Vice President Health Plan Claims and Operations
Company: Regional Recreation Corporation of Wood Buffalo
Location: Ontario
Posted on: February 17, 2021
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Job Description:
Vice President Health Plan Claims and Operations in Ontario,
California - Careers at PHMI Corporate Skip to Main Content Please
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Candidate? Log back in! Vice President Health Plan Claims and
Operations Facility Prime Healthcare Management Inc Location
US-CA-Ontario ID 2020-53418 Category Executive Position Type Full
Time Shift Days Responsibilities The Vice President of Health Plan
Claims and Operations--is responsible for the development and
execution of Claim Operations strategies, end-to-end Claim process
automation, optimization and management, identifying and leveraging
technology and data to improve the quality and minimize process
cost of Claims for all Prime Healthcare's self-insured Employee
Health Plans. Through in-depth audit and review of Claims data, the
VP will identify financial savings across all aspects of the
Employee Health Plans. The VP of Health Plan Claims and
Operations--will provide strategic leadership and development of
the Claims Department and its employees, as well as collaborate
with Network Development, Provider Affiliation and Member
Relations, Contracting, and Benefits Administration to ensure data
integrity and to drive financial and operational value across
Employee Health Plans to maximize benefit coverage while containing
cost. The VP of Health Plan Claims and Operations will partner with
local C-Suites and Hospital Administration to execute goals and
plans of the Employee Health Plans. Through inter-professional
collaboration, The VP will ensure that TPA and Health Plan are
notified in a timely fashion of any changes in process or
procedures which would impact their functions. #LI-CC1
Qualifications Required qualifications :
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Keywords: Regional Recreation Corporation of Wood Buffalo, Ontario , Vice President Health Plan Claims and Operations, Executive , Ontario, California
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