Vice President Health Plan Claims and Operations
Company: Prime Healthcare
Location: Ontario
Posted on: February 25, 2021
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Job Description:
Vice President Health Plan Claims and Operations in Ontario,
California - Careers at PHMI Corporate Please Enable Cookies to
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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: Prime Healthcare, Ontario , Vice President Health Plan Claims and Operations, Healthcare , Ontario, California
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