Managing Director, Operations - Claims, REMOTE
United States
This position requires EST business hours.
AF Group (or any Emergent Holdings) employees who cannot access our internal job board “Opportunity Marketplace”, please reach out to Mary George to apply.
SUMMARY
This role reports to the Senior Vice President of Claims and will work closely with leaders of all business units that report within the Claims organization. This role will lead, plan, organize, implement and/or assist the business units in implementing operational efficiencies and assist with strategies to achieve the goals and objectives of the Claims department. Working directly with the Divisional Directors, this role will work to ensure consistent practices and procedures are developed and followed across the division. This position will also be responsible for overseeing the day-to-day operations within the business units of Medical Bill Review, Medical Management, Decision UR, and Claims Assistants. They will have direct oversight of these business units along with coordinating, planning, problem solving and implementing solutions to solve productivity and efficiency challenges.
This position will develop business partnerships within the enterprise while leading the development and integration of corporate strategic initiatives within the operations. Understands multiple perspectives of corporate business and operational issues and their impact to the Company. Manages various projects and initiatives from ideation through development, approval, execution, and tracking. Works closely with the leadership team to develop annual and long-term goals and objectives. Responsible for the creation of key performance indicators, maintaining data sources, dashboards and analytics, long-term staffing plans, staffing model enhancements, budgeting, business continuity planning, and TPA management.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
- Systematically evaluate the workers’ compensation and property & casualty claims operations results and report these to the Senior Vice President of Claims and Divisional Directors.
- Work with the Senior Vice President of Claims and divisional leaders to develop and manage the workers’ compensation and property & casualty strategic plan.
- Architect success by continuously providing focus and direction on the most important matters and searching for and highlighting best practices or potential disconnects that could create risk.
- Accountable for creation, support, and assistance with timely execution of strategy, budgeting, long-term staffing, staffing model analysis, and business continuity plan adherence.
- Identify and analyze areas for operational efficiency needs and work with the business units and collaborate with key stakeholders to provide solutions. Develop, monitor, and review key performance …
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Travel required
Benefits/Perks Tasks- Collaborate with leadership
- Develop strategic plans
- Monitor performance indicators
Analytical Budgeting Business Continuity Planning Claims management Claims processing Data analysis Leadership Marketing Medical management Operations Management Performance Metrics Presentation Project Management Stakeholder engagement Strategic planning Team building Training
Experience5 years
Education Certifications TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9