Medical Claims Operations Director Salary in the United States

The Medical Claims Operations Director establishes and implements organizational policies and procedures; may offer guidance on the appropriate handling of complex or high-value claims. Plans and directs one or more departments responsible for administration of health insurance claims, payment processing, billing research, and responding to inquiries. Being a Medical Claims Operations Director coordinates operations with other areas of the organization. Develops and executes strategic business plans for the department. In addition, Medical Claims Operations Director requires a bachelor's degree. Typically reports to top management. The Medical Claims Operations Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Working as a Medical Claims Operations Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)

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