CTG DIRECTOR, CLAIM & CONTRACT SUPPORT SERVICES in Columbus, Ohio

Title: DIRECTOR, CLAIM & CONTRACT SUPPORT SERVICES

Location: US-OH-Columbus

Job Number: 17203618

Director, Claims & Contract Support Services

Our client in the healthcare industry has an immediate opportunity for a Director, Claims & Contract Support Services to direct the strategic analysis and accuracy of Claims processes and oversee and ensure compliance with State regulations and/or provider contracts to oversee the claims configuration and pricing/benefits setup within the claims payment system. This is a full time placement opportunity located in Columbus, OH.

Amazing Company, exposure and upward mobility offering excellent compensation, benefits and a 10% bonus structure! Relocation assistance is available nationwide.

Responsibilities:

  • Monitor performance, evaluate, develop and implement business solutions to improve process and quality gaps.

  • Identify improvement opportunities and promote change through sharing of best practices.

  • Leverage automation to achieve desired results by reviewing and implementing new processes and technological tools.

  • Perform claim adjudication project analysis and preparation work flow management.

  • Coordinate the implementation of new product or health plan expansions.

  • Formulate and establish policies, operating procedures and goals in compliance with internal and external guidelines.

  • Oversee annual operating plan process and new business initiatives.

Qualifications:

  • Bachelor's degree in a related area or equivalent experience.

  • years of claim processing payer support services experience in a healthcare environment.

  • Previous Medicaid experience preferred.

  • Previous finance/budget experience preferred.

To Apply:

To be considered for this opportunity apply to this requisition via the “Apply” button below or go to www.ctg.com/careers and search on CTG Careers for 17203618 and/or contact Betsy Vyce; betsy.vyce@ctg.com.

Our client is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualifications:

CTG is the most reliable IT services provider, built on 50 years of meeting our commitments to make technology work for clients and deliver real business value. CTG provides industry-specific IT strategy, services, and solutions that address the business needs and staffing challenges of clients in high-growth industries, including major technology companies, large corporations, and government entities located in North America and Western Europe.

CTG's greatest asset is its people, and as such we are committed to providing employees programs and processes to support their performance, hone their skills, and advance in their careers. This commitment is reflected by CTG being named a Best Places to Work Company by Modern Healthcare (since 2013) in North America, and a Best Places to Work Company in the United Kingdom (2013), Belgium (since 2007), and Luxembourg (since 2011).

CTG will consider for employment all qualified applicants including those with criminal histories in a manner consistent with the requirements of all applicable local, state, and federal laws.

CTG is an Equal Opportunity/Affirmative Action Employer and strong advocate of workforce diversity. Minority/Female/Sexual Orientation/Gender Identity/Disability/Veteran.

Job: Health Payer