Healthcare Claims Director - Tampa

Imagenet LLC is a premier healthcare technology company that has taken medical claims processing and document management to new levels of service, security and efficiency. Our core business is helping our clients reduce costs and increase productivity by providing efficient document imaging, data validation, adjudication and on demand retrieval of documents and data.

JOB OVERVIEW

 We are seeking an experienced Healthcare Claims Director to oversee our claims processing operations and drive data-driven process improvements. This leadership role will manage a team of claims managers and analysts, ensure compliance, and leverage data analytics to enhance claims performance. 

RESPONSIBILITIES

• Provide strategic direction and operational oversight for healthcare claims processing across multiple lines of business
• Manage a team of claims managers, analysts and supporting staff across multiple locations
• Develop and implement policies, procedures and workflows for efficient claims adjudication
• Monitor performance metrics and identify opportunities for process optimization
• Leverage data analytics tools to analyze claims data, identify trends and generate actionable insights
• Develop reporting dashboards and visualizations to share key metrics with leadership
• Ensure adherence to regulatory compliance, coding guidelines and revenue cycle best practices
• Collaborate with IT, clinical, and business teams on systems improvements and integrations
• Manage relationships and resolve escalated issues with healthcare providers and payers
• Mentor, coach and provide professional development for team members

Technical Skills/Knowledge

• Bachelor's degree in healthcare administration, business or related field
• 7+ years of management experience in healthcare claims processing
• Deep understanding of claims operations, revenue cycle management and compliance
• Strong data analytics skills and experience using tools like Tableau, SQL, PowerBI
• Proven ability to analyze data, synthesize insights and drive process improvements
• Excellent communication, presentation and leadership abilities
• Motivated team player with a customer-focused mindset 

Job Type: Full-time

Experience:

• claims or claims processing, managing: 7+ years (Required)

Work authorization:

• United States (Required)

Job Type: Full-time

Pay $90,000-$100,000 per year

Benefits:

We offer a competitive compensation and benefits package commensurate with experience as well as PTO. This is an office-based position

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Ability to commute/relocate:

• Tampa, FL 33618: Reliably commute or planning to relocate before starting work (Required)

Experience:

• 7+ years of management experience in healthcare claims processing
• Deep understanding of claims operations, revenue cycle management and compliance
• Strong data analytics skills and experience using tools like Tableau, SQL, PowerBI

Work Location: In person