Director, Claims Business Implementation
Core
Oversee the implementation of products and plans into Claims business units, ensuring alignment with strategies and goals.
Role type
Director, Claims Business Implementation
Builds
New Health Plan Business Implementations, including new markets, reprocurements, and expansions
Domain
Healthcare / Government Programs Managed Care
Deliverable
product features
Required skills
Project management, Claims operations, Configuration operations, Business planning, Budget and timeline management, Regulatory compliance
Preferred skills
Medicaid Managed Care experience, Master's degree
Technologies
Project management tools
Responsibilities
Direct the creation and maintenance of standard models for claims implementation; Provide strategic leadership and oversight of implementation processes; Manage adherence to standard processes including BRD approvals; Direct implementations to meet budget, timeline, and scope requirements; Provide input into operating models and business planning timelines.