News from LEADERSHIP Philadelphia

Director, Claims Processing

Independence Blue Cross

Job Summary Responsibilities: Directs all claims processing activities for the IBC Family of Companies in an electronic claims system environment. Designs and implements strategies to support the strategic vision of an at scale, low cost organization. Directs the prompt and accurate processing of claims according to member benefit plans, prompt payment regulations and performance guarantee requirements. Directs and oversees outsource vendors for all claims business including vendor relationship management activities, performance monitoring, contractual compliance and regular evaluation of the efficiency and cost effectiveness of the contractual agreement. Oversees the administration of all coordination of benefits and subrogation provisions of group and member contracts within all regulatory guidelines to include maximizing savings to support the strategic objective of addressing affordability. Designs and implements strategic plans and initiatives for the claim processing division in support of the overall corporate strategic directives.
Required Qualifications: Expert knowledge of claims and the health insurance industry. Prior Blue experience is preferred. Working knowledge of outsourcing and vendor management. Working knowledge of process improvement change, reporting, and desktop software modules, e.g. Microsoft Office Suite. At least seven (7) or more years of progressively more responsible experience in the health insurance industry with comprehensive understanding of claims. Expert experience in problem solving and analysis. BA or BS in Business Administration or a related field or equivalent work experience is required. A Masters Degree is preferred.
To apply: post resume to www.ibx.com/jobs or email a resume to Nathaniel.gach@ibx.com with "Job 31236" in the subject line.

Environment, Health and Safety Director

Preferred Sands of Genoa The EHS Director is primarily accountable for developing and implementing and managing all safety, health and environmental policies and procedures for all Preferred mining operations. Job duties and responsibilities include:
implementating the Environment, Health, Safety & Security (EHS) Policy and associated management system; ensuring regulatory compliance and all internal/external reporting requirements; maintaining professional relationship with MSHA to ensure essential cooperative atmosphere for continuous improvement of all matters related to safety & health of the workforce; managing all training activities - employee, contractor, visitor;
conducting accident and loss investigations utilizing root cause analysis.
Qualified applicants should have:a Bachelor's Degree in a related field is (advanced degree highly desirable), minimum of 7-10 years safety experience in an industrial minerals setting; ability to interact with all levels of employees; successful employment history demonstrating value added innovative safety practices; successful history demonstrating success in negotiating new and extended compliance
permits.

Quality Control Director

Preferred Sands of Genoa

The Quality Control Director plans, coordinates, and directs quality control programs all Preferred mining locations, designed to ensure continuous production of products consistent with company standards
Job duties and responsibilities include: Working with each site manager to monitor quality control programs at various locations; establishing testing procedures for mined products at all locations; formulating and maintaining quality control objectives and coordinates these objectives with production procedures; supervising employees engaged in inspection and testing activities to ensure continuous control over materials, facilities, and products; maintaining and managing database of all test results.

Qualified applicants should have: Bachelor's degree in engineering, 5-10 years of experience in quality control environment in an industrial minerals setting, supervisory and direct management experience, and the ability to multi task and work with employees at various levels

Need to get the word out about a job opening with your organization? Please contact Taylor: tgoodman@leadershipphiladelphia.org