Job

Director of Self-Funded Healthcare Claims

Location Ontario, CA 91762
Date Posted December 20, 2024
Job ID 12160
Employment Type Direct Hire
Scion Executive Search has been engaged to lead the search for a new Director of Self-Funded Healthcare Claims on behalf of our client, an award-winning healthcare organization renowned for excellence in patient care. This exceptional company provides abundant opportunities for career growth and advancement, allowing employees to make a meaningful impact on patient care and community health. As a mission-driven organization dedicated to enhancing healthcare access and quality, it stands out as an ideal employer for professionals seeking a fulfilling career in the healthcare industry! This full-time, on-site opportunity is immediately available and based in San Bernardino County, California.

POSITION RESPONSIBILITIES:
  • Lead the development and execution of strategies to optimize and manage claims operations, including automating processes and driving efficiency.
  • Utilize technology and data analytics to improve the quality of claims processing while driving cost efficiencies across the company's self-insured employee health plans.
  • Uncover financial savings and enhance overall plan performance by conducting thorough audits and in-depth analysis of claims data.
  • Provide strategic leadership in driving departmental growth while fostering collaboration with multiple other departments.
  • Ensure data integrity and drive financial and operational value across employee health plans, optimizing benefit coverage while controlling costs.
  • Collaborate with C-suite executives and hospital administration to implement the goals and strategies of the employee health plans.
  • Ensure that any process or procedural changes impacting operations are communicated promptly and efficiently through effective cross-functional teamwork.

QUALIFICATIONS:
  • A Master's degree in Business Management, Healthcare Administration, or a related field is required.
  • 5+ years of experience in claims and health plan strategy within a managed care, self-funded hospital setting.
  • Candidates must possess strong analytical skills, with a focus on using data to drive both operational and financial performance.
  • The ability to navigate complex, fast-paced environments involving multiple internal and external stakeholders is essential.
  • Strong interpersonal, problem-solving, and project management skills are required, along with proficiency in creating presentations for various audiences using Microsoft Office.
  • Comprehensive knowledge of medical coding, including ICD-10 and HCPCs/CPT, is also necessary.
  • Certified Professional Coding Certification, AIC, ARM, or an equivalent credential preferred.

COMPENSATION AND BENEFITS:
This wonderful opportunity offers the ability to make a significant impact leading a vast and award-winning healthcare organization committed to excellent patient care. This career opportunity offers a strong salary of $200,000 to $250,000+ per year plus discretionary bonuses. An exceptional benefits package includes medical, dental, and vision coverage, paid time off, a 401K retirement plan, tuition reimbursement, and more. This role will benefit from professional development opportunities, significant leadership responsibilities, and meaningful collaborations with hospital leadership and executive teams.

HOW TO APPLY:
For immediate consideration please apply with your resume formatted in Microsoft Word via: https://scionexecutivesearch.com/job/12160.

Please address applications to:
 
Elizabeth Crimmins, Executive Search Principal
Scion Executive Search
(888) 487-8850 x113

Review of applications, nominations, and expressions of interest will begin immediately and continue on a confidential basis until an appointment is made.

ABOUT OUR FIRM:
Scion Executive Search is an award-winning retained executive search firm. Our track record and recruitment process have made us one of the top recruitment firms in the United States. Through innovative team building and recruitment solutions, Scion Executive Search seamlessly bridges the gap in interim and executive searches.

We are proud to be part of the Forbes lists of the Best Recruitment Firms and the Best Executive Search Firms in America. Additionally, Scion has been recognized as a ClearlyRated Best of Staffing firm as well as a top recruitment firm by The Business Times. Additional information about our firm and our practices can be found online.

Scion Executive Search is an equal opportunity employer and service provider and does not discriminate based on race, religion, gender, gender identity, national origin, citizenship status, sexual orientation, disability, political affiliation, or any other protected class. We are committed to the principles of Equal Opportunity Employment and are dedicated to making employment decisions based on merit and value, for ourselves, our client companies, and the candidates we represent.

For opportunities located in a region that has enacted fair chance, arrest, or conviction-based employment ordinances, Scion Executive Search proactively follows the enacted guidance and considers for employment all qualified applications with arrest and conviction records. We engage in socially conscious business practices and believe that diverse, equitable, inclusive, and non-biased talent and recruitment processes are foundational to the success of Scion as well as every client organization with whom we partner.

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