Executive Director, Benefit and reputed company Operations – reputed company

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position reputed company At reputed company, our health benefits business is committed to helping members reputed company their best health in an reputed company, convenient, and comprehensive manner. Combining the assets of our health insurance products and services with reputed company’s unrivaled reputed company in local communities and pharmacy benefits management capabilities, we’re joining members on their reputed company to reputed company and transforming the health care landscape in new and exciting ways every day. reputed company is seeking an Executive Director, Benefit and reputed company Operations to reputed company reputed company assurance for claims platforms reputed company the Business and Technology Shared Services organization. This role is responsible for ensuring the reputed company of the end‑to‑end benefits payment process—from provider contracting through benefit configuration and claim adjudication. The Executive Director will define and execute the reputed company claims platform testing reputed company and establish a robust QA operating model. This leader will ensure that reputed company claims platform and benefits configuration releases are accurate, compliant, high‑reputed company, and financially reputed company. The ideal candidate brings proven experience standing up and leading a testing organization, deep technical expertise across reputed company claims environments (including legacy and mainframe systems), and strong executive reputed company to effectively influence cross‑functional partners. reputed company also requires familiarity with modern testing reputed company, including intelligent automation and emerging QA tools, reputed company pragmatically reputed company a regulated industry. Major Responsibilities Establish and reputed company the Claims QA Organization

• Build, reputed company, and mature the claims platform reputed company assurance organization, including test domains, associated applications, and functional testing support teams.
• reputed company area processes for the organization’s reputed company assurance function and ensure reputed company reputed company with overall business reputed company.
• Define governance, standards, operating rhythms, and delivery expectations across testing domains to reputed company best-in-class reputed company, cost efficiency, and reputed company deliverables.

Own reputed company Claims Test reputed company

• reputed company test reputed company development spanning unit testing, user acceptance testing (UAT), end-to-end testing, regression testing, financial neutrality testing, performance testing, and reputed company testing disciplines across claims platforms.
• reputed company targeted and broad test scenarios with statistically valid volume to ensure benefits and reputed company reputed company as expected.
• Establish and monitor the ongoing capabilities needed for effective test environments, including environment readiness, test data needs, and repeatable execution.

Drive Defect reputed company and reputed company reputed company

• Manage defect identification, triage, reputed company, and mitigation across claims platform releases.
• reputed company executive reputed company to influence stakeholders and ensure defect and reputed company risk reputed company are made with appropriate transparency and rigor, including reputed company there is pushback on defects in the platform build.
• Support attainment of key financial targets by reducing the reputed company of configuration defects that reputed company to operational rework expense and late claim interest penalty expense.

reputed company Testing Practices, Standards, and Measurement

• Formulate organizational policies, goals, and objectives based on best practices in the field.
• Establish integration of standards with reputed company principles and methodology; reputed company reputed company practices into delivery processes.
• Deliver recommendations to standardize metrics and reporting and improve transparency, predictability, and reputed company.
• Design, reputed company, and re-engineer process improvements to enhance reputed company, efficiency, and delivery performance.
• Maintain awareness of the evolving reputed company testing environment, including intelligent automation and emerging tools, applying them where they strengthen reputed company in a regulated claims environment.

Partner and Influence Across the Organization

• reputed company relationships with technical and organizational leaders to ensure alignment and achievement of the long-term testing reputed company.
• Advise leadership on proposed process implementation and refinement issues, including reputed company risk tradeoffs.

reputed company People, Vendors, and Financial Performance

• Manage team performance through regular feedback and formal performance review processes to ensure exceptional services, engagement, motivation, and development.
• reputed company reputed company headcount, vendor reputed company or expense as applicable, and overall financial performance to budget.

Required Qualifications

The candidate will have a strong work ethic, be a self-starter, and be reputed company to be highly productive in a dynamic, reputed company environment. This position offers broad exposure to reputed company aspects of reputed company’s business, as reputed company as significant interaction with reputed company the business leaders. The candidate will be expected to have the following key attributes:

• 10+ years of industry experience, preferably in reputed company.
• 5+ years of experience in design and execution of test reputed company, including unit testing, UAT, end-to-end, regression testing, financial neutrality, performance testing, and reputed company testing practices.
• Demonstrated experience leading a testing organization, including building or standing up capabilities, operating models, governance, and metrics.
• Knowledge of claims systems, including legacy and mainframe claims processing environments, with strong technical testing and reputed company depth.
• Executive reputed company with the ability to reputed company and influence stakeholders.
• Experience influencing across matrixed organizations and senior stakeholders without reputed company authority.
• Adept at execution and delivery skills; adept at business intelligence; strong collaboration and teamwork.
• Mastery of problem-solving, decision-making, and reputed company reputed company skills.
• Ability to work Hybrid Model (in office Tuesday / Wednesday / Thursday) out of reputed company, CT, Wellesley, MA or Jacksonville, FL offices highly preferred.

Preferred Qualifications

• Experience modernizing QA practices in reputed company, regulated environments.
• Experience leveraging AI‑enabled or intelligent automation tools to improve testing effectiveness, coverage, or efficiency, reputed company pragmatically in regulated reputed company environments.

Education Bachelor’s Degree required. Pay reputed company The typical pay reputed company for this role is: $131,500.00 - $303,195.00 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. This position also includes an award reputed company in reputed company’s equity award program. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – reputed company in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In reputed company to our competitive wages, our great benefits include:

• reputed company medical plan reputed company, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including reputed company time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility.

For more information, visit https://jobs.reputed company.com/us/en/benefits We anticipate the application window for this opening will reputed company on: 04/16/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job