Wenger & Watson | Vice President

1 day ago


india Wenger & Watson Full time

The Senior Vice President (SVP) or Vice President (VP) for the Healthcare Payer domain will lead the strategic vision, operations, and innovation for the organization's payer-related services. This executive will be responsible for driving initiatives that improve payer processes, enhance member and provider experiences, and optimize cost and efficiency. The SVP/VP will work closely with executive leadership and healthcare partners to ensure the organization remains competitive and compliant in a rapidly evolving industry.

  • Collaborate with technology teams to implement advanced platforms for claims adjudication, payment integrity, and member engagement.
  • Leverage data analytics and predictive modeling to enhance risk management, improve care outcomes, and optimize value-based payment models.
  • Ensure interoperability and compliance with healthcare standards such as EDI, HIPAA, and FHIR.


  • Oversee end-to-end payer operations and customer service.
  • Ensure efficient and accurate processing of claims and reimbursement in compliance with industry standards.
  • Drive initiatives to reduce administrative costs and improve overall operational efficiency.
  • Develop and execute a comprehensive strategy for the payer domain, focusing on member engagement, claims processing, provider relationships, and cost containment.
  • Identify opportunities for innovation and implement solutions leveraging data analytics, AI, and automation to improve payer operations.
  • Stay informed about industry trends, regulatory changes (e.g., CMS, ACA), and market dynamics to adapt strategies accordingly.



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