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$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$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- ...Operational Risk, Information Technology Oversight About the Company Rapid-growing... ...Processing Dayton General Electric Healthcare Financing Medical Financing My... ...with information security and risk management concepts, experience in IT operations or...
- ...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
- ...second, we are a Management Services Organization... ...profits) provide several financial,... ...the organization’s strategic plan. The CFO serves... ...cost of care (claim cost)The CFO works... ...of the Board of Directors and/or the Executive... ...planning, oversight and managementDesired...ClaimsFull time
- ...monitoring, population health management tools, and a CDC-... ...the ground up. The Director, Revenue Cycle Strategy... ...Own operational oversight across the full revenue... ...authorization, coding, claims submission, denial management... ...the billing team. Healthcare consulting with client...ClaimsFull timeTemporary workPart timeWork at officeRemote workRelocationFlexible hours
- ...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- ...specialty hospitals, a managed care organization,... ...related entities. Several of our hospitals... ...health and healthcare for all by translating... ...direction of the Director of Risk Capture, the... ...and external claims) that results in improvement... ...trainingClinical Oversight· Meet on a regular...ClaimsWork at officeRemote work
$74.88k - $91.52k
...to Help Us Transform Healthcare? Bring Your True Colors... ...who work together to manage the Company's $40 billion... ...assisting with the oversight of Organization's short... ...processing for provider claim payments.Complete... ...range will be based on several factors including, but...ClaimsTemporary workShift work$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$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. The Site Medical... ..., utilization management and patient... ...budgeting and strategic planning. This... ...oversight and direction... ...change in our healthcare delivery model... ...Federal Tort Claims Act (FTCA).... ...and/or rate, several factors may be...ClaimsHourly pay$250k - $290k
...your discretion, subject to manager approval. For example, you may... ...Vice President, Transfer Agency Oversight to assist in building and... ...Success in this role will require strategic judgment and operational... ...offerings are influenced by several business factors, and eligibility...Full timeWork at officeLocal areaRemote work1 day per week$133k - $186k
...our core construction management services and complementary... ...clients across healthcare, life sciences, education... ...environments and the oversight of the design process... ...and building systems. Strategic mindset balancing design... ...salaries may be based on several factors including, but...Temporary workFor contractorsWork at officeFlexible hours$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$255.8k - $402.7k
...The Executive Director, Clinical Science... ...responsible for providing strategic, scientific,... ...strengthen study oversight across the... ...Biostatistics and Data Management, Drug Safety and... ...Advanced scientific or healthcare degree (e.g., PhD... ...will be based on several factors including...Full timeFor contractorsLocal areaImmediate startRelocationVisa sponsorshipFlexible hoursShift work- ...experience in sales, account management, or customer success within the healthcare industry? Are you... ...passionate about building deep strategic relationships that... ...SOPHiA GENETICS as our Director, Strategic Accounts -... ...are dependent on several factors including, but...Contract workTemporary workLocal area
$18 - $32 per hour
...exceptional customer service Manage administrative intake and data... ...setting 1+ years of healthcare administration experience Intermediate... ...insurance AND/OR medical claims, medical research or medical... ...from others Pay is based on several factors including but not limited...ClaimsHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaRemote workMonday to FridayShift 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
- 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
$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$78k - $106k
...our core construction management services and complementary... ...serving clients across healthcare, life sciences,... ...Responsibilities The Claims Specialist under the supervision of the Director of Claims is responsible... ...impacts of losses across several lines of business. Responsibilities...ClaimsTemporary workFor contractorsFor subcontractorWork 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- ...Responsibilities Provide executive leadership and oversight for multiple concurrent projects,... ..., commissioning and closeout. Manage project budgets, cash flow and forecasting... ...administer contracts, manage change orders, claims and risk mitigation; ensure compliance...ClaimsContract workFor subcontractorWork at office
- ...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
- ...We are seeking a detail-oriented, organized, and proactive Healthcare Benefits Coordinator to support our clinical and administrative... ...timely insurance verification, prior authorizations, and claims management. Position Summary The Healthcare Benefits...ClaimsWork at office
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