Director of Self-Funded Healthcare Claims

Job DescriptionJob DescriptionScion Executive Search has been engaged to lead the search for a new Director of Self-Funded Healthcare Claims on behalf of our client, an award-winning healthcare organization renowned for excellence in patient care. This exceptional company provides abundant opportunities for career growth and advancement, allowing employees to make a meaningful impact on patient care and community health. As a mission-driven organization dedicated to enhancing healthcare access and quality, it stands out as an ideal employer for professionals seeking a fulfilling career in the healthcare industry This full-time, on-site opportunity is immediately available and based in San Bernardino County, California.

POSITION RESPONSIBILITIES:

• Lead the development and execution of strategies to optimize and manage claims operations, including automating processes and driving efficiency.
• Utilize technology and data analytics to improve the quality of claims processing while driving cost efficiencies across the company's self-insured employee health plans.
• Uncover financial savings and enhance overall plan performance by conducting thorough audits and in-depth analysis of claims data.
• Provide strategic leadership in driving departmental growth while fostering collaboration with multiple other departments.
• Ensure data integrity and drive financial and operational value across employee health plans, optimizing benefit coverage while controlling costs.
• Collaborate with C-suite executives and hospital administration to implement the goals and strategies of the employee health plans.
• Ensure that any process or procedural changes impacting operations are communicated promptly and efficiently through effective cross-functional teamwork.

QUALIFICATIONS:

• A Master's degree in Business Management, Healthcare Administration, or a related field is required.
• 5+ years of experience in claims and health plan strategy within a managed care, self-funded hospital setting.
• Candidates must possess strong analytical skills, with a focus on using data to drive both operational and financial performance.
• The ability to navigate complex, fast-paced environments involving multiple internal and external stakeholders is essential.
• Strong interpersonal, problem-solving, and project management skills are required, along with proficiency in creating presentations for various audiences using Microsoft Office.
• Comprehensive knowledge of medical coding, including ICD-10 and HCPCs/CPT, is also necessary.
• Certified Professional Coding Certification, AIC, ARM, or an equivalent credential preferred.

COMPENSATION AND BENEFITS:
This wonderful opportunity offers the ability to make a significant impact leading a vast and award-winning healthcare organization committed to excellent patient care. This career opportunity offers a strong salary of $200,000 to $275,000+ per year plus discretionary bonuses. An exceptional benefits package includes medical, dental, and vision coverage, paid time off, a 401K retirement plan, tuition reimbursement, and more. This role will benefit from professional development opportunities, significant leadership responsibilities, and meaningful collaborations with hospital leadership and executive teams.

HOW TO APPLY:For immediate consideration please apply with your resume formatted in Microsoft Word via: https://scionexecutivesearch.com/job/12160.

Please address applications to:
 Elizabeth Crimmins, Executive Search Principal
Scion Executive Search
(888) 487-8850 x113
Review of applications, nominations, and expressions of interest will begin immediately and continue on a confidential basis until an appointment is made.

ABOUT OUR FIRM:
Scion Executive Search is an award-winning retained executive search firm. Our track record and recruitment process have made us one of the top recruitment firms in the United States. Through innovative team building and recruitment solutions, Scion Executive Search seamlessly bridges the gap in interim and executive searches.

We are proud to be part of the Forbes lists of the Best Recruitment Firms and the Best Executive Search Firms in America. Additionally, Scion has been recognized as a ClearlyRated Best of Staffing firm as well as a top recruitment firm by The Business Times. Additional information about our firm and our practices can be found online.

Scion Executive Search is an equal opportunity employer and service provider and does not discriminate based on race, religion, gender, gender identity, national origin, citizenship status, sexual orientation, disability, political affiliation, or any other protected class. We are committed to the principles of Equal Opportunity Employment and are dedicated to making employment decisions based on merit and value, for ourselves, our client companies, and the candidates we represent.

