Director of Claims Operations

A company is looking for a Director, Claims Operations Optimization.

Key Responsibilities

Define and execute the strategy for claims operations infrastructure, including technology and process design

Develop and manage a roadmap of initiatives to enhance operational performance

Oversee the creation of business requirements for systems supporting claims processing and ensure compliance with regulations

Required Qualifications

8+ years of experience in process improvement and operations leadership

3+ years in a senior leadership or people management role

Strong understanding of claims processing and operational best practices for health plans

Experience in data analysis and operational design

Working knowledge of compliance requirements and insurance concepts relevant to health plan administration