Vice President, Senior Claims Expert
hace 1 mes
Vice President, Senior Claims Expert About the Company Innovative data-driven & design-oriented health insurance platform
Industry
Insurance
Type
Privately Held, VC-backed
Founded
2012
Employees
1001-5000
Funding
$200+ million
Categories InsuranceHealth and WellnessHealth CareInformation TechnologyHealth & WellnessB2BB2CMarketplaceAffordableEasyFastHealth InsuranceHealth and InsuranceHealthcareInnovationNew York CityQualitySimpleTechnologyBankingHealthFinanceACA InsuranceHioscarObamacare InsuraceOscar HealthOscar Health Insurance Business Classifications B2BB2CMarketplace About the Role The Company is seeking a Vice President, Senior Claims Expert to join their Operations team. This individual will play a critical role in providing decision-making and advisory support to the Claims & Benefits team, drawing on extensive industry experience and subject matter expertise. Responsibilities include leading decision-making on key strategic initiatives, working through complex business claims issues, and ensuring compliance with industry standards and best practices. The role also involves cross-functional collaboration with internal teams and external engagement, including discussions with regulators.
Candidates for this role should have a minimum of 15 years of experience in a claims role, with a strong background in implementing claims regulations, payment methodologies, and policies. Additionally, a focus on healthcare operations, process reengineering, and experience in people management are essential. The ideal candidate will have a proven track record in driving decision-making processes, guiding the implementation of regulatory and business requirements, and monitoring key controls. Experience in an environment undergoing rapid growth is a plus. The company is committed to fostering an inclusive and diverse work environment and is dedicated to changing the healthcare experience.
Hiring Manager Title
Vice President of Data Integrations
Travel Percent
Less than 10%
Functions General ManagementOperationsStrategy
-
Senior Vice President For Advancement
hace 1 mes
Puerto Diablo, Puerto Rico Buscojobs PR C2 A tiempo completoSenior Vice President for Advancement About the Company Top-ranking private research university IndustryHigher Education TypeEducational Institution Founded1869 Employees10,001+ Categories E-LearningEducationHigher EducationUniversitiesBoston University Specialties urban healthglobal healthneuroscienceeducationdata scienceengineeringbiologyinfectious...
-
Senior Vice President Professional Liability
hace 3 meses
Puerto Diablo, Puerto Rico Buscojobs PR C2 A tiempo completoSenior Vice President Professional Liability About the Company Well-established specialty insurance program manager IndustryInsurance TypePrivately Held Founded1998 Employees201-500 Specialties Contractors LiabilityProfessional LiabilitySpecialty PropertyEnvironmentalEnergyFlood LiabilityD&O MarineCyberTransactional RiskBuilder's RiskCommercial...
-
Vice President, Client Services
hace 2 meses
Puerto Diablo, Puerto Rico Buscojobs PR C2 A tiempo completoVice President, Client Services About the Company Respected insurance brokerage & risk management consulting firm IndustryInsurance TypePublic Company Founded1927 Employees10,001+ Categories InsuranceRisk ManagementConsulting & Professional ServicesAgents and MarketersEmployee BenefitsGroup InsuranceConsultingManagement ConsultingFinancial Services...
-
Vice President Of Operations
hace 3 meses
Puerto Diablo, Puerto Rico Buscojobs PR C2 A tiempo completoVice President of Operations About the Company Well-established provider of behavioral health & wellness services IndustryMental Health Care TypePrivately Held Founded1980 Employees201-500 Categories Health CareEmployee ManagementHealth and WellnessHuman ResourcesBehavioral ScienceMental HealthAmbulatory ServicesHealth & Drug ScreeningAmbulanceConsulting...
-
Executive Vice President, Strategy
hace 3 meses
Puerto Diablo, Puerto Rico Buscojobs PR C2 A tiempo completoExecutive Vice President, Strategy About the Company Pioneering organization representing the Reform Jewish community IndustryReligious Institutions TypeEducational Institution Founded1873 Employees201-500 Categories Non-Profit & PhilanthropyReligionCharitable Organizations & FoundationsOrganizationsNon ProfitReligious StudiesTemples Specialties...
-
Division Vice President Of Sales
hace 1 mes
Puerto Diablo, Puerto Rico Buscojobs PR C2 A tiempo completoDivision Vice President of Sales About the Company Reputable mattress manufacturer IndustryConsumer Goods TypePrivately Held, Private Equity-backed Founded1875 Employees1001-5000 Categories Consumer DiscretionaryConsumer GoodsHome & FurnitureMattressManufacturingFurnitureIndustrials & ManufacturingCommercialProfessional Services Specialties Household...
-
Senior Vice President, Global Psychosocial Services
hace 3 meses
Puerto Diablo, Puerto Rico Buscojobs PR C2 A tiempo completoSenior Vice President, Global Psychosocial Services About the Company Prominent organization advocating for the rights of refugee & immigrant children IndustryNon-Profit Organization Management TypePrivately Held Founded2008 Employees201-500 Categories Social AdvocacyCommunityAddiction TreatmentPeace AdvocacyAdvocacyNon-Profit & PhilanthropyInformation...
-
Puerto Diablo, Puerto Rico Buscojobs PR C2 A tiempo completoSenior Vice President Nontraditional Development Leader About the Company Well-established restaurant group IndustryRestaurants TypePrivately Held About the Role The Senior Vice President Nontraditional Development Leader will be responsible for formulating and implementing robust strategies for non-traditional developments in addition to fostering positive...
