Careers

Vice President of Medicare/Medicaid Claims

Tampa, FL 33601.

Leadership Challenge:

In this role is an exceptional opportunity  and very difficult challenge to do innovative work
at one of America’s leading health benefits companies and a Fortune Top 50
Company.  You would be responsible for developing the claims payment and adjustment
strategy in Government Business Division Claim Operations.

RESPONSIBILITIES:

You will lead multiple claims processing units, executes
strategies to deliver industry leading service results. Improves processes and
partners across lines of business to develop consistency and share best
practices.

This will include driving results to improve provider satisfaction.

Building strong partnerships with Plan Presidents.

Leads systems consolidation efforts, compliance
requirements, and monitors state/federal regulations. Hires, trains, coaches,
counsels, and evaluates performance of direct reports.

SKILLS & EXPERIENCE

Tampa, FL is listed BUT you Can move to any one of these three location:

Mason, Ohio 45304;  Virginia Beach, VA 23450 or Tampa, FL 33601.

Must have Health Insurance / Payer at larger competitor.

Government  – Medicaid and/or Medicare.

Transaction Operations, Claims Leadership Depth and
Breadth.

Oversight of vender relationships and operations
transition experience.

10 + years of management experience in claims that
includes adjustments in the managed care and/or insurance industry.

MBA preferred.

Focused on metric driven results, identifies and
analyzes problems using facts and data to leverage resources available and
solve problems creatively.

They will participate in relocation.