Managing Director Strategic Claims Oversight - Healthcare Severity
$97k - $189kCNA Financial
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all 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 practices and leads ongoing efforts to drive operational initiatives and continuous improvement. Accountable for the overall quality, customer service delivery and productivity of the team.JOB DESCRIPTION:Essential Duties & Responsibilities Performs a combination of duties in accordance with departmental guidelines: Leads and directs the work activities and has full management responsibility for the performance of the Severity Team. Exercises full management authority, including performance reviews, pay decisions, recruitment, discipline, termination and other personnel actions. Oversees the most complex investigations of claims, liability and damages and determines claim strategy, including if claim should be settled or litigated. Develops and directs the execution of the litigation management strategy. Develops and maintains collaborative working relationships with internal and external business partners including Operations, Underwriting, Actuary and Risk Control and regularly shares claims outcomes, trends, legal developments and other relevant business updates. Responsible for the ongoing management of staff by attracting talent, setting clear direction, providing appropriate guidance, managing performance, recognizing contributions, and developing capabilities . Ensures quality by assuring compliance with best practices, and developing and delivering training as needed. May perform additional duties as assigned. Reporting Relationship AVP or above Skills, Knowledge & Abilities Senior level knowledge of the theories, principles, practices and procedures of claim and litigation management within an insurance organization. Excellent technical and product specific expertise, claims resolution skill and knowledge of insurance and claims principles, practices and procedures. Excellent verbal and written communication and presentation skills. Excellent negotiation, consultative and facilitation skills with the ability to effectively interact with all internal and external business partners. Ability to exercise independent judgment, and to work with and maintain confidential and sensitive information. Excellent analytical and problem solving skills, and senior level skill in managing ambiguous situations and issues. Creativity in resolving unique and challenging business problems Proven ability to take a proactive long-term view of business goals and objectives in order to achieve strategic business results. Knowledge of Microsoft Office Suite and other business-related software. Value driven to provide superior solutions to internal and/or external customers. Acts with a sense of urgency to advance priorities of the organization. Helps other to excel through collaboration and building strong relationships. Raises expectations of self and others by continuously learning and broadening industry and technical skills. Strong management skills with the ability to coach, mentor and develop subordinate staff. Independent judgment and ability to effectively manage internal and external business relationships. Education & Experience Bachelor's degree with JD preferred or equivalent experience. Admission to the bar of at least one state preferred. Typically a minimum of ten years of claims or legal experience with a proven track record of positive results. #LI-KC2#LI-HybridIn certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois,Maryland, Massachusetts, New York and Washington,the national base pay range for this job level is $97,000 to $189,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees – and their family members – achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA’s benefits, please visit cnabenefits.com.CNA utilizes AI-enabled technology during the recruiting process. For more information, please visit our careers page.CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact View email address on click.appcast.io: Chicago, IL, USA; Princeton, NJ, USA; US- CA73 - Los Angeles-633 West 5th Street; Tarrytown, NY, USA; Downers Grove, IL, USA; Boston, MA, USA; Irvine, CA, USA; New York, NY, USA; Lake Mary, FL, USA; Plano, TX, USA; Melville, NY, USA; Overland Park, KS, USAType: Full time
$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- ...nationally recognized healthcare management consulting firm... ...motivated Revenue Cycle Director to lead the end-to-end... ...coding coordination, claims submission, payment posting... .... This role provides strategic and operational... ...reflects consideration of several factors, including...ClaimsContract work
- ...addiction care, medication management, crisis intervention,... ...to exceptional mental healthcare can co-exist. ABOUT... ...friction, driving strategic initiatives, and expanding... ...Health considers several factors to ensure a fair... ...or organizations claiming to represent ReKlame Health...ClaimsPermanent employmentTemporary workWork experience placementWork at officeLocal areaFlexible hoursShift work
