15 days old

Director of Claims (Healthcare) - La Palma, CA

La Palma, CA 90623
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The Director of Claims will be responsible for the direction and oversight of the claims department.   Ensures compliance with Federal and State regulations and has oversight for all health plan audits.  Review, create and or maintain workflows to ensure up to date and operational efficiency.

Primary Responsibilities:
  • Provides leadership and direction to claims staff
  • Develop and implement policies and procedures in collaboration with senior management
  • Analyze systems and tools to identify opportunities for efficiency improvements
  • Liaison between the health plans with regards to claim audits and issues
  • Generates claims metric reports and analyze various monthly reports
  • Oversees the development and implementation of training to the claims staff
  • Provides presentations to staff and management
  • Able to perform root cause analysis that may cause claims non-compliance
  • Participates on-site meetings with internal and external customers
  • Promote and contribute to a fair, positive and professional work environment through both management style and personal example
  • Performs other duties as directed

 You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Posted: 2020-05-15 Expires: 2020-06-14

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Director of Claims (Healthcare) - La Palma, CA

UnitedHealth Group
La Palma, CA 90623

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