Our client in Oakland is seeking an interim Director of claims for a 3+ month engagement This role involves overseeing and improving the healthcare claims management processes and working closely with senior leadership. The position is expected to pay between $80-$90/hr. depending on consultant location.
Responsibilities
Oversee the entire claims management process in the healthcare setting
Collaborate directly with the CFO and other senior leaders to drive financial strategies and decisions
Utilize Epic/Tapestry software to streamline and enhance claims processes
Understand and apply knowledge of capitation rates in the decision-making process
Conduct thorough assessments of current processes and procedures, recommending improvements where necessary
Demonstrate strong communication skills, especially when interacting with senior leadership
Leverage knowledge of healthcare claims process, policies & procedures, and capitation payments to optimize financial outcomes.
Requirements
Minimum of 10 years of experience in a similar role within the Healthcare/NHS industry
Demonstrated proficiency in HealthCare Revenue Cycle management
Experience with Epic Software is essential
Must be knowledgeable in implementing and managing Policies & Procedures in a healthcare setting
Experience in managing Capitation Payments is required
Strong leadership skills with the ability to lead a team effectively
Excellent communication and interpersonal skills
Proven ability to strategize and implement revenue cycle improvement initiatives
Ability to analyze data and use it to inform decision-making
Must possess a problem-solving mindset with a strong attention to detail
Proficiency in Microsoft Office Suite, especially Excel and PowerPoint
Bachelor's degree in Business, Finance, Health Administration, or related field is required, advanced degree preferred.
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