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Vice President - Claims Administration (Finance)

Vice President – Claims Administration (Finance)

Birmingham, Alabama

$100,000 - $130,000


We are assisting a large healthcare provider with their search for a Vice President – Claims Administration. This opportunity will be ideal for those that excel in managing teams, have a proficiency in project management and are skilled in systems evaluations and improvements. This role is newly created and will help to streamline the claims administration process, manage multiple teams and find and create efficiencies in the claims process.

 

Responsibilities:

Under the direction of the Executive Vice President, Finance and Chief Financial Officer:

  • Directs and oversees the operations of all claims administration functions to meet the company’s operational and financial requirements.
  • Provides direction, supervision and support to all claims staff including directors of claims administration and all claims analysts in each division. Responsible for retaining valued staff and replacing or hiring critical staff when applicable. Develop staff capabilities to ensure coverage, cross-training and ongoing development through evaluation and continuous feedback.
  • Plans, develops and implements projects, processes and technology to continuously improve and manage all claims administration operations and all related processes to continuously improve and manage its cycles and increase profitability.
  • Manages and directs the systems and processes for efficient and accurate claim reporting, billing and processing. Responsible for working with CIO and other IT staff on process improvement and optimizing the use of technology to automate. If applicable, lead installation of new or revised in-house claims systems.
  • Collects, organizes, analyzes and disseminates data reporting from various sources to management on a regular basis with attention to detail and accuracy including timeliness. Monitors reporting and escalates issues to EVP/CFO. 
  • Prepare departmental objectives, goals, workforce plans, budgets and recommend policies as appropriate.

Qualifications:

  • Bachelor’s in Accounting or a related field
  • Five years insurance and/or healthcare experience, preferably with billing and/or claims experience required
  • Some experience/involvement in mental health field preferred
  • Very strong proficiency with computerized applications (Word, Access, Excel)
  • Experience managing projects for improving processes or implementing new systems for billing and other related business processes
  • Excellent communication skills (written and oral) and organizational skills

 

 

 

Please note - if you have recently submitted your resume to a PangeaTwo posting, your qualifications will be considered for other open opportunities.


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Vice President - Claims Administration (Finance) Accounting & Finance · Direct Hire Birmingham, Alabama

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