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Altais logo
Altais

Supporting physicians and care teams to deliver exceptional, compassionate, and affordable care.

Director, Claims

DirectorDirectorFull TimeRemoteLeadTeam 201-500Since 2019H1B No SponsorCompany SiteLinkedIn

Location

California

Posted

109 days ago

Salary

$129K - $154.8K / year

Seniority

Lead

Bachelor Degree10 yrs expEnglish

Job Description

Director, Claims

Altais

• Provide strategic leadership in claims operations • Oversee claims processing, appeals, and recovery • Optimize performance standards and operational excellence • Lead continuous improvement initiatives in automation • Develop dashboards for executive decision-making • Mentoring and retention of operational teams

Job Requirements

  • 10+ years related experience
  • Bachelor's Degree or equivalent experience required
  • 7+ years in a leadership role
  • 5+ years of experience with BPO/BPaaS solutions
  • Advanced knowledge of healthcare coding conventions such as ICD-10, CPT, and HCPCS
  • Thorough understanding of Commercial/Medicare Advantage claims rules/regulations
  • Experience developing and managing department budgets
  • Proven ability to build and lead high-performing operational teams

Benefits

  • Excellent medical, vision, and dental coverage
  • 401k savings plan with a company match
  • Flexible time off and 9 Paid Holidays
  • Annual bonus program

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