Managing Director, Strategic Claims Oversight, Healthcare Severity
Confidential
Managing Director, Strategic Claims Oversight, Healthcare Severity
About the Company
Top provider of insurance products & related services
Industry
Insurance
Type
Public Company
Founded
1897
Employees
5001-10,000
Categories
- Insurance
- B2B
- Enterprise
- Consulting & Professional Services
- Agents and Marketers
- Casualty
- Finance
- Multi-Line
- Property
- Property and Casualty Insurance
- Financial Services
- Information Technology
- Property Management
- Real Estate
- Risk Management
Specialties
- commercial insurance
- specialty insurance
- construction
- financial institutions
- healthcare
- manufacturing
- professional services
- real estate
- small business
- technology
- retail
- and wholesale distribution
Business Classifications
- B2B
- Enterprise
About the Role
The Company is seeking a Managing Director for Strategic Claims Oversight in Healthcare Severity. The successful candidate will lead a team that is responsible for the direct handling and oversight of the highest exposure claims in the healthcare sector. This role is pivotal in ensuring the effective execution of claims handling practices, driving operational initiatives, and leading continuous improvement efforts. The Managing Director will be accountable for the overall quality, customer service delivery, and productivity of the team, and will be expected to have a clear vision for their career, with the support of the company's leadership to help them achieve their professional goals. Key responsibilities for the Managing Director include leading and directing the work activities of the Severity Team, overseeing complex claim investigations, and determining claim strategies. The role also involves developing and maintaining collaborative relationships with internal and external business partners, and ensuring the team is in compliance with best practices. The ideal candidate will have a senior-level knowledge of claim and litigation management, excellent communication, negotiation, and facilitation skills, and the ability to manage ambiguous situations. A Bachelor's degree is required, with a JD preferred, and a minimum of ten years of claims or legal experience is typical, with a proven track record of positive results. The candidate should be value-driven, with a sense of urgency to advance the organization's priorities, and a strong ability to coach, mentor, and develop subordinate staff.
Hiring Manager Title
AVP
Functions
- Legal
- Operations
$97k - $189k
...employees are used to their fullest potential. The Managing Director Strategic Claim Oversight leads the Severity & Excess Accounts team that both directly handles and oversees the highest exposure claims in Healthcare. Ensures the effective execution of claims handling...ClaimsFull timeWork experience placementWork at office$200k - $230k
...Our drive to transform healthcare is informed by our... ...Chemistry is looking for a Managing Director to join our growing... ...growth over the past several years, this person... ...accounts providing senior strategic counsel, building... ...unverified sources claiming to be connected to Real...ClaimsWork experience placementWork at officeLocal areaRemote work2 days per week$97k - $189k
...market leader in insuring Healthcare providers and entities... ...liability claims. This role is responsible... ...driving claim resolution, managing complex litigation including... ...The Healthcare Claims Severity & Excess Team manages... ...management.Provide strategic guidance during trials...ClaimsFull timeWork experience placementShift work$167k - $300.7k
The Role The Director, Clinical Monitoring Strategy and Oversight provides strategic leadership and oversight for... ...Risk & Compliance, Data Management, Biostatistics,... ...required in Life Sciences, Healthcare, Nursing, Pharmacy,... ...range will be based on several factors including,...SuggestedPermanent employmentFull timeWork experience placementWork at officeRemote workWork from home$178.5k
Posting Description MANAGING DIRECTOR, GLOBAL STRATEGIC ALLIANCES, Computer Science and Artificial Intelligence, will establish the goals, strategic... ...and events for the department. Alliances, comprised of several programs to facilitate connections and collaborations including...SuggestedFull timeVisa sponsorshipNight shift$97k - $189k
...professional services and healthcare providers and facilities.... ...currently seeking a Consulting Director to lead Claims Strategy and Execution... ...development and execution of strategic projects, trainings,... ...and possess strong project management and influencing abilities....ClaimsFull timeWork experience placementWork at officeFlexible hours- ...Description Description: Title: Director, Vendor Performance Management Job Type: Full-time... ...enterprise delivering healthcare, housing, and hope to... ...Management leads USFHP's oversight of third-party vendors and... ...with particular focus on claims and other core operational...ClaimsFull timeContract workWork at officeLocal areaRemote work
$170k - $180k
Manager, Tech Strategy Advice - Healthcare & Life Sciences - ElevateIn the United States -Boston | ChicagoSimon-Kucher... ...and life sciences clients to solve strategic commercial and technology... ...provider-level prescribing, prescription claims, and other relevant healthcare data...ClaimsFull timeWork experience placementWork at officeWork from homeFlexible hours2 days per week3 days per week- ...About the Company Dynamic healthcare technology (HealthTech) company... ...Computing Healthcare Healthcare Claims Clearinghouse Provider Portal Revenue Cycle Management Solutions About the Role... ...activities, and driving strategic initiatives across the enterprise...Claims
- ...operations of Travelers Claim Medical initiatives... ...industry. Develop medical management strategies that help... ...to medical and healthcare trends. This includes... ...Medical Direction and Oversight:Participate in the design... ...engagement of Regional Medical Directors, Medical Consortiums...ClaimsFull timeLocal area
$120k - $135k
...Our drive to transform healthcare is informed by our... ...looking for an Associate Director, Medical Strategy tojoin... ...leadership, and/or strategic thinking.This is a hybrid... ...roles that involved management of medical writers and... ...any unverified sources claiming to be connected to...ClaimsWork at officeLocal areaRemote work2 days per week$90k - $110k
