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Management Consultant Claims Operations (Full Time - Remote)

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VMS Infotech Inc

2021-12-03 09:07:28

Job location Washington, District of Columbia, United States

Job type: fulltime

Job industry: Consulting & Corporate Strategy

Job description

Management Consultant - Claims Operations

Saint Louis, MO

Full Time - REMOTE

JD:
• Analyze moderately complex business objectives and engage closely with stakeholder to define
product requirements and ensure implementation of product vision.
• Own the end-to-end product strategy from concept to production
• Key area of focus for this management consultant will be eliminating causes of rework and
improving first pass quality and automation in claims operations
• Develop the business requirements for the claims operations team in compliance with federal,
state and Company guidelines
• Oversee and ensure achievement and maintenance of all claims processing standards within
established guidelines
• Partner with multiple business units, health plans and other stakeholders to establish
operational objectives and procedures
• Research and analyse complex business system issues and develop recommendations to
improve processes
• Lead meetings to surface issues, identify fixes, and advance projects continuously
communicating product objectives
• Build a backlog of product features ensuring all items are clearly described, estimated and
prioritized
• Analyze customer impact and respond to complex escalated customer service and claims
processing issues to ensure that customer expectations are consistently met
• Collaborate with technical teams to build modular and reusable solutions
• Approve each feature and continuously communicate with technical and business teams to
ensure adherence to product vision and to proactively evaluate risks
• Drive sprint and release plans and communicate changes to business teams

- provided by Dice

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