Director, Medical Claim Audits
4 weeks ago
The Regional Claim Audit Lead for Health & Benefits (H&B) Compliance & Audit will work closely with the H&B Claim Audit Leader. The role will be a combined individual contributor and leadership role. As an individual contributor, the Regional Claim Audit Lead is responsible for driving targeted new national business growth and managing the overall success of audit delivery across the East. The Audit Lead will collaborate with other Regional Leads to build and execute a national market sales strategy to meet annual growth targets. The Claim Audit Lead will review market needs to understand and recommend opportunities for growth; and define, prioritize, implement pursuit strategies accordingly and manage/oversee audit projects while acting as the liaison between clients and their vendor partners. The role is targeted to focus 40% of the leader’s time on sales pursuits and driving local market sales execution. 40% of time will be devoted to an Audit book of business and audit project management and delivery. The remaining 20% of time will be allocated to People Manager responsibilities.
The role will report directly into the H&B North America Audit Leader.
The Role
Serve as member of the Audit leadership team charged with building and executing sales strategy to acquire new clients, retain/expand current clients, and meet/exceed our annual growth plan Partner with local MLs and RSL to implement intentional, targeted, and measurable go-to-market strategies tied to national sales plan Review and use data to help identify the top new business sales opportunities and partner with MLs and individual sellers to build pursuit plan for each Manage and support the audit team, including goal setting and year end performance reviews, colleague issue support, training, development Serve as people manager Manage audit team staffing and delivery needs, creating community within the team Effectively communicate with clients to deliver audit findings, identifying opportunities for improvement and collaborating with clients and their vendor partners to ensure long-term claim and benefits administrative improvement Adept at collaboration and problem-solving in support of both the C&A community and the region Escalate to the H&B North America Audit Leader any identified issues and barriers to sales Identify opportunities for improved penetration of products/communities among clients and prospects Contribute to the innovation and commercialization of audit work and future offerings Support and engage C&A colleagues in pursuit of sales and ensure consistent processes and deliverables Partner with producers and senior sellers on prospecting efforts, engaging other C&A colleagues as appropriate-
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