CTG DIRECTOR, CLAIMS OPERATIONS in Tucson, Arizona

Title: DIRECTOR, CLAIMS OPERATIONS

Location: US-AZ-Tucson

Job Number: 17203093

Director, Claims Operations

Our client in the healthcare industry has an immediate opportunity for aDirector of Claims Operations to direct the day-to-day operations of the Claims Department and ensure accurate and timely processing of members medical claims within established state and company compliance guides.

This is afull time placementopportunity located inTucson, AZ with an amazing Company, exposure and upward mobility offering excellent compensation, benefits and a 20% bonus structure! Relocation assistance is available nationwide.

Position Purpose:

  • Develop the vision and goals for the claims department in compliance with federal, state and Company guidelines

  • Oversee and ensure achievement and maintenance of all claims processing standards within established guidelines

  • Partner with multiple business units, health plans and other stakeholders to establish operational objectives and procedures.

  • Identify business needs and drive change initiatives to address these issues

  • Ensure all issues are resolved accurately and timely and implement action plans to address any issues

  • Identify and implement operational efficiencies and development of “best practice” policies and procedures

  • Analyze customer impact and respond to complex escalated customer service and claims processing issues to ensure that customer expectations are consistently met

Qualifications:

Qualifications:


Bachelor’s degree or equivalent experience.


7 years of operations management, financial management or analysis, or claims operations experience, preferably in a managed care and/or Medicaid setting.


Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.

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 Apply:

To be considered for this opportunity apply to this requisition via the “Apply” button below or go towww.ctg.com/careersand search onCTG Careers for17203093and/or contactBetsy Vyce;betsy.vyce@ctg.com.

About CTG:

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