About the role

Assistant Director leading Claims production processing and striving for operational efficiency at Cambia. Looking for experienced health plan operations leader to enhance customer satisfaction.

Responsibilities

Provides leadership for Claims production processing activities in the commercial claims service organization.
Responsible for strengthening the organization’s effectiveness in claims processing by achieving satisfaction through fast and accurate claims processing.
Works cooperatively with executives and management teams throughout Cambia to accomplish goals.
Maintains a leadership team approach to resolve problems or issues of overall importance.
Drives the effectiveness of the Claims organization through appropriate organizational structure, an effective work environment, regular employee communication, recognition and development.
Continually strives toward increased customer satisfaction while increasing operational efficiency.
Responsible for fiscal management, including budget preparation, expenditure control, and record keeping.
Coordinates with the directors from all Regence Plans to continuously improve the cost, quality and effectiveness of Operations functions.

Bachelor’s degree in business management, health care administration or another related field.
5 years management/supervisory experience with at least 3 years in claims processing, customer service or membership/enrollment or an equivalent combination of education and job-related work experience.
Expertise regarding health plan legislation and regulations.
Successful experience leading health plan operations such as membership, claims customer service and analytics & reporting.
Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired.
Ability to create, execute and evaluate short- and long-term operating plans.
Business acumen including financial/budget management, data analysis and decision making.
Demonstrated ability to manage managers and lead high performing teams.
Ability to effectively delegate, evaluate performance, and to motivate and develop others across multiple functions.
Proven competency in developing and maintaining effective relationships at all levels inside and outside of the organization.
Excellent verbal and written communication skills including ability to effectively convey complex or sensitive issues or regulations.

Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
Annual employer contribution to a health savings account.
Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
Award-winning wellness programs that reward you for participation.
Employee Assistance Fund for those in need.
Commute and parking benefits.