Claims Processing Director plans and directs one or more departments responsible for administration of health insurance claims, payment processing, billing research, and responding to inquiries. Establishes and implements organizational policies and procedures; may offer guidance on the appropriate handling of complex or high-value claims. Being a Claims Processing Director develops and executes strategic business plans for the department. Coordinates operations with other areas of the organization. Additionally, Claims Processing Director requires a bachelor's degree. Typically reports to top management. The Claims Processing Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Claims Processing Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)
Posted: 22-Apr-24
Location: Salt Lake City, Utah
Type: Full Time
Salary: Commensurate with experience
Sector:
Required Education:
Additional Information:
Internal Number: 67830
University of Utah Health is seeking an experienced new Associate Director of Risk Management Claims!
This position is responsible for assisting with the direction of the Clinical Risk Management Program, including the functions of risk identification and evaluation, performance improvement to reduce risk and improve patient care systems, litigation support, clinical risk management, claims management, program administration and risk management education, and collaboration with staff, physicians, insurers and legal counsel within the organization.
The Associate Director of Risk Management Claims operates at a System level within University of Utah Health, partnering across the Health System and University Academics (Department leadership and School of Medicine). Additionally, this role is responsible for managing relationships and partnerships with external law firms and entities.
Qualified applicants must have completed:
Preferred qualifications include:
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