DXC Technology Claims Team Lead in Williston, Vermont

Job Description:

DXC Technology (NYSE: DXC) is the world’s leading independent, end-to-end IT services company, helping clients harness the power of innovation to thrive on change. Created by the merger of CSC and the Enterprise Services business of Hewlett Packard Enterprise, DXC Technology serves nearly 6,000 private and public-sector clients across 70 countries. The company’s technology independence, global talent and extensive partner alliance combine to deliver powerful next-generation IT services and solutions. DXC Technology is recognized among the best corporate citizens globally.

The Insurance/Healthcare job family contains positions associated with providing consultancy utilizing knowledge and expertise on insurance and healthcare. Develops and implements general insurance and health policies in accordance with state and federal laws. Provides expertise to investigate and adjudicate claim characteristics that do not match policy provisions. Responds to provider appeals and meets with providers to resolve problems/issues. Provides directions for utilization review. Approves any remedial or recoupment actions associated with escalated claims. Advises provider review councils, state officials and works with organized healthcare groups and associations on various medical issues related to insurance and healthcare programs

Responsibilities:

Assign and direct daily workload for all units as necessary.

Analyze daily, weekly and monthly reports, providing management and the State with metrics.

Respond to inquiries from Claims and Provider Services staff.

Ensure the accuracy of the procedure manuals used for daily operations.

Define and direct the training of all staff members

Advise management of problems with the MMIS application.

Keep abreast of changes to MMIS application and claims processing flow.

Provide management with input for employee performance review/individual development plans.

Other duties as assigned.

Skills:

Strong organizational skills.

Effective oral and written communication.

Attention to detail.

Education/Experience:

Bachelor’s degree or minimum three years’ experience with medical claims billing/processing.

Minimum two years leadership experience.

DXC Technology is EEO F/M/Protected Veteran/ Individual with Disabilities