Advanced Correctional Healthcare, Inc. is proud to have been awarded the Better Business Bureau’s Torch Award for Ethics, Mental Health America’s Silver Bell Seal for workplace mental health and is honored to be certified by employees as a Fortune Magazine Great Place to Work for the seventh consecutive year!

POSITION: Medical Claims Director

LOCATION: Corporate Office - Franklin, TN

HOURS: Full-Time, 40 hours, Monday-Friday, 8AM-5PM

Up to $125k/year Depending on Experience

ACH, employer of 1000+ employees, has an immediate opening for someone who wants to work in an employee-focused culture and serve an underserved population.

ACH values their employees.

In return for your education, experience, and skills, you will be highly compensated. Employees are encouraged to use the Professional Development program to further their professional skills. This 40 hour Monday-Friday Medical Claims Director position is based in Franklin, TN.

Essential functions of Medical Claims Director:

• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Oversees the work activities of a team of medical claim professionals and has full management responsibility by setting and communicating expectations, providing direction and coaching, facilitating ongoing training and development, managing employee performance, and contributing to employee engagement.
• Contributes to the achievement of business results by ensuring that claims are effectively handled according to company protocols, quality and customer service standards are achieved, and expenses are appropriately managed.
• Directs building of more efficient claims process to accommodate rapid growth
• Contributes to achievement of customer satisfaction targets by ensuring quality, service and cycle time standards are met or exceeded by the team and handling escalated issues promptly and professionally.
• Builds and maintains collaborative relationships with internal and external partners.
• Communicates and shares pertinent and timely information to employees by holding team meetings, scheduling regular 1:1 employee discussion, reinforcing leadership messages.
• Maintains compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations, or trends for line of business.
• May perform additional duties as assigned.

REQUIRED EDUCATION AND EXPERIENCE:

• Bachelor’s degree in field applying for or the equivalent experience
• 5+ years of related experience
• Typing & 10-key with accuracy
• Strong Microsoft Office, Internet, and email skills
• Strong attention to detail

• Must be able to work autonomously

ACH provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Follow these links to learn more about equal employment opportunity, the Employee Polygraph Protection Act, or the Family and Medical Leave Act.

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