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Remote Director of Claims Analysis and Savings

Get It - Executive
Dallas, TX Remote Full Time
POSTED ON 3/3/2025
AVAILABLE BEFORE 4/3/2025
Job Overview

We are seeking a results-oriented and strategic professional to take on the role of Director of Claims and Savings Analysis. In this pivotal leadership position, you will spearhead analytical initiatives that drive business growth and innovation. You will manage a dedicated team focused on uncovering savings opportunities for both existing and prospective clients, thus playing a vital role in the ongoing success and transformation of our organization. Your expertise in developing and refining cutting-edge methodologies for savings analysis will translate critical findings into actionable insights for our clients and stakeholders.

Key Responsibilities

  • Direct the development and implementation of savings calculation methodologies that support the organization's growth objectives.
  • Create a strategic roadmap aimed at enhancing the savings analysis process, shifting towards a more proactive and scalable model.
  • Oversee market-facing savings validation activities, establishing the organization’s credibility within the industry.
  • Manage all claims repricing activities for both current and potential clients.
  • Act as a subject matter expert (SME) during cross-functional discussions with teams such as commercial, client success, accounting, and analytics.

Required Skills

  • Strong analytical capabilities, particularly with advanced proficiency in Excel.
  • Familiarity with statistical tools, such as Python and Snowflake, would be advantageous.
  • Proven ability to manage and mentor a team effectively.
  • Excellent communication skills for collaboration across various functional areas.
  • A strong drive and intellectual curiosity to address complex challenges.
  • Ability to excel in a fast-paced, results-oriented environment.

Qualifications

  • Bachelor's degree in a relevant discipline; an advanced degree in statistical analysis, health policy, or a related field is preferred.
  • A minimum of 10 years of experience in healthcare professional services, including roles in actuary, claims analysis, or consulting.
  • Experience in team management is preferred.
  • A solid understanding of the healthcare sector.

Career Growth Opportunities

This position offers significant opportunities for professional development, strategic influence, and the chance to create actionable insights that will shape the future direction of our organization.

Company Culture And Values

Our organization is committed to fostering a diverse and inclusive workplace. We embrace collaboration, creativity, and a proactive approach to problem-solving, fostering an environment that encourages innovation and professional growth.

Compensation And Benefits

  • Competitive salary commensurate with experience.
  • Comprehensive health benefits, including medical, dental, and vision insurance.
  • Short & long-term disability and life insurance coverage.
  • 401k plan with company matching contributions.
  • Generous paid time off and paid parental leave.

Employment Type: Full-Time

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