For opportunities located in a region that has enacted fair chance, arrest, or conviction-based employment ordinances, Scion Executive Search proactively follows the enacted guidance and considers for employment all qualified applications with arrest and conviction records. We engage in socially conscious business practices and believe that diverse, equitable, inclusive, and non-biased talent and recruitment processes are foundational to the success of Scion as well as every client organization with whom we partner.Company DescriptionOur Mission
It is our mission to diligently provide the nation’s best staffing and executive search services, guided by socially conscious business practices. At Scion, we lead by example, consistently promoting operational excellence; delivering employee and client satisfaction; upholding professional ethics; celebrating diversity, equity, and inclusion; and fostering the true potential of our industry.

Our Name
Scion Staffing takes its name from a scion: the portion of a plant which, when attached to a new foundation, can grow new life. With great care, we strategically place new talent to empower organizational growth.

Our Values

DIVERSITY, EQUITY, & INCLUSION

We believe diverse teams are more than a strength; they are essential for success. We aim to be proactive in our work to ensure that our application, interview, and hiring processes are inclusive, equitable, and beneficial for all. We practice and promote these values throughout our firm and externally in the partnerships and connections we intentionally create.

INTEGRITY & ETHICS

We do the right thing. We listen empathically to our candidates, clients, staff, and partners. We communicate honestly, with kindness and respect, and we deliver on our commitments.

SERVICE EXCELLENCE

We are committed to excellence in everything we do, striving to deliver lasting value to our clients, candidates, partners, and staff.

LEARNING & INNOVATION

We continually refine our services, processes, communication, and operational systems and structures, utilizing ever-evolving technological tools to empower our far-reaching impact and growth. We are humble and embrace individual professional development opportunities to strengthen our company from within.

PASSION

We take pride in empowering our clients’ strategic hiring goals and connecting extraordinary candidates to new career pathways. We celebrate the opportunity to uplift and improve the futures of individuals and organizations alike.

TEAMWORK & POSITIVITY

We are committed to providing value and inspiring others through our work. We believe empathy and positivity fuel effective collaboration. We hold these core values and leverage them at all levels of our organization. Together, we succeed.Company DescriptionOur Mission\r
It is our mission to diligently provide the nation’s best staffing and executive search services, guided by socially conscious business practices. At Scion, we lead by example, consistently promoting operational excellence; delivering employee and client satisfaction; upholding professional ethics; celebrating diversity, equity, and inclusion; and fostering the true potential of our industry.\r
\r
Our Name\r
Scion Staffing takes its name from a scion: the portion of a plant which, when attached to a new foundation, can grow new life. With great care, we strategically place new talent to empower organizational growth.\r
\r
Our Values\r
\r
DIVERSITY, EQUITY, & INCLUSION\r
\r
We believe diverse teams are more than a strength; they are essential for success. We aim to be proactive in our work to ensure that our application, interview, and hiring processes are inclusive, equitable, and beneficial for all. We practice and promote these values throughout our firm and externally in the partnerships and connections we intentionally create.\r
\r
INTEGRITY & ETHICS\r
\r
We do the right thing. We listen empathically to our candidates, clients, staff, and partners. We communicate honestly, with kindness and respect, and we deliver on our commitments.\r
\r
SERVICE EXCELLENCE\r
\r
We are committed to excellence in everything we do, striving to deliver lasting value to our clients, candidates, partners, and staff.\r
\r
LEARNING & INNOVATION\r
\r
We continually refine our services, processes, communication, and operational systems and structures, utilizing ever-evolving technological tools to empower our far-reaching impact and growth. We are humble and embrace individual professional development opportunities to strengthen our company from within.\r
\r
PASSION\r
\r
We take pride in empowering our clients’ strategic hiring goals and connecting extraordinary candidates to new career pathways. We celebrate the opportunity to uplift and improve the futures of individuals and organizations alike.\r
\r
TEAMWORK & POSITIVITY\r
\r
We are committed to providing value and inspiring others through our work. We believe empathy and positivity fuel effective collaboration. We hold these core values and leverage them at all levels of our organization. Together, we succeed.

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