Director of Claims Strategy & Operations

Prominence Health, a value-based care organization, is seeking a Director of Claims to lead the strategic direction and execution of all claims operations. This role requires ensuring compliance with federal, state, and payer regulations while driving improvements in service delivery and efficiency.

The ideal candidate will have extensive Medicare/Medicaid claims experience, strong leadership, budget stewardship, and a track record of leveraging technology (QNXT preferred) to optimize