JacksonRecruiter Since 2001
the smart solution for Jackson jobs

Director, Claim Contract Support Services

Company: Centene
Location: Jackson
Posted on: August 14, 2019

Job Description:

Director, Claim & Contract Support Services Position Purpose: Direct the strategic analysis and accuracy of Claims processes and oversee and ensure compliance with state regulations and/or provider contracts - Oversee the collection, validation and analysis of data to deliver business solutions ensuring claims payment accuracy, efficiency and quality - Monitor performance, evaluate, develop and implement business solutions to improve process and quality gaps - Identify improvement opportunities and promote change through sharing of best practices - Leverage automation to achieve desired results by reviewing and implementing new processes and technological tools - Perform claim adjudication project analysis and preparation work flow management - Coordinate the implementation of new product or health plan expansions - Formulate and establish policies, operating procedures and goals in compliance with internal and external guidelines - Oversee annual operating plan process and new business initiatives Education/Experience: Bachelor's degree in a related area or equivalent experience. 7+ years of claim processing payer support services experience in a healthcare environment. Previous Medicaid experience preferred. Previous finance/budget experience preferred. Previous statistical analysis experience is preferred. Centene 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. Claims Operations USA-Mississippi-Jackson Magnolia Health Plan Full-time

Keywords: Centene, Jackson , Director, Claim Contract Support Services, Executive , Jackson, Mississippi

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


Sales Management Trainee
Description: If youre looking to start your career with a company that grows their managers and leaders from within the organization, then the Enterprise Management Training Program is for you. Whether you see yourself (more...)
Company: Enterprise
Location: Jackson
Posted on: 08/19/2019

Pain Management Physician Opportunity with Southeastern Group Practice
Description: Hattiesburg Clinic is seeking a pain management physician to join its pain management clinic. The clinic currently consists of one pain physician and four nurse practitioners.-- This position presents (more...)
Company: Hattiesburg Clinic, P.A.
Location: Hattiesburg
Posted on: 08/17/2019

Director of Animal Care
Description: Hattiesburg Zoo Director of Animal Care LOCATION: The Hattiesburg Zoo is home to almost 100 species of animals across various taxa. An ever-expanding presence, the zoo has become a staple of the community (more...)
Company: Hattiesburg Zoo
Location: Hattiesburg
Posted on: 08/16/2019


Senior Project Manager
Description: Project Manager, 10-15 years experience, municipal infrastructure water, wastewater, transportation, drainage Established Regional Multi-disciplinary engineering firm looking to
Company: Hunt Resource Group, LLC
Location: Jackson
Posted on: 08/18/2019

DIRECTOR FOOD NUTRITION SERVICES III
Description: ul br li We have an opening for a DIRECTOR OF FOOD AND NUTRITION SERVICES position. li Location: JACKSON, MS li Schedule: MON-FRI AND WEEKENDS AS NEEDED br br Note: online applications (more...)
Company: Morrison Healthcare
Location: Jackson
Posted on: 08/17/2019

General Manager
Description: SUMMARY: The General Manager manages all aspects of the department including but not limited to: guest relations, reservation management, staffing, training, record keeping, and payroll in accordance (more...)
Company: McNeill Hotel Company
Location: Hattiesburg
Posted on: 08/19/2019

Customer Service Manager/French Bilingual/
Description: Virtual Customer Service Manager-French Bilingual Exciting opportunity for a seasoned manager to come in and help build our virtual French Bilingual team Mommy Jobs Online mommyjobsonline.com is looking (more...)
Company: Mommy Jobs Online
Location: Jackson
Posted on: 08/16/2019

Risk Control Quality Assurance Manager - Operations
Description: The Quality Assurance QA Manager team delivers control-based testing across the TOS Operations organization. In this role, you will design and execute control testing for critical processes, such as: (more...)
Company: U.S. Bank
Location: Jackson
Posted on: 08/14/2019

92Y Unit Supply Specialist - Warehouse Manager
Description: As a Unit Supply Specialist for the Army National Guard, you will ensure that your Unit and fellow Soldiers are well supplied and equipped for any mission. br br In this role, your keen eye and management (more...)
Company: Army National Guard
Location: Hattiesburg
Posted on: 08/21/2019

Director, Claim Contract Support Services
Description: Director, Claim Contract Support Services Position Purpose: Direct the strategic analysis and accuracy of Claims processes and oversee and ensure compliance with state regulations and/or provider contracts (more...)
Company: Centene
Location: Jackson
Posted on: 08/14/2019

Log In or Create An Account

Get the latest Mississippi jobs by following @recnetMS on Twitter!

Jackson RSS job feeds