Regence BlueCross BlueShield of Oregon · 2 days ago
Assistant Director Claims Production
Portland, OR
Full-time
Hybrid
Mid, Senior Level
$126K/yr - $206K/yr
5+ years expRegence BlueCross BlueShield of Oregon is committed to creating a person-focused and economically sustainable health care system. The Assistant Director Claims Production will lead claims processing activities, enhance customer satisfaction, and manage a high-performance team to improve operational efficiency and accuracy in claims processing.
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Responsibilities
Works cooperatively with executives and management teams throughout Cambia to accomplish goals. Maintains a leadership team approach to resolve problems or issues of overall importance. Matters that cross functional lines directly involve the position's input and may require frequent, direct contact and close communications with all levels across Cambia
Drives the effectiveness of the Claims organization through appropriate organizational structure, an effective work environment, regular employee communication, recognition and development
Continually strives toward increased customer satisfaction while increasing operational efficiency. This is accomplished through motivating all claims staff toward increased productivity, increased accuracy and focus on customer satisfaction
Responsible for fiscal management, including budget preparation, expenditure control, and record keeping
Strengthens the organization’s effectiveness in achieving customer satisfaction by ensuring fast and accurate claims processing
Coordinates with the directors from all Regence Plans to continuously improve the cost, quality and effectiveness of Operations functions
Oversees the selection, training, organization and proper compensation of Cambia claims employees
Creates and manages appropriate employee incentives and recognition
Partners with the Business Workforce Optimization teams to successfully implement new procedures and enhancements to claims systems that benefit our members
Directs the development of Cambia claims processing functions to contribute to improved productivity and accuracy in benefit application and reduced operating costs
As a member of our strong leadership community, you will provide direction to your team, engage them towards common goals and create a positive experience that helps people flourish
Qualification
Required
Bachelor's degree in business management, health care administration or another related field
5 years management/supervisory experience with at least 3 years in claims processing, customer service or membership/enrollment or an equivalent combination of education and job-related work experience
Expertise regarding health plan legislation and regulations
Successful experience leading health plan operations such as membership, claims customer service and analytics & reporting
Ability to create, execute and evaluate short- and long-term operating plans
Business acumen including financial/budget management, data analysis and decision making
Demonstrated ability to manage managers and lead high performing teams
Ability to effectively delegate, evaluate performance, and to motivate and develop others across multiple functions
Proven competency in developing and maintaining effective relationships at all levels inside and outside of the organization
Excellent verbal and written communication skills including ability to effectively convey complex or sensitive issues or regulations
Preferred
Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired
Benefits
Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
Annual employer contribution to a health savings account.
Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
Award-winning wellness programs that reward you for participation.
Employee Assistance Fund for those in need.
Commute and parking benefits.
Company
Regence BlueCross BlueShield of Oregon
Regence is part of a family of regional health plans that have been a symbol of strength and stability in local communities for more than 100 years.
5001-10000 employees
H1B Sponsorship
Regence BlueCross BlueShield of Oregon has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (12)
2024 (11)
2023 (7)
2022 (12)
2021 (23)
2020 (24)
Funding
Current Stage
Late StageRecent News
2025-05-05
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