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$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$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$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$180k - $195k
...Our drive to transform healthcare is informed by our... ...VP, Medical Strategy Director, join our growing team... ...combine bold creativity, strategic rigor, and deep scientific... ...~ Experience managing, mentoring, and developing... ...any unverified sources claiming to be connected to Real...ClaimsFull timeWork at officeLocal areaRemote work2 days per week$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$262.9k - $404.2k
...it. Job Category Claim Compensation... ...industry. Develop medical management strategies that help injured... ...to medical and healthcare trends. This includes... ...Medical Direction and Oversight: Participate in the... ...engagement of Regional Medical Directors, Medical Consortiums...ClaimsLocal area$185k - $315k
...accessible, high-quality, and sustainable healthcare for all.The Executive Director, Specialty Commercial Strategy... ...in business planning, performance management, executive communication, and... ...including mergers and acquisitions, strategic partnerships, or channel...Full timeTemporary workWork at office$190k - $250k
...CCO), the Executive Director, Clinical Operations serves as a strategic operational... ...value-based care, managed care, and digital... ...acumen with deep healthcare operational knowledge... ...Management & Financial Oversight Oversee budget... ...determined based on several factors, that may...Work at office$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- ...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
$220k - $270k
...quality, affordable healthcare. Serving nearly 2... ...entities’ strategic targetsOversee contract... ...configured in claims administrative platformsEnsure... ...all levels of management and work... ...with the board of directors and its audit... ...be determined by several factors, including...ClaimsFull timeContract workWork at officeLocal areaImmediate startWork from home$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- ...position provides executive oversight from business... ...contractual compliance, risk management, and team development.... ..., proposals, and strategic pursuits. Communicate... ..., notices, claims, reservations of rights... ...institutional, education, healthcare, public, residential,...ClaimsContract workTemporary workFor contractorsFor subcontractorWork at office
$153.62k - $245.39k
...opinion leaders (KOLs), healthcare providers, and... ...environment. The Associate Director is expected to deliver... ..., and stakeholder management. Provides onboarding... ...independently with minimal oversight Requires strong... ...employees equitably based on several factors including...Work from homeHome office- ...adolescence Fellowship-trained team managing the full spectrum of... ...coverage of $5 million per claim and $10 million aggregate... ...the cultural, educational, and healthcare hub of Central Massachusetts.... ...manufacturing. The city is home to several renowned colleges and...ClaimsRelocationWork visa
- Moderna is seeking a Director, Clinical Monitoring Strategy and Oversight to shape Moderna's global monitoring model, covering on-site, remote, centralized... ...partner with Clinical Operations, Risk & Compliance, Data Management, and CROs, and mentor #J-18808-Ljbffr ModernaRemote work
$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- ...About the Company Innovative healthcare technology (HealthTech)... ...to supplemental networks claim cost repricer healthcare cost... ...of pharmacy economics. This strategic position is focused on translating... ...in medical claims cost management. As the VP of Technology Operations...Claims
- ...Executive Director, Specialty Commercial Strategy About the Company Top healthcare IT solutions company Industry Information... ...revenue cycle management patient engagement medical... ...role demands a leader with a strategic mindset, capable of influencing...
$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- ...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...
$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- ...providing leadership to Project Managers, field teams and supporting... ...Provide executive oversight across one or multiple large-... ...administration, change orders, claims and project risk. Partner closely... ...Senior Project Manager, Project Director or equivalent. Proven delivery...ClaimsContract workFor contractors
$175.5k - $254.5k
...SUMMARY : The Senior Director, Growth Strategy/Chief of... ...Officer, responsible for managing the team’s strategic planning and execution process... ...will possess extensive healthcare knowledge, and a track record... ...strategies Provide oversight or manage key strategic projects...Full timeTemporary workFixed term contractWork at officeFlexible hours$80k - $120k
...of documentation. Document Production/Management: Adhere to document production... ...regulations impacting employee benefits, claims procedures, and notice requirements by using... ...different individuals in the same role based on several factors, including but not limited to...ClaimsTemporary workWork at officeLocal areaVisa sponsorshipWork visaFlexible hours
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