CTG DIRECTOR, CLAIMS & CONTRACT SUPPORT SERVICES in Indianapolis, Indiana
Title: DIRECTOR, CLAIMS & CONTRACT SUPPORT SERVICES
Job Number: 17203092
Our client in the healthcare industry has an immediate opportunity for aDirector of Claims & Contract Support Servicesto direct the strategic analysis and accuracy of Claims processes and oversee and ensure compliance with state regulations and/or provider contracts.
This is a full time placement opportunity located inIndianapolis, IN,with anamazing Company, exposure and upward mobility offeringexcellent compensation, benefits and a 20% bonus structure! Relocation assistance is available nationwide.
Direct the strategic analysis and accuracy of Claims processes and oversee and ensure compliance with state regulations and/or provider contracts
Oversee the collection, validation and analysis of data to deliver business solutions ensuring claims payment accuracy, efficiency and quality
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
Bachelor's degree in a related area or equivalent experience.
7 years of claim processing payer support services experience in a healthcare environment.
Previous Medicaid experience preferred.
Previous finance/budget experience preferred.
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.
To be considered for this opportunity apply to this requisition via the “Apply” button below or go towww.ctg.com/careersand search on CTG Careers for17203092and/or contact Betsy Vyce;email@example.com.
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