$300k - $325k
...MetroPlusHealth’s Senior Management team and is vital in... ...assistance with the oversight, management, and supervision... ...Customer Success, and Claims. This position is... ...resolution at both a strategic and functional level.... ...at every stage of the healthcare management process...ClaimsFull timeContract workWork at officeFlexible hours$70.35k - $85k
...OverviewHealthStream is the leader in healthcare workforce solutions. We help... ...new enterprise sales and managing, retaining, and growing an... ...independently with limited oversight. Ability to travel 10 - 20%... ...a suspicious message claiming to be from HealthStream, please...ClaimsBase plus commissionTemporary workWork from homeFlexible hours- ...residential wellness and healthcare infrastructure, we... ...is seeking a strategic, financially sophisticated... ...company's enterprise risk management and insurance... ..., captive insurance, claims oversight, and executive-level... ...professional liability, directors and officers, cyber,...ClaimsFull timeNight shift
$165k - $215k
...of what makes American healthcare expensive isn’t... ...higher premiums, denied claims, surprise bills, and a... ...plan and need to build several functions, capabilities... ...thought partner, lead strategic, cross-functional projects... ...new team roles, manage transition from "prototype...Claims- ...the Division of Healthcare Management and Occupational... ...DHMOSH provides strategic and operational... ...the UN Medical Directors Network. The Advisory... ...on Compensation Claims (ABCC) is a UN... ...causality, severity, permanence, and... ...subordinates, provides oversight and takes...ClaimsPermanent employmentFixed term contractWork experience placementWork at office
- ...Revenue Cycle Coordinator to help manage the financial health of our... ...problems, tracking down outstanding claims, improving collections, and helping a healthcare team operate efficiently.... ...cycle, including claim submission oversight, denial management, insurance verification...ClaimsPart timeFlexible hours
- ...leadership for operational systems, member services, facilities, and claims management, with accountability for Medicaid operations. The COO will... ..., and foster a culture of excellence across all operational lines in a dynamic healthcare #J-18808-Ljbffr MetroPlusHealthClaims
- ...To Assistant Director, Health Programs... ...Union Code N/A Management Yes About... ..., managing strategic provider relationships... ..., member, and claims-related issues... ...provider relations, healthcare administration, or... ...ongoing program oversight ~ Experience...ClaimsContract work
$200k - $250k
...impact?West Monroe is seeking a Healthcare Director to join our dental strategy... ...organizations - practice management, AI, workflow,... ...practice management platforms, claims platforms, etc.) Partner with... ...ecosystem, supporting innovative, strategic, and technical...ClaimsLocal areaImmediate startFlexible hours- ...BPM services with decades of healthcare domain expertise to help... ...offerings for clinical, case management, member engagement, provider... ...solutions, payment integrity, claims cost containment, and analytics... ...and timelines, and maintain oversight of the work and outcomes....ClaimsTemporary workWork experience placementCurrently hiringWork from homeFlexible hoursShift work
- ...is currently seeking a Director, Program Integrity, Health... ...:Provide technical and strategic advisory services related... ..., cost reporting, managed care oversight, and federal claiming, to identify and mitigate... ...experience in Medicaid finance, healthcare finance, reimbursement,...ClaimsH1bLocal area
$230k - $300k
...this by building a new mental healthcare system everyone can access.... ...admin work - credentialing, claims, payment reconciliation - is... ...missed quarter. This is a Director-level individual contributor... ...strategy, business operations, management consulting, product management...ClaimsWork from homeFlexible hours- ...psychiatry programs by Becker’s Healthcare. The Lower East Side in New... ...partnership with the Medical Director of Acute Care and Vice Chair... ...SupervisionProvides clinical oversight and supervision for psychiatry... ...among the country’s best in several pediatric specialties. The Icahn...Full timeTraineeshipLive inLocal area
$95.45k - $156.54k
DescriptionThe Clinical Manager is a licensed clinician, with responsibility of oversight of activities in the assigned department... ...we work together to transform healthcare. We encourage all team members... ...among the country’s best in several pediatric specialties. The...TraineeshipLocal area$200k - $300k
