Director, Claims Operations


Phoenix, AZ

What you'll be doing

The position of director claims operations will focus on the claims operations. The director will be involved with customer specific initiatives as well as other national initiatives or projects and will work closely with senior service and business unit leaders to provide operations expertise. Candidate is responsible for the day to day management of inventory levels, quality, employee engagement and relationship management and direct reports include five business managers. The incumbent will support and drive the expansion of Medicaid with existing and new customers. The director responsible to be process improvements oriented, critical thinking, focused, laser focused on high priorities while being flexible; operate in a highly regulated environment. This position is accountable through multiple layers of management and staff for production, turnaround and accuracy standards that meet or exceed SLA and performance guarantees. The successful individual will analyze performance data and work to reengineer processes through benchmarking with external and internal business partners. Work with business managers on all human resources initiatives including compensation planning, performance management, staffing and employee relations concerns or issues, employee recruitment, training, self-directed teaming and employee development. Responsible for turnover management, employee retention and attendance; capacity or resource planning to ensure alignment of resources to accomplish goals; identify and deliver process improvements in collaboration with the operations support team.

What your background should be

The candidate should have 7+ years experience in operations management. Must have demonstrated success leading large teams; ability to operate at high levels within executive suite of the organization; demonstrated process or metric improvement skills; ability to roll up sleeves with ability to influence without formal authority. S/he must have strong, independent decision making ability and negotiation skills. Exceptional communication, presentation, problem solving and analytical skills. Ability to drive change and influence individuals at all levels of the organization and to take appropriate risks.

Required Schooling / Training

BS or BA degree.

Who is the client company

The company provides healthcare services.
If you are interested in this position, send your resume to