Director of Carrier Engagement

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profile Job Location:

Plano, TX - USA

profile Monthly Salary: Not Disclosed
Posted on: Yesterday
Vacancies: 1 Vacancy

Job Summary

The Director ofCarrier Engagementis responsible for the endtoend performance accuracy and satisfaction of the companys carrier network. This role oversees payment operations quality assurance carrier engagement and experience.

The Director ofCarrier Engagementleads the execution and continuous improvement ofpayment integrity analysisand analyticsensuring accuracy compliance and operational excellence. This roleis an externalclient-facingrole attendingregularBusiness Review meetings with clientsand carriersprovidingdetailedand analytical datainsights as it relates to carrier Director drives operational excellence strengthens carrier partnerships and leads crossfunctional initiatives that reduce friction improve outcomes and support organizational the roleoversees endtoend payment processes quality assurance programs and crossfunctional alignment to deliver a seamless reliable and transparent payment experience for carriers partners and internal stakeholderselevating the end-to-end experience of the companys carrier network.

Responsibilities

  • Attendmonthly Business Review meetings with clients providing detailed and analytical data insights as it relates to carrier engagement.

  • Attend monthly Carrier meetingsproviding referral findings and leading data-driven discussion

  • Hands-on delivery of the carrier experience vision standards and service models

  • Leadinitiatives that strengthen trust transparency and partnership with carriers

  • Identifyperformance gaps and lead crossfunctional improvement plans

  • Manageescalations and ensure timely resolution of carrier issues

  • Champion aconsistent highquality experience across all carrierand clienttouchpoints

  • Serve as an executive liaison for carrier and client relationships focusing on service performance and partnership

  • Develop team capabilities in communication analytics relationship management and problem-solving

Qualifications

  • Bachelors degree inbusiness operations or related field; advanced degree preferred

  • 5- 10 years of experience in paymentintegrityoperations financial operations or quality management

  • Experience managingthe payment integrity operations process workflowpatternsandcomplex operational programs

  • Strong analytical problemsolving and processimprovement skills

Who is SmartLight Analytics

SmartLightAnalytics was formed by a group of industry insiders who wanted to make a meaningful impact on the rising cost of healthcare. With this end in mindSmartLightworks for self-funded employers to reduce wasteful spending in their healthcare plan through our proprietary data analysis. Our process works behind the scenes to save money without interrupting employee benefits or requiring employee behavior changes


Required Experience:

Director

The Director ofCarrier Engagementis responsible for the endtoend performance accuracy and satisfaction of the companys carrier network. This role oversees payment operations quality assurance carrier engagement and experience.The Director ofCarrier Engagementleads the execution and continuous improv...
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Key Skills

  • Crisis Management
  • Marketing
  • Public Relations
  • Fundraising
  • Media Relations
  • Constant Contact
  • Strategic Planning
  • Social Media Management
  • Team Management
  • Public Speaking
  • Wordpress
  • Writing Skills

About Company

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Harness the power of your healthcare data Solutions to lower healthcare costs without interrupting benefits Learn More DATA LEADS THE WAY SmartLight Analytics provides independent, ongoing monitoring of your employee healthcare claims data to find and remove wasteful spend from your h ... View more

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