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Director of Claims and Tariff Management

Posted 6 days agoViewed

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💎 Seniority level: Director, 8+ years

📍 Location: Nigeria

🔍 Industry: Healthcare

🏢 Company: Reliance Health👥 251-500💰 $40,000,000 Series B almost 3 years agomHealthHospitalInsurTechInsuranceHealth Care

⏳ Experience: 8+ years

Requirements:
  • MBBS or Bachelor's degree in Healthcare Administration, Business Management.
  • Preferred master’s level studies in data analysis or business administration.
  • 8+ years of experience in claims management and tariff negotiation within the healthcare industry.
  • Proven track record of implementing process improvements.
  • Strong background in data analysis and ability to utilize advanced analytical tools.
  • Understanding of automated claims processing systems and prior authorization workflows.
  • Excellent leadership and communication skills.
Responsibilities:
  • Implement strategies to reduce costs and ensure rapid reimbursement cycles for claims across all active markets.
  • Oversee initiatives to enhance efficiency of claims processing systems to reduce unpaid claims.
  • Lead improvements in rules-based automated claims processing engines for accuracy and consistency.
  • Enhance turnaround time for complex prior authorization requests to ensure timely access for members.
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