Director Client Services, Managed Care

Sedgwick

2d•$110,000 - $135,000•Remote

About The Position

This role is for a Director Client Services, Managed Care at Sedgwick, a global industry leader. The position involves delivering innovative customer-facing solutions to clients, being part of a rapidly growing company, and leveraging a global network of experts. The role offers professional development opportunities, flexibility, autonomy, and comprehensive benefits. The ideal candidate is enthusiastic, thrives in a collaborative environment, and is driven to deliver great work. The primary purpose is to serve as the main managed care relationship leader for assigned clients, focusing on client stewardship, program performance, operational issue resolution, and strategic consultation across various managed care services. The Director acts as a trusted advisor and connector between clients, operations, clinical leaders, account teams, analytics, network services, and vendor partners to ensure managed care programs align with client objectives and deliver measurable value.

Requirements

Bachelor's degree from an accredited college or university preferred.
CPCU, AIC and/or ARM or other related designation preferred.
Ten (10) years related experience or equivalent combination of education and experience required.
Two (2) years account manager experience or five (5) years adjuster, team lead or managed care experience.
Analytics experience a plus.
Residence in Central or Eastern time zones a plus.

Responsibilities

Serve as the primary managed care advisor and point of contact for assigned clients.
Lead stewardship meetings, business reviews, strategic discussions, and follow-up action planning.
Develop and deliver executive-level reporting, program insights, recommendations, and value narratives.
Identify opportunities to improve outcomes, reduce costs, strengthen program utilization, and support client retention or growth.
Maintain awareness of client-specific requirements, goals, operational challenges, and contractual commitments.
Monitor managed care performance, utilization trends, service outcomes, and program effectiveness.
Translate operational data and reporting into clear, actionable recommendations for clients and internal stakeholders.
Support implementation of new programs, pilots, service enhancements, and process improvement initiatives.
Partner with sales, account management, claims operations, and clinical leaders to align managed care solutions with client needs.
Coordinate timely resolution of managed care service issues, escalations, and client concerns.
Partner with operational leaders to identify root causes, assign ownership, and drive sustainable corrective actions.
Ensure accountability for commitments, deliverables, action items, and communication follow-through.
Escalate risks and barriers appropriately while maintaining clear, professional communication with impacted stakeholders.
Support education, resource navigation, and managed care consultation for claims examiners and client-facing teams.