-
Senior Vice President, Commercial Banking
hace 3 meses
Puerto Diablo, Puerto Rico Buscojobs PR C2 A tiempo completoSenior Vice President, Commercial Banking About the Company Popular community bank IndustryFinancial Services TypePrivately Held Founded1888 Employees201-500 Categories Consulting & Professional ServicesFinanceFinancial ServicesBankingBanking & MortgagesCorporate & BusinessInvestingInsuranceCreditSavings & Investing Specialties Personal BankingSmall...
-
Vice President Of Sales
hace 1 mes
Puerto Diablo, Puerto Rico Buscojobs PR C2 A tiempo completoVice President of Sales About the Company Premier provider of culinary & support services IndustryFood & Beverages TypePrivately Held Founded2021 Employees10,001+ About the Role The Company is seeking a Vice President of Sales for its Hospitality Group. The successful candidate will be responsible for driving new business revenue, building and maintaining...
-
Senior Vice President, Sales
hace 1 mes
Puerto Diablo, Puerto Rico Buscojobs PR C2 A tiempo completoSenior Vice President, Sales About the Company Innovative company in the foodservice industry IndustryFood & Beverages TypePrivately Held About the Role The Senior Vice President, Sales will lead an $80MM+ team consisting of regional managers, chain account managers, and customer service professionals. This role requires driving a fast-paced,...
-
Senior Vice President Expositions, Americas
hace 3 meses
Puerto Diablo, Puerto Rico Buscojobs PR C2 A tiempo completoSenior Vice President Expositions, Americas About the Company Trade association representing multimedia professionals across industries IndustryNon-Profit Organization Management TypeNon Profit Founded1939 Employees51-200 Categories AVIEAAVIXAInfocommNon-Profit & Philanthropy Business Classifications B2C About the Role The Company is in search of a Senior...
-
Senior Vice President, Brokerage
hace 3 meses
Puerto Diablo, Puerto Rico Buscojobs PR C2 A tiempo completoSenior Vice President, Brokerage About the Company Market-leading provider of commercial real estate services IndustryReal Estate TypePublic Company Founded1783 Employees10,001+ Categories Real EstateNonresidentialProperty ManagersConsulting & Professional ServicesCommercial Specialties tenant representationreal estatepropertyfinancial...
-
Senior Vice President, Deputy Chief Credit Officer
hace 3 meses
Puerto Diablo, Puerto Rico Buscojobs PR C2 A tiempo completoSenior Vice President, Deputy Chief Credit Officer About the Company Pioneering real estate investment management company IndustryReal Estate TypePrivately Held About the Role The Senior Vice President, Deputy Chief Credit Officer will be responsible for overseeing asset management, monitoring cash flow underwriting, and providing risk assessment of debt...
-
Vice President, Product Marketing
hace 2 meses
Puerto Diablo, Puerto Rico Buscojobs PR C2 A tiempo completoVice President, Product Marketing About the Company Innovative data platform for enterprises IndustryInternet TypePrivately Held Founded2009 Employees501-1000 Funding$200+ million Categories Information Technology & ServicesTechnologySAASB2BEnterprise Specialties Enterprise File StorageData ProtectionFile ServerCloud InitiativeMobile AccessCloud...
-
Chief Product Officer
hace 3 meses
Puerto Diablo, Puerto Rico Buscojobs PR C2 A tiempo completoChief Product Officer & Senior Vice President About the Company Nationwide provider of educational services helping students make informative decisions IndustryPrimary/Secondary Education TypeNon Profit Founded1956 Employees51-200 Categories EducationServicesTraining Specialties college access and planningfinancial educationk-12 educationcareer...
-
Vice President Of Media Sales
hace 3 meses
Puerto Diablo, Puerto Rico Buscojobs PR C2 A tiempo completoVice President of Media Sales About the Company World's premier bull riding organization IndustrySports TypePrivately Held Founded1992 Employees51-200 About the Role The Company is seeking a Vice President of Media Sales to drive significant revenue across its various media platforms. The successful candidate will be responsible for developing and executing...
-
Puerto Diablo, Puerto Rico Buscojobs PR C2 A tiempo completoSenior Vice President, Commercial Insurance Agency Operations About the Company Fast-growing independent insurance broker IndustryInsurance TypePrivately Held About the Role The Company is seeking a Senior Vice President for Commercial Insurance Agency Operations and Client Service. This strategic leadership role is pivotal in driving the organization's...
-
Puerto Diablo, Puerto Rico Buscojobs PR C2 A tiempo completoSenior Vice President, Commercial Insurance Agency Operations About the Company Fast-growing independent insurance broker IndustryInsurance TypePrivately Held About the Role The Company is seeking a Senior Vice President for Commercial Insurance Agency Operations and Client Service. This strategic leadership role is pivotal in driving the organization's...
-
Puerto Diablo, Puerto Rico Buscojobs PR C2 A tiempo completoVice President, Clinical Healthcare Operations About the Company Innovative provider of kidney care management services IndustryHospital & Health Care TypePrivately Held, VC-backed Founded2014 Employees501-1,000 Funding$76-$100 million Categories Health CareMedicalWellnessMedical CareHealth CentersClinicsOutpatient About the Role The Company is in search...