Remote Director - Claims Automation & Process Optimization
Ladders
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Benefits offered by this job
Job summary
Ladders in the United States is seeking a Director of Claims Process Optimization focused on Facets technology for remote, US-based candidates. The role drives automation and process improvement in claims operations, partnering with claims, operations, finance, and vendors to streamline workflows and optimize costs.
The ideal candidate will have 7+ years in health plan claims or healthcare operations, 5+ years in leadership, and a strong foundation in automation, data analytics, and financial
Qualifications
- Bachelor's degree in business, health administration, data analytics, or related field.
- 7+ years in health plan claims or healthcare operations.
- 5+ years in leadership roles.
- Practical understanding of automation and AI in claims work.
- Strong analytical and financial acumen.
Responsibilities
- Lead automation design and implementation within claims operations.
- Monitor and manage adjudication workflows and vendor performance.
- Develop and maintain the claims automation roadmap.
- Quantify benefit realization after implementation.
- Analyze claims workflows to identify constraints end-to-end.
- Build business cases for automation investments.
- Track cost per claim and inform staffing decisions.
Skills
Education
Job description
Ladders in the United States is seeking a Director of Claims Process Optimization focused on Facets technology for remote, US-based candidates. The role drives automation and process improvement in claims operations, partnering with claims, operations, finance, and vendors to streamline workflows and optimize costs.
The ideal candidate will have 7+ years in health plan claims or healthcare operations, 5+ years in leadership, and a strong foundation in automation, data analytics, and financial
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