Vice President of Medicare / Medicaid Claims
Tampa, FL 33601.
Leadership Challenge :
In this role is an exceptional opportunity and very difficult challenge to do innovative workat one of America's leading health benefits companies and a Fortune Top 50Company.
You would be responsible for developing the claims payment and adjustmentstrategy in Government Business Division Claim Operations.
RESPONSIBILITIES :
You will lead multiple claims processing units, executesstrategies to deliver industry leading service results. Improves processes andpartners across lines of business to develop consistency and share bestpractices.
This will include driving results to improve provider satisfaction.
Building strong partnerships with Plan Presidents.
Leads systems consolidation efforts, compliancerequirements, and monitors state / federal regulations. Hires, trains, coaches,counsels, and evaluates performance of direct reports.
SKILLS & EXPERIENCE
Tampa, FL is listed BUT you Can move to any one of these three location :
Mason, Ohio 45304; Virginia Beach, VA 23450 or Tampa, FL 33601.
Must have Health Insurance / Payer at larger competitor.
Government - Medicaid and / or Medicare.
Transaction Operations, Claims Leadership Depth andBreadth.
Oversight of vender relationships and operationstransition experience.
10 + years of management experience in claims thatincludes adjustments in the managed care and / or insurance industry.
MBA preferred.
Focused on metric driven results, identifies andanalyzes problems using facts and data to leverage resources available andsolve problems creatively.
They will participate in relocation.
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