...individuals committed to making healthcare more sustainable—and we’re... ...a trusted partner, this role manages complex calendars, prepares executives... ...expectations. This strategic role requires strong judgment... ...-related communication claiming to be from Arcadia, we encourage...ClaimsFull timeWork at officeRemote workFlexible hours$2,500 per month
...Site Medical Director OpportunityThe... ..., utilization management and patient scheduling... ...budgeting and strategic planning. This... ...oversight and direction... ...change in our healthcare delivery model... ...Federal Tort Claims Act (FTCA).Comprehensive... ...and/or rate, several factors may be...ClaimsHourly pay$130k - $194.95k
...difference in the world. In this Manager, Health and Benefits... ...you will do: Manage strategic program oversight for an assigned portfolio of... ...program performance, manage claim trends, optimize costs, improve... ..., Business Administration, Healthcare Administration or related...ClaimsFull timeTemporary workWork at office$165.4k
VP & Managing Director, Mid-Sized Pharma Join IQVIA and help drive healthcare forward.IQVIA is a leading global provider of clinical research services, commercial insights... ...Sized Pharma to lead one of IQVIA’s important strategic partnerships. As the senior owner of the...Full timePart timeImmediate startRemote workWorldwide$143k - $195k
...Remote Employee US Summary The Director, Strategic Supply Chain Management is a global supply chain focal... ...performing highly specialised roles in several major functions or departments.... ...installed as needed. Supports E&O claims, shortage management and follow up...ClaimsContract workTemporary workWork at officeLocal areaRemote workWorldwideShift work$161.25k - $215k
The Associate Director, Strategic Pricing & Contracting is a key... ..., and ongoing oversight of timelines, RFP cycles... ...with: Brand, Account Management, Finance GTN team, Government... ...disputes on rebate claims Oversight of Pricing... ...concerning healthcare programs (including Medicare...ClaimsContract workTemporary workFlexible hoursShift work- ...organization (ACO) and a Management Services... ...MSO, we provide several financial, operational... ...organization’s strategic plan, and serves... ...total cost of care (claim cost) The CFO... ...of the Board of Directors and/or the Executive... ...planning, oversight and management Desired...ClaimsFull time
- Director, Strategic Supply Chain Management Location: Remote Employee US, NH, US Req ID: 136159 Region: Americas... ...performing highly specialised roles in several major functions or departments.... ...installed as needed. Supports E&O claims, shortage management and follow up...ClaimsContract workWork at officeLocal areaRemote work
- ...party administrator focused on self-funded healthcare operations and continued growth.... ...healthcare operations, stop-loss programs, and claims management. The successful candidate will be responsible for a combination of strategic and tactical activities to support the company...ClaimsRemote work
$216k
...excellence or ambition. As a Managing Clinical Director, you'll do what you love... ...leadership, market oversight, and performance impact. Market... ...reviewing schedules in advance, strategizing in daily huddles, and... ..., team members, and other healthcare professionals in person and...Daily paidFull timeLocal areaShift work$175k - $246k
...our core construction management services and complementary... ...clients across healthcare, life sciences, education... ...Role Summary The Senior Director of Talent &... .... Operating at both a strategic and executional level,... ...salaries may be based on several factors including, but...Temporary workFor contractorsWork at office$115k
...business.We are hiring a Product Manager to take a hands-on leadership... ...product central to Trinity’s Strategic Planning & Forecasting... ...New Product Planning and/or healthcare secondary data analytics - technical... ...healthcare secondary data (claims) analyticsPharmaceutical...ClaimsFull timeWork at office$297.5k - $402.5k
...recruiting an Executive Director, Head of... ...anticipates, prepares for, manages, and resolves... ...product-related claims, government... ...leader will be both a strategic advisor and a... ...a life sciences, healthcare, or other highly... ...skills, including oversight of outside counsel...ClaimsFull timeContract workTemporary workLocal areaFlexible hours- ...Screening Ambulance Health & Wellness Healthcare Hospitals & Clinics Specialties onsite clinic population health management disease management lifestyle... ...function dedicated to translating clinical and claims data into actionable insights. The...Claims
- ...About the Company Prestigious healthcare organization Industry Hospital... ...Legal Operations to serve as a strategic advisor and operational leader... ...activities, including financial oversight, outside counsel and vendor management, workflow optimization, technology...
$224.9k - $404.6k
...exceptional colleagues and strategic partners... ...in medicine and healthcare. We are actively... ...domains. The Executive Director (ED), R&D Quality... ...governance and oversight of GCP, GVP, GLP,... ...-based quality management principles into... ...will be based on several factors including...Permanent employmentFull timeTemporary workWork at officeLocal areaWork from homeWorldwide$237.5k - $387.5k
...237,500 - $387,500Job Area: Healthcare DeliveryCompany: UnitedHealth... ...Responsible for the management and delivery of care needed... ...physicians. Works on implementing strategic goals for the Specialty, including... ...and bonus and is based on several factors including but not...Minimum wageWork experience placementLocal area$117.5k - $222.99k
...Opportunity, MedInsight is one of the healthcare industry’s most trusted... ...healthcare cost and care management.MedInsight is a subsidiary... ...leaders. The ideal candidate is a strategic product leader who combines... ..., healthcare data, claims analytics, and health plan workflows...ClaimsFull timeWork experience placementRemote workFlexible hours$117.5k - $222.99k
..., including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics... ..., strong commercial judgment, and strategic thinking to identify market... ...accountable care organizations, healthcare claims, clinical and pharmacy data,...ClaimsHourly payFull timeTemporary workWork experience placementWork at officeRemote workWorldwideFlexible hours
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