Assistant Director Claims Production

Cambia Health Solutions

Tumwater, WA

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JOB DETAILS

JOB TYPE

Full-time, Employee

SKILLS

Artificial Intelligence (AI), Budget Management, Budgeting, Business Skills, Claims Processing, Communication Skills, Continuous Improvement, Cross-Functional, Customer Relations, Customer Satisfaction, Customer Support/Service, Data Analysis, Financial Management, Health Economics, Health Plan, Healthcare, Healthcare Administration, Leadership, Mentoring, Operational Strategy, Operations Planning, People Management, Presentation/Verbal Skills, Problem Solving Skills, Productivity Management, Record Keeping, Regulations, Staff Motivation, Systems Maintenance, Team Building, Team Lead/Manager, Writing Skills

LOCATION

Tumwater, WA

POSTED

30+ days ago

Assistant Director Claims Production

Oregon, Washington, Idaho or Utah- Hybrid (in office 3 days a week)

Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.

Who We Are Looking For:

Every day, Cambia's dedicated team is living our mission to make health care easier and lives better. As a member of the Payment Integrity team, our Assistant Director Claims Production provides leadership for Claims production processing activities in the commercial claims service organization and is responsible for strengthening the organization's effectiveness in claims processing by achieving satisfaction through fast and accurate claims processing - all in service of creating a person-focused health care experience.

As a people leader, you are willing to learn and grow, understanding that leadership is a craft that is continuously honed as you support your team and the lives that depend upon us.

Are you a proven health plan operations leader? Do you pride yourself in developing and mentoring high performance teams? Then this role may be the perfect fit.

What You Bring to Cambia:

Qualifications:

* Bachelor's degree in business management, health care administration or another related field.
* 5 years management/supervisory experience with at least 3 years in claims processing, customer service or membership/enrollment or an equivalent combination of education and job-related work experience.

Skills and Attributes:

* Expertise regarding health plan legislation and regulations.
* Successful experience leading health plan operations such as membership, claims customer service and analytics & reporting.
* Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired.
* Ability to create, execute and evaluate short- and long-term operating plans.
* Business acumen including financial/budget management, data analysis and decision making.
* Demonstrated ability to manage managers and lead high performing teams. Ability to effectively delegate, evaluate performance, and to motivate and develop others across multiple functions.
* Proven competency in developing and maintaining effective relationships at all levels inside and outside of the organization.
* Excellent verbal and written communication skills including ability to effectively convey complex or sensitive issues or regulations.

What You Will Do at Cambia:

* Works cooperatively with executives and management teams throughout Cambia to accomplish goals. Maintains a leadership team approach to resolve problems or issues of overall importance. Matters that cross functional lines directly involve the position's input and may require frequent, direct contact and close communications with all levels across Cambia.
* Drives the effectiveness of the Claims organization through appropriate organizational structure, an effective work environment, regular employee communication, recognition and development.
* Continually strives toward increased customer satisfaction while increasing operational efficiency. This is accomplished through motivating all claims staff toward increased productivity, increased accuracy and focus on customer satisfaction.
* Responsible for fiscal management, including budget preparation, expenditure control, and record keeping.
* Strengthens the organization's effectiveness in achieving customer satisfaction by ensuring fast and accurate claims processing.
* Coordinates with the directors from all Regence Plans to continuously improve the cost, quality and effectiveness of Operations functions.
* Oversees the selection, training, organization a
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About the Company

Cambia Health Solutions

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