Alliance Health
Senior Vice President-Claims and Enrollment (Primarily Remote, North Carolina Based) (Project Management)
The Senior Vice President of Healthcare Claims Management is a key leadership role responsible for overseeing all aspects of claims processing operations, encounter submission and health plan enrollment. This is a strategic position that drives process improvement initiatives, ensures compliance with contract requirements and industry standards, fosters a positive culture, and impacts the organization's success in delivering high-quality healthcare services to our members.
The successful candidate hired for the position, will be required to work onsite at the Alliance Home office (Morrisville, North Carolina), at minimum one day a week, as approved by their supervisor.
Responsibilities & Duties
Strategic Leadership and Planning
Team Management
Department Operations
Systems Improvement and Innovation
Analytics and Reporting
Internal and External Communication
Minimum Requirements
Education & Experience
Bachelor's degree from an accredited college or university in Business Administration, Health Administration, or related field and seven (7) years of progressive experience in Claims processing with a minimum of three (3) years of supervisory experience.
Or
Master's degree from an accredited college or university in Business Administration, Health Administration, or related field and five (5) years of progressive experience in Claims processing with a minimum of three (3) years of supervisory experience.
Specific experience must include handling Medicaid, and Medicare healthcare claims processing.
Knowledge, Skills, & Abilities
Employment for this position is contingent upon a satisfactory background check and credit check, which will be performed after acceptance of an offer of employment and prior to the employee's start date.
Salary Range
$138,735.00 to $233,526.00/Annually
Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.
An excellent fringe benefit package accompanies the salary, which includes: