Director Client Services, Managed Care

Director Client Services, Managed Care

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?

• Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations.
• Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
• Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights.
• Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
• Enjoy flexibility and autonomy in your daily work, your location, and your career path.
• Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.

PRIMARY PURPOSE OF THE ROLE: The Managed Care Client Services Director (MC CSD) is the primary managed care relationship leader for assigned clients. The role focuses on client stewardship, program performance, operational issue resolution, and strategic consultation across managed care services, including provider networks, case management, utilization review, behavioral health, bill review, specialty programs, ancillary services, and related clinical or vendor-supported solutions.

The Managed Care Client Services Director acts as a trusted advisor and connector between clients, claims operations, clinical leaders, account teams, analytics, network services, and vendor partners to ensure managed care programs are aligned with client objectives and delivering measurable value.

ESSENTIAL RESPONSIBILITIES MAY INCLUDE

• Serve as the primary managed care advisor and point of contact for assigned clients.
• Lead stewardship meetings, business reviews, strategic discussions, and follow-up action planning.
• Develop and deliver executive-level reporting, program insights, recommendations, and value narratives.
• Identify opportunities to improve outcomes, reduce costs, strengthen program utilization, and support client retention or growth.
• Maintain awareness of client-specific requirements, goals, operational challenges, and contractual commitments.
• Monitor managed care performance, utilization trends, service outcomes, and program effectiveness.
• Translate operational data and reporting into clear, actionable recommendations for clients and internal stakeholders.
• Support implementation of new programs, pilots, service enhancements, and process improvement initiatives.
• Partner with sales, account management, claims operations, and clinical leaders to align managed care solutions with client needs.
• Coordinate timely resolution of managed care service issues, escalations, and client concerns.
• Partner with operational leaders to identify root causes, assign ownership, and drive sustainable corrective actions.
• Ensure accountability for commitments, deliverables, action items, and communication follow-through.
• Escalate risks and barriers appropriately while maintaining clear, professional communication with impacted stakeholders.
• Support education, resource navigation, and managed care consultation for claims examiners and client-facing teams.

QUALIFICATIONS

Education & Licensing: Bachelor's degree from an accredited college or university preferred. CPCU, AIC and/or ARM or other related designation preferred.

Experience: Ten (10) years related experience or equivalent combination of education and experience required to include two (2) years account manager experience or five (5) years adjuster, team lead or managed care experience, analytics experience a plus. Residence in Central or Eastern time zones a plus.

TAKING CARE OF YOU

• Offering flexibility and autonomy.
• Supporting meaningful work that promotes critical thinking and problem solving.
• Providing on-going learning and professional growth opportunities.
• Promoting a strong team environment and a culture of support.
• Recognizing your successes and celebrating your achievements.
• We offer diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day.

Next Steps

If your application is selected to advance to the next round, a recruiter will be in touch.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.