Director, Claims and Benefits Configuration - Remote

Overview

The Director of Claims and Benefits Configuration will lead a team to manage plan and benefit configurations, collaborating with various teams to improve operational processes within the health insurance domain.

In Short

• Lead and develop a high-performing team.
• Create and implement configuration operations roadmaps.
• Oversee data utilization for business decisions.
• Identify and manage risks in configuration processes.
• Ensure compliance with laws and regulations.
• Work closely with senior leadership to resolve organizational issues.
• Participate in cross-functional collaboration.
• Drive efficiency and effectiveness in operational processes.
• Manage ongoing configuration activities.
• Contribute to the development of scalable solutions.

Requirements

• Bachelor’s degree or equivalent experience.
• 10+ years in health plan operations or health insurance.
• 7+ years in team leadership within healthcare.
• 6+ years in data analytics.
• Experience in health plan configuration.
• Strong problem-solving skills.
• Ability to derive insights from complex datasets.
• Experience in designing workflows.

Benefits

• Unlimited vacation program.
• Company equity grants.
• Annual performance bonuses.
• Medical, dental, and vision benefits.
• Paid parental leave.
• 401(k) plan participation.
• Life and disability insurance.
• Paid wellness time and reimbursements.