Staff VP Digital Claims Operations
Core
Drive digital transformation of claims processes within Health Benefits Operations, integrating strategic planning, process optimization, analytics, AI, and automation to enhance operational efficiency and service quality.
Role type
Staff VP Digital Claims Operations (Strategy & Transformation)
Builds
End-to-end digital claims solutions, transformation roadmaps, and analytics-driven operational improvements
Domain
Health Insurance / Claims Operations / Digital Transformation
Deliverable
product features
Required skills
Digital claims strategy, AI and automation implementation, claims analytics, process optimization, stakeholder leadership, budget management, regulatory compliance, team leadership
Preferred skills
Enterprise actuarial reserving, Cost of Care initiatives, pilot design and scaling, cross-departmental project coordination
Technologies
AI, automation, advanced analytics, digital workflow tools
Responsibilities
Develop and execute digital claims strategy and transformation roadmap; Lead delivery of end-to-end solutions from definition to optimization; Serve as analytics domain lead supporting actuarial reserving and Cost of Care; Design and implement pilots for innovative capabilities; Manage budgets and resource priorities; Ensure regulatory compliance and risk management; Lead and mentor high-performance teams
Seniority
Staff VP, strategic leadership with hands-on transformation execution