclusion (DEI) as well as environmental, social, and governance (ESG) practices.

📋 Description

• Serve as the primary managed care advisor and point of contact for assigned clients • Lead stewardship meetings, business reviews, strategic discussions, and follow-up action planning • Develop and deliver executive-level reporting, program insights, recommendations, and value narratives • Identify opportunities to improve outcomes, reduce costs, strengthen program utilization, and support client retention or growth • Maintain awareness of client-specific requirements, goals, operational challenges, and contractual commitments • Monitor managed care performance, utilization trends, service outcomes, and program effectiveness • Translate operational data and reporting into clear, actionable recommendations • Support implementation of new programs, pilots, service enhancements, and process improvement initiatives • Partner with sales, account management, claims operations, and clinical leaders to align managed care solutions with client needs • Coordinate resolution of managed care service issues, escalations, and client concerns • Identify root causes, assign ownership, and drive sustainable corrective actions • Ensure accountability for commitments, deliverables, action items, and communication follow-through • Escalate risks and barriers appropriately • Support education, resource navigation, and managed care consultation for claims examiners and client-facing teams

🎯 Requirements

• Bachelor's degree from an accredited college or university preferred • CPCU, AIC and/or ARM or other related designation preferred • Ten (10) years related experience or equivalent combination of education and experience required • Two (2) years account manager experience or five (5) years adjuster, team lead, or managed care experience required • Residence in Central or Eastern time zones a plus • Computer keyboarding • Travel as required • Clear and conceptual thinking ability • Excellent judgment, troubleshooting, problem solving, analysis, and discretion • Ability to handle work-related stress • Ability to handle multiple priorities simultaneously • Ability to meet deadlines

🏖️ Benefits

• Flexibility and autonomy • Work-life balance • Professional development opportunities • On-going learning and professional growth opportunities • Strong team environment and culture of support • Medical insurance • Dental insurance • Vision insurance • 401(k) • 401(k) matching • Paid time off (PTO) • Disability insurance • Life insurance • Employee assistance • Flexible spending account or health savings account • Additional voluntary benefits