Interim Regional Director Claims Operations

Confidential | Orange, California 92863

Salary Range: Call for details
Date Posted: October 19, 2019
Opportunity Code: 24771


Become Interim Regional Director Claims Operations with a healthcare organization in Southern California

The Position

  • The Interim Regional Director Claims Operations will oversee activities of delegated claims operations including claim adjudication, processing encounter data and maintenance of eligibility information
  • Ensure claims are processed in a timely and accurate manner, and in compliance with all federal, state, health plan and contractual regulations
  • Work to improve processes, identify solutions to meet compliance standards and drive change management
  • Provide support, fairness and leadership to staff in alignment with organizational mission and values
  • Expertise with Medical Group revenue cycle claims management is required
  • Bachelor’s degree required plus 5+ years in a leadership capacity, overseeing high volume transaction processing and driving efficiency

The Community

  • The City of Orange is situated in Central Orange County, approximately 32 miles southeast of Los Angeles
  • Southern California is well-known for its year-round pleasant weather, with average summer highs of 84 (F) and winter lows of 46 (F)
  • Orange Old Towne Historic District was placed on the National Register of Historic Places and is known for its walking food tours that allow participants to sample local eats while taking in the historic architectures among other activities
  • The city sits less than 30 minutes from Newport Beach and Crystal Cove State Park, offering miles of Pacific coastline and inland canyons


Interim Leadership with B.E. Smith

  • The industry’s best Interim Leaders and Consultants choose B.E. Smith because of the firm's innovative employment model. The employment relationship is structured to provide you all the benefits of employment, while maintaining the flexibility you enjoy as an independent contractor.
  • Upon accepting engagements, you may become eligible for a variety of benefits, including access to medical, dental and vision insurance; life insurance; AD&D; 401(k) retirement plan; and a flexible spending account (The availability of some benefits depends on the type and duration of the engagement).
  • You are an employee of B.E. Smith. Taxes are withheld and B.E. Smith covers the employer portion of your FICA.
  • Each interim healthcare executive job has different travel requirements. Your travel, lodging and business expenses are covered by B. E. Smith and the client.
  • In a standard Interim Leadership arrangement, the client pays for travel home every other weekend.
  • The client will also provide you with a rental car, as well as lodging that is clean, safe and in close proximity to the organization. Each is furnished and has a kitchen.
  • Some positions have specific licensing requirements. Check out our compact nursing license map for details!



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