Director of Carrier Engagement - Remote

Overview

The Director of Carrier Engagement is responsible for the end-to-end performance, accuracy, and satisfaction of the company’s carrier network. This role oversees payment operations, quality assurance, carrier engagement, and experience.

In Short

• Attend monthly Business Review meetings with clients providing detailed and analytical data insights as it relates to carrier engagement.
• Attend monthly Carrier meetings providing referral findings and leading data-driven discussion.
• Hands-on delivery of the carrier experience vision, standards and service models.
• Lead initiatives that strengthen trust, transparency, and partnership with carriers.
• Identify performance gaps and lead cross-functional improvement plans.
• Manage escalations and ensure timely resolution of carrier issues.
• Champion a consistent, high-quality experience across all carrier and client touchpoints.
• Serve as an executive liaison for carrier and client relationships focusing on service, performance and partnership.
• Develop team capabilities in communication, analytics, relationship management, and problem-solving.

Requirements

• Bachelor’s degree in business, operations, or related field; advanced degree preferred.
• 5 - 10+ years of experience in payment integrity operations, financial operations, or quality management.
• Experience managing the payment integrity operations process, workflow patterns and complex operational programs.
• Strong analytical, problem-solving, and process-improvement skills.

Benefits

• Impactful work in reducing wasteful spending in healthcare.