Don’t just find a job, find your WHY at a purpose-driven organization; discover a career at Virginia Premier.
By blending quality benefits, affiliating with the world-renowned VCU Health System and offering career-advancing development programs, we allow our employees to focus on the meaningful work of improving and saving the lives of more than 200,000 people throughout the state of Virginia.
At Virginia Premier, we are building an industry leading health care organization through dedicated teams that have heart, provide top-notch quality member services and embrace our mission of inspiring healthy living within the communities we serve. Our vision is to connect people to innovation, quality and affordable health care for all phases of life.
If this sounds like you, read on!
The Director, Systems Management will be a key member of the Claims department’s leadership team and will play a critical role in the support to the Operations unit by ensuring claim systems are optimized, for efficiency, properly aligned with Program and Regulatory requirements and reporting is in place for accurate and timely claims payment. The Director will collaborate with other leaders both internal and external to Claims to define strategy for success that prevent negative impact to claim payment. This individual will identify functionality gaps and automate manual adjudication and processes. He/she will work with various levels of the staff to close knowledge gaps and ensure proper project planning and deliverables are met in a timely fashion.
In addition, the Director will provide oversight for all Claim Systems Management related task to include, but not limited to requirements gathering for new programs, system upgrades, system development, reprocessing, impact analysis, reporting, and resolution of incorrect payment and all configuration and ongoing system maintenance for all lines of business on our legacy system.
The Director of Systems Management will define strategies that ensure high quality solutions and facilitate the breaking through of barriers.
MINIMUM EDUCATION REQUIREMENTS
SPECIAL KNOWLEDGE AND/OR SKILLS
All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. EOE
Our mission is to inspire healthy living within the communities we serve!