Director of Client Services – Managed Care

This is a fully remote position, open to applicants in United States.

📋 Description

• Act as the primary managed care consultant and main point of contact for designated clients.

• Facilitate stewardship meetings, business reviews, strategic conversations, and follow-up action planning.

• Create and present executive-level reports, program insights, recommendations, and value propositions.

• Pinpoint opportunities to enhance outcomes, lower costs, boost program utilization, and aid in client retention or expansion.

• Stay informed of client-specific requirements, objectives, operational challenges, and contractual obligations.

• Track managed care performance, utilization patterns, service results, and program efficiency.

• Convert operational data and reporting into concise, actionable recommendations for clients and internal stakeholders.

• Assist in the rollout of new programs, pilot initiatives, service enhancements, and process improvement projects.

• Collaborate with sales, account management, claims operations, and clinical leaders to align managed care solutions with client requirements.

• Ensure the timely resolution of managed care service issues, escalations, and client inquiries.

• Work alongside operational leaders to determine root causes, assign responsibilities, and implement sustainable corrective measures.

• Guarantee accountability for commitments, deliverables, action items, and communication follow-ups.

• Appropriately escalate risks and obstacles while maintaining clear, professional communication with affected stakeholders.

• Provide education, resource navigation, and managed care consultation for claims examiners and client-facing teams.

• Perform additional duties as assigned.

⛳️ Requirements

• A bachelor's degree from an accredited college or university is preferred.

• A minimum of ten (10) years of relevant experience or a comparable combination of education and experience is required, including two (2) years of account management experience or five (5) years of adjuster experience, with at least two (2) years in a supervisory role.

• Exceptional oral and written communication skills, including proficiency in presentations.

• Proficient in PC use, including Microsoft Office applications.

• Strong analytical and interpretive abilities.

• Excellent organizational capabilities.

• Outstanding interpersonal skills.

• Proficient negotiation and facilitation skills.

• Leadership, management, and motivational skills.

• Ability to thrive in a team-oriented environment.

• Strong account rounding capabilities.

• Comprehensive understanding of workers' compensation, liability, and disability claims management.

• Extensive knowledge of client servicing.

• Capability to manage conflict and address challenging issues in a dynamic work setting.

• Ability to meet or surpass Performance Competencies.

🏝️ Benefits

• Medical

• Dental

• Vision

• 401k with matching

• Paid Time Off (PTO)

• Disability and life insurance

• Employee assistance program

• Flexible spending or health savings account

• Additional voluntary benefits