Senior Policy Operations Representative
American Family Insurance
Director II, Digital Claims Operations
Elevance Health
full-time
Posted on:
Location Type: Hybrid
Location: Atlanta • California, Minnesota, Ohio • 🇺🇸 United States
Visit company websiteSalary
💰 $179,080 - $280,830 per year
Job Level
Lead
About the role
- Oversee a combined digital and operations unit(s)
- Execute strategies to deliver industry leading digitized service results
- Lead digital transformation initiatives that improve claims operations and overall service delivery
- Partner with leaders across the organization to implement strategic plans and shared goals
- Manage the resolution of intra-organizational issues in the balanced best interests of the business
- Execute objectives of the company and the blended Digital Ops organization
- Responsible & accountable for implementation / management of digitization initiatives
- Ensure compliance with state and federal regulations
- Manage strategic planning, budget development, and management for a single large or multiple cost centers
- Manage an enterprise suite of applications by developing digitization forecast and delivery plan
- Deliver operational guidance and offer system solutions that support the operations of their functional areas on a 24x7x365 basis
- Plans and executes annual projects while maintaining profit and loss (P&L) responsibility
Requirements
- Requires a BA/BS degree in Information Technology, Computer Science or related field of study
- Minimum of 8 years experience leading technology teams and/or cross functional project teams
- Requires 7 years' management experience
- Proven experience leading Claims Operations teams and strategy within a large healthcare payor environment strongly preferred
- Proven track record leading Digital Transformation in a Claims operational setting strongly preferred
- Digital literacy strongly preferred
- Health insurance industry experience strongly preferred
- Claims operational experience strongly preferred
- Process Improvement/Six Sigma skillset preferred
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
digital transformationclaims operationsstrategic planningbudget managementprocess improvementSix Sigmadigitization initiativesP&L managemententerprise applications managementproject management
Soft skills
leadershipcollaborationproblem resolutioncommunicationaccountabilitystrategic thinkingoperational guidanceorganizational skillsinterpersonal skillsdecision making
