Chief Medicare Strategist

We are seeking a highly skilled and experienced professional to lead our Medicare claims strategy and resolution efforts. As a key member of our team, you will be responsible for developing and implementing comprehensive strategies to address and resolve various types of debt, including Medicare, to deliver positive financial outcomes.

1. Develop and direct strategies and business plans for product, program or functional development/enhancements, designs, marketing, best practices, system development, management of vendors, policies and procedures, management of legislative and regulatory issues, customer service, and claim technical support.
2. Collaborate across Claim and the Enterprise to develop and direct national short and long-term strategies and business plans for line of business initiatives to increase profitable growth and productivity, reduce expenses and improve results and customer service.
3. Identify new improvement or innovative opportunities, and understand, assess and remove barriers to success.
4. Accountable for vendor strategies including vendor selection, negotiation, and contracting.
5. Claim Practices & Field Support: Partners with the Field, Claim Resources, and Senior Leadership to identify and improve Claim processes and practices.
6. Proactively stays abreast of industry developments, changing trends, and jurisdictional issues to understand how it impacts our business and influences future strategies.
7. Directs industry analysis and benchmarking studies.
8. Adjusts claim practices, marketing strategy, and customer service as appropriate to anticipate, respond to, and manage trends.
9. Partners with Claim University on the development and design of technical claim and leadership training strategies, programs, and curriculum.
10. Partners with field management, Claim Finance, and Claim Business Intelligence Analytics to develop and deliver a financial management and control strategy to limit financial risk associated with claim costs.
11. Serves as a contact and technical resource to field and business partners on compliance and regulatory issues, program and/or procedural issues.
12. Provides field claim management guidance on legislative, regulatory, and market conduct issues.
13. Shares accountability with business partners to achieve and sustain quality results.

1. High school diploma or GED required.
2. A minimum of five years claim, insurance, or financial services related experience required.

We offer a comprehensive compensation and benefits program, including health insurance, retirement plans, paid time off, and a wellness program. We also have a deep commitment to the communities we serve and encourage our employees to get involved through our volunteer encouragement program.

We are an equal opportunity employer and believe that we can deliver the very best products and services when our workforce reflects the diverse customers and communities we serve.