LIBERTY Dental Plan is seeking a Vice President Claims to oversee our national claims operations. This leader will be empowered to bring strategy and automation to the Claims department and internal processes in support of LIBERTY's overall mission to continually improve our member and provider experience.

Strong understanding of dental and/or healthcare claims and claims regulatory requirements is a must. Position is open to Hybrid, with the ability to report part-time to our corporate headquarters located in Irvine, CA.

POSITION SUMMARY:

• Responsible for the development and execution of Claim Operations strategies, E2E Claim process automation, optimization and management, identifying and leveraging technology and data to improve the quality and minimize process cost of Claims for all LIBERTY plans.
• Ensure that quality and compliance standards are being met and the best possible service is being provided to our customers.
• Closely align with Benefit Implementation and Utilization Management leadership to identify new strategic initiatives to include verifying value-adds and risks.
• Ability to successfully manage change and growth as well as juggle multiple and changing priorities with sometimes conflicting deadlines.
• Develop cost containment strategies to support the fiscal needs of the company.
• Confer with leadership to discuss goals and objectives, to review progress, and to determine the needs to support corporate strategy.
• Prepare operation, productivity, and forecasting reports for management analysis.
• Ensure we appropriately respond to correspondence regarding complaints, audits and inquiries that require management attention.
• Keep current on state and federal regulatory issues and industry activity and trends.
• Assist with various projects and initiatives.
• Complete all necessary tasks associated with managing direct reports in a timely fashion (e.g. time cards, performance reviews, holding timely one-on-one meetings, etc.).
• Perform other duties as assigned.

WHAT YOU'LL NEED:

• Minimum 4-Year Bachelor's degree or equivalent experience directing/managing a Healthcare or Dental Plan Claims Department.
• Minimum 14 years' experience in a healthcare or dental plan claims or operations role.
• Prior Claims experience in a dental environment highly preferred.
• Prior experience with claims regulatory and compliance requirements (DMHC, CMS, DOI, ERISA, NCCI, HIPAA regulations)
• Excellent understanding of dental/health insurance operations and procedures.
• Ability to be strategic, set vision and influence others to see it through.
• Broad knowledge of technology
• Strong leadership ability
• Analytical skills with emphasis on generation and utilization of data to drive operational and financial performance
• Ability to manage multiple projects and heavy workload
• Strong communication skills

LOCATION

Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States.

WHAT LIBERTY OFFERS

Happy, healthy employees enhance our ability to assist our members and contribute more actively to their society. That’s why LIBERTY offers competitive and attractive benefit packages for their employees. We strive to care for employees in positive ways that promotes wellness and productive employees.

Our first-class benefit package supports our employees and their dependents with:

• Competitive pay structure and saving options that help you reach your financial goals!
• Excellent 401k plan that matches 100% up to 3%. 50% match at 4% and 5%; immediate vesting during Safe Harbor period and professional financial advice through Financial Engines!
• Medical Insurance at no charge for employee only coverage. LIBERTY subsidizes 50% of eligible dependent coverage! Company offers PPO and HMO (where available) options.
• 100% paid dental coverage for your ENTIRE eligible Family members!
• 100% paid vision coverage for employee only coverage, low premium for dependents!
• Company paid basic life and AD&D coverage; options to elect additional supplemental coverage.
• Long Term Disability coverage
• Generous wellness program
• Employee Assistance Program
• 10 days paid vacation, 10 paid holidays including 2 days each for Thanksgiving, Christmas and New Years and a floating holiday granted for your birthday!
• 6 paid sick days annually with the ability to roll time over!
• Tuition Reimbursement
• Remote or Hybrid options for various positions
• And so much more...

COMPENSATION

In the spirit of pay transparency, we are excited to share the base salary for this position is $200,000 - $283,634, exclusive of fringe benefits or potential bonuses. If you are hired at LIBERTY, your final base salary compensation will be determined based on factors such as geographic location, skills, education, and/or experience. In addition to those factors – we believe in the importance of pay equity and consider internal equity of our current team members as a part of any, final offer. Please keep in mind that the range mentioned above is the full base salary range for the role. Hiring at the maximum of the range would not be typical in order to allow for future & continued salary growth.

LIBERTY Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. LIBERTY will leverage diverse perspectives in building high performance teams and organizational culture.

LIBERTY Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve.

We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.

Sponsorship and Relocation Specifications:

LIBERTY Dental Plan is an Equal Opportunity Employer / VETS / Disabled.

No relocation assistance or sponsorship available at this time.