Executive Director, Claims & Payment Integrity Strategy
Core
Central strategic integrator for the end-to-end claim lifecycle, aligning strategy, operations, and capital submissions to maximize financial and operational value.
Role type
Executive Director, Strategy & Operations
Builds
Enterprise strategy, operating models, governance forums, and vendor/insourcing roadmaps for Claims & Payment Integrity.
Domain
Healthcare Insurance / Claims Operations
Deliverable
dashboards & analysis
Required skills
Enterprise strategy planning, operational oversight, stakeholder alignment, financial measurement, vendor management, KPI establishment, cross-functional leadership
Preferred skills
Payment Integrity expertise, claims operations experience, matrixed environment leadership
Technologies
None stated
Responsibilities
Develop and execute 12-month to 5-year+ enterprise strategy; Establish cohesive end-to-end operating models integrating people, process, and technology; Create and manage governance forums and decision frameworks; Partner with reporting teams to define enterprise reporting standards and dashboards; Lead strategic efforts to insource capabilities and reduce vendor spend; Monitor KPIs tied to strategic plan and financial outcomes.
Seniority
Executive, Strategy & Operations