American healthcare providers spend hundreds of billions a year creating and optimizing health insurance claims. Payers spend a similar amount adjudicating them. AI was supposed to fix this, but really it's making things worse. Providers use AI to improve claims; payers...ClaimsContract workWork at officeImmediate startTrial periodFlexible hours- ...mission is to fix the mental healthcare system by building a new... ...admin work - credentialing, claims, payment reconciliation - is... ...opens doors to deeper, more strategic partnerships.For PlatformThe... ...Fit If10+ years of product management experience with a track record...Claims
$430k
...the leadership, management, and vision necessary... ...management and oversight for product lines... ...facilities, and claims management. In addition... ...corporate-wide strategic and business... ...every stage of the healthcare management... ...governing Board of Directors, as requested....ClaimsFull timeWork at officeLocal area$45k - $70k
...Overview The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that... ...physicians, and the Medical Director. Additional Duties May provide oversight to the work of the team... ...process over 200,000 insurance claims annually for leading...ClaimsTemporary workWork at officeRemote workWork from home$175k - $200k
...technology platform that helps healthcare providers get paid fairly... ...dispute underpaid claims, reduce administrative burden... ...The Role We’re looking for a Strategic Finance Manager to join our growing Strategic... ...role reports directly to our Director of Strategic Finance and...ClaimsRemote workFlexible hours- ...apply policy guidelines and healthcare terminology and delineate when... ...are/are not met. Evaluates claims for conflict of interest and... ...of cases. Provides clinical oversight to cases that are complex and... ...Third-Party Administrators, Managed Care Organizations, Employers...ClaimsExtra incomeFreelanceWork at officeRemote work
$175k - $185k
...Services provides strategic, operational, and... ..., Medicaid Managed Care requirements... ...sustainability through strong oversight of billing,... ...Deputy Executive Director/ Chief Program... ...needs and evolving healthcare models. Article 3... ...coding, timely claims submission, strong...ClaimsFull timePart timeWork at officeFlexible hoursShift work- ...this by building a new mental healthcare system everyone can access.... ...admin work - credentialing, claims, payment reconciliation - is... ...makes that possible at scale — Strategic Finance is one of the most operationally... ...process end-to-end. Manage the operating budget with...Claims
$170k - $180k
## Managed Care DirectorApplylocations: Richmond University... ...)2. Financial Oversight:o Develop and implement... ...contracts regarding billing, claims payment, scheduling,... ...contractual terms6. Strategic Planning:o Develop and... ...Bachelor’s degree in healthcare administration,...ClaimsContract workWork at officeDay shift- ...to fix this by building a new mental healthcare system everyone can access. We started... .... The admin work - credentialing, claims, payment reconciliation - is a nightmare... ...mental healthcare for the better. Strategic Finance Manager As we scale towards $1B+ in revenue —...ClaimsFlexible hours
$28.85 - $35 per hour
...Specialist for a fast-growing healthcare revenue recovery organization... ...denied and underpaid insurance claims through disciplined, payer-specific workflows. You will manage assigned denial queues, submit... ...based on performance in the first several months. Converted employees...ClaimsRemote jobHourly payTemporary workInterim roleFlexible hours$230k - $300k
...Create Alert The Executive Director - Compliance leads the... ...ensuring adherence to healthcare laws, regulations and... ...growth. This person will strategically partner with and advise senior management and the teams of... ...Kickback Statute, False Claims Act, FDA promotional regulations...ClaimsTemporary workWork experience placementWork at officeRemote workFlexible hours$90k - $130k
...Insurance organization, is seeking to add a Claims Oversight Consultant - General Liability to... ...stakeholders to ensure effective risk management strategies are implemented across a... ...performance and reduce loss frequency/severity. Review and monitor claims activity...ClaimsContract workFor contractors
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Managing Director Strategic Claims Oversight - Healthcare Severity. Be the first to apply!
- executive assistant to chief executive officer New York, NY
- board member New York, NY
- managing director of operations New York, NY
- executive support New York, NY
- financial executive New York, NY
- supply chain executive New York, NY
- managing director New York, NY
- chief diversity officer New York, NY
- executive assistant to president New York, NY
- information technology executive New York, NY


