Work for a highly respected Managed Care Organization (Medicare, Medicaid, and commercial lines of business) as their next Claims Operations Director. The director will oversee all activities within the claims “perfection” processing unit to including, but not limited to, adjustments, reconsiderations, claims processing special projects, monitoring claims intake/output, SLAs, and managing teams and turnaround. The position is available for remote work within authorized states with occasional travel.

Qualifications:
• Bachelor’s degree
• Seven years’ experience in the health insurance field, including five years in a management capacity
• Strong claims operations experience
• Experience with QNXT (or similar claims process system), claims automation tools, and claims cost containment preferred

Excellent benefits package offered and opportunities for advancement within the organization.

If this piques your interest, submit your resume in confidence to [email protected]; or call Anita Pate, President/Recruiter, at (813) 445-6615.

To apply for this job email your details to info@evolveresources.com