Dental Claims Audit Manager Job Vacancy

Job Title:    Dental Claims Audit Manager
Job Location:    Toronto, Ontario
Company/Employer: Heather Cox & Insurance Inc
About Us
At HCA our role is to link our partners in the insurance industry to create winning connections. Simply stated, our mandate is to recruit the best talent for our clients. Our reach is national with the focus on executive, middle management and technical positions. That’s not to say that we won’t place an EA to a President, because we enjoy those searches too!
We strive not to be the biggest but rather the best in our field. Our industry is not static and our consultants adapt to changing market demands.

Job Requirements:
• Highly experienced in Group Insurance - Dental Claims
• 5+ years of managing staff and a departmental budget
• Bachelor’s degree in Business/Statistics an asset
• Diploma in Dental Hygiene/ Dental Assisting an asset
• Strong working knowledge of Dental/Health Audit Management
• Strong understanding of provincial regulatory requirements
• Ability to motivate and mentor staff, creating a culture that supports high employee morale
• Lean Six Sigma or similar process review experience
• Proven analytical, organizational, and decision-making skills with demonstrated negotiation skills and influencing positive outcomes
• Proven ability to manage multiple high priority tasks in a fast-paced environment
• Excellent interpersonal skills to facilitate change management
• 10% travel required within the GTA
• Bilingualism in French and English an asset

Job Duties:
• Oversee the development and ongoing maintenance of the Provider Audit Program
• Provide direction, coaching and training to staff to ensure high quality service
• Actively build and manage relationships with business partners and communicate effectively with plan sponsors, regulatory associations and law enforcement authorities
• Ensure the standardization of practice throughout the audit team and ensure that systems, procedures and personnel are available to efficiently provide audit services to meet customer service level agreements
• Oversee the design and building phase of high complexity business applications to ensure quality systems produce the desired results
• Evaluate products against business specifications to determine the optimum solution for the organization and our client base
• Monitor audit findings to ensure effective resolution
• Oversee the production of department reports
• Develop the annual audit plan and department budget
• Identify key initiatives to improve processes, quality and efficiencies
• Educate others in the organization about claims practices

Deadline Date: 08/01/2014

How to Apply:
Please submit your resume to:
Email:  resumes@hcox.caContact: 416 935-0901