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Robert Half International Healthcare Services Director in Irving, Texas

Description

Robert Half Technology's client in Irving, TX is seeking a Director that will lead and direct the Technical Research, Quality Assurance, and Compliance teams for one of their biggest and longest running accounts. This includes project management, client management, and development by following standard SDLC Principles.

At a high level, they need someone who understands medicare claims, understands the claims processing/data flow, understands benefit plan design and how that impacts those in the claims flow, and speak to the technical aspects of that operation.

  • Must be able to support both external client system enhancement requests and internal requests coming in from Claims Operations.

  • Responsibilities also include enhancements to our Business Intelligence platform used for client and Fraud, Waste and Abuse (FWA) purposes.

  • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

    Requirements

Requirements:

  • Experience with Third Party Administrator IT and Claims Operations supporting Group Health Plans

  • Medicare Part A and B claims processing

  • CMS Fee Schedule administration

Must Have:

  1. Healthcare background

  2. Strong in reporting. Excel is a must have. SQL is a plus.

  3. Medicare guru – Medicare claims, operations, processes, work flows, etc.

  4. Project management, client management, and leadership experience

Robert Half Technology matches IT professionals with remote or on-site jobs on a temporary, project or full-time basis. From roles in software and applications to IT infrastructure and operations, we provide you unparalleled access to exciting career opportunities.

Our experienced staffing professionals can promote you to employers and advocate on your behalf. We provide access to top jobs, competitive compensation and benefits, and free online training. For more opportunities, get the Robert Half app and receive instant notifications when our AI matches you with jobs.

When you work with us, you’re working with the best. Robert Half has been recognized as one of FORTUNE’s “Most Admired Companies” every year since 1998 and was named to Forbes’ inaugural list of America’s Best Temporary Staffing Firms.

Questions? Call your local office at 1.888.490.4429. All applicants applying for U.S. job openings must be authorized to work in the United States. Benefits are available to temporary professionals. Visit https://roberthalf.gobenefits.net/ for more information.

© 2020 Robert Half Technology. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (www.roberthalf.com/terms-of-use).

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