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US

  • Lead and transform a large-scale healthcare payer claims services organization, driving operational excellence across quality, productivity, and client service levels.
  • Partner with Sales, Client Services, Technology, and Product to develop innovative, scalable solutions for complex payer environments.
  • Modernize claims operations through workflow optimization, automation, analytics, and AI-enabled quality processes.

Healthcare Claims Operations Management Client Relationship Management Strategic Planning

20 jobs similar to Senior Vice President, Claims Services and Solutions

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  • Drive achievement of client SLAs, quality metrics, productivity, and financial targets.
  • Partner with clients and internal stakeholders to identify operational improvements and foster a culture of accountability.

Sutherland leverages artificial intelligence, automation, and cloud engineering to drive digital transformation for iconic brands. With over 200 patents and a focus on human-machine collaboration, the company delivers measurable results through a seamless 'as a service' model.

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  • Shape the strategy and operational performance of a large Patient Service Center organization.
  • Oversee complex services spanning patient access, contact center operations, data management, reimbursement, education, and copay assistance.
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Jobgether is a recruitment platform using AI-powered matching to streamline job applications. The company focuses on efficient, objective candidate screening and partners with hiring companies to manage the hiring process.

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  • Define and execute strategic vision while driving expansion, innovation, and operational excellence.
  • Lead commercialization strategies focused on revenue growth, client acquisition, and market positioning.
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This company is a healthcare analytics and technology provider that offers technology-enabled services and advisory solutions. They are a growing organization with a remote team and a collaborative inclusive culture focused on innovation and growth.

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  • Track open payer issues end-to-end, ensuring clear ownership and accountability across teams.
  • Drive measurable business outcomes by improving RCM efficiency and revenue performance.
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Alma simplifies access to mental health care by helping therapists accept insurance and offer in-network care. With over 20,000 therapists across all 50 states, Alma has raised $220.5M and been named an Inc. Best Workplace.

US

  • Lead large-scale implementation and migration initiatives for healthcare solutions.
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They are a healthcare solutions company focused on delivering complex healthcare solutions to clients. They are a purpose-driven organization with an inclusive workplace culture.

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  • Serve as a subject matter expert for specialty value-based programs, establishing evidence-based approaches and priorities.
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The partner company is a healthcare organization focused on advancing strategic value-based programs within a complex healthcare environment. It operates with a remote-first culture and emphasizes collaboration, innovation, and executive-level impact.

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  • Lead customer success strategies for Acute and Payer segments, driving retention and growth.
  • Build and manage a high-performing team of ~25, fostering executive relationships.
  • Partner cross-functionally to optimize customer outcomes and revenue.

PointClickCare is a leading health tech company that helps providers deliver exceptional care through its platform. With over 30,000 provider organizations and a large dataset, it empowers employees to innovate and shape the future of healthcare, recognized for its culture and growth.

US

  • Oversee the execution of complex technical assistance contracts, ensuring all deliverables and milestones are met on time and within scope.
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Cohere Health provides a clinical intelligence platform using AI to connect health plans and providers, improving care speed, cost, and quality. The company has been named to the Inc. 5000 list and is backed by leading investors.

US

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The company specializes in healthcare data analytics and intelligence solutions for payer organizations. It offers a flexible, remote-first culture with a focus on professional development and innovation.

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Arbital Health is a rapidly growing healthcare technology and actuarial leader that centralizes, measures, and adjudicates value-based care contracts at scale. We were co-founded by Brian Overstreet and Travis May, backed by leading investors, and have established ourselves as a trusted partner for over 40 payers and providers.

US

  • Provide effective and timely customer service for members, providers, and insurers regarding health care claims.
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Included Health is a healthcare company delivering integrated virtual care and navigation. They aim to raise the standard of healthcare for everyone, offering care guidance, advocacy, and personalized virtual and in-person care.

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UiPath creates category-leading enterprise software that unleashes the transformative power of automation. The company is a fast-moving, fast-thinking growth organization that values curiosity, self-propulsion, generosity, and genuine care for each other and its larger purpose.

US

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Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. Backed by several venture capital firms and led by CEO Dr. Justin Bekelman, the company is a pioneering startup in cancer care.

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  • Define and execute a global post-sales strategy to accelerate customer value and growth.
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Prompt provides software for outpatient rehab organizations, helping them treat more patients and deliver better care while reducing environmental waste. It is a team of talented individuals committed to solving complex healthcare problems, fostering a culture of smart work and positive impact.

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They are a digital agency or consultancy that delivers innovative digital products and experiences. They foster an inclusive, collaborative culture with multidisciplinary teams focused on high-quality client work.