Utah Staffing
Assistant Director Claims Production
Utah Staffing, Salt Lake City, Utah, United States, 84101
Assistant Director Claims Production
Build a career with purpose. Join our cause to create a person-focused and economically sustainable health care system. We are looking for a leader to provide management for claims production processing activities in the commercial claims service organization. This role 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. 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. 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. 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 and proper compensation of Cambia claims employees. Creates and manages appropriate employee incentives and recognition. Partners with the Business Workforce Optimization teams to successfully implement new procedures and enhancements to claims systems that benefit our members. Direct the development of Cambia claims processing functions to contribute to improved productivity and accuracy in benefit application and reduced operating costs. As a member of our strong leadership community, you will provide direction to your team, engage them towards common goals and create a positive experience that helps people flourish. The expected hiring range for an Assistant Director Claims Production is $134,300-181,700 depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 15%. The current full salary range for this role is $126,000-206,000. About Cambia: Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Why Join the Cambia Team? At Cambia, you can: Work alongside diverse teams building cutting-edge solutions to transform health care. Earn a competitive salary and enjoy generous benefits while doing work that changes lives. Grow your career with a company committed to helping you succeed. Give back to your community by participating in Cambia-supported outreach programs. Connect with colleagues who share similar interests and backgrounds through our employee resource groups. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more. In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include: Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits. Annual employer contribution to a health savings account. Generous paid time off varying by role and tenure in addition to 10 company-paid holidays. Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period). Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave). Award-winning wellness programs that reward you for participation. Employee Assistance Fund for those in need. Commute and parking benefits. We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required. If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.
Build a career with purpose. Join our cause to create a person-focused and economically sustainable health care system. We are looking for a leader to provide management for claims production processing activities in the commercial claims service organization. This role 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. 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. 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. 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 and proper compensation of Cambia claims employees. Creates and manages appropriate employee incentives and recognition. Partners with the Business Workforce Optimization teams to successfully implement new procedures and enhancements to claims systems that benefit our members. Direct the development of Cambia claims processing functions to contribute to improved productivity and accuracy in benefit application and reduced operating costs. As a member of our strong leadership community, you will provide direction to your team, engage them towards common goals and create a positive experience that helps people flourish. The expected hiring range for an Assistant Director Claims Production is $134,300-181,700 depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 15%. The current full salary range for this role is $126,000-206,000. About Cambia: Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Why Join the Cambia Team? At Cambia, you can: Work alongside diverse teams building cutting-edge solutions to transform health care. Earn a competitive salary and enjoy generous benefits while doing work that changes lives. Grow your career with a company committed to helping you succeed. Give back to your community by participating in Cambia-supported outreach programs. Connect with colleagues who share similar interests and backgrounds through our employee resource groups. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more. In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include: Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits. Annual employer contribution to a health savings account. Generous paid time off varying by role and tenure in addition to 10 company-paid holidays. Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period). Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave). Award-winning wellness programs that reward you for participation. Employee Assistance Fund for those in need. Commute and parking benefits. We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required. If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.