Financial Data Management Director

2 days ago


New York, New York, United States StateJobsNY Full time
Job Summary: We are seeking a highly skilled Director of Health Complaints and External Appeals to join our team at the New York State Department of Financial Services. As a member of the Consumer Assistance Unit (CAU) Management Team, you will provide daily oversight of three Units within CAU: the Health Unit, the Consumer Representative Unit, and the Processing Unit.

The ideal candidate will have a Bachelor's Degree and eight years of relevant experience, with three years in a managerial level position. You will oversee investigations and resolution of matters that are escalated, process and resolve complaints, external appeals, and Independent Dispute Resolution's (IDR's). Additionally, you will manage contractual relationships with CAU vendors used for EA and IDR processes, as well as relationships with regulated health insurance companies. The estimated salary for this role is $120,000 - $150,000 per year.

Key Responsibilities:
  • • Manage a staff of 28 professional examiners and supervising examiners, as well as 9 paralegals
    • Manage investigations and resolution of matters that are escalated
    • Process and resolve complaints, external appeals, and IDR's
    • Manage contractual relationships with CAU vendors used for EA and IDR processes, as well as relationships with regulated health insurance companies

About Us: The New York State Department of Financial Services is committed to building an equitable, transparent, and resilient financial system that benefits individuals and supports business. Through engagement, data-driven regulation and policy, and operational excellence, we aim to empower consumers and protect them from financial harm; ensure the health of the entities we regulate; and preserve the stability of the global financial system.

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