VP Claims Advocacy 83100

CarolinaEast•New Bern, NC

About The Position

Job Summary: The Vice President of Claims Advocacy provides executive leadership for healthcare claims advocacy across the organization, ensuring accurate, timely, and compliant resolution of complex medical, facility, and professional claims. This role serves as a senior liaison between the health system, payers, TPAs, and internal stakeholders to protect revenue integrity, reduce denials, and enhance the patient financial experience. About CarolinaEast Health System CarolinaEast Health System is committed to providing high quality, compassionate care across the Coastal Carolina region. At the heart of our system is a 350-bed, full-service medical center equipped with a comprehensive range of inpatient and outpatient services, utilizing the latest medical technologies. We employ over 3,200 dedicated team members and operate physician practices across various specialties in four counties. Our employees foster a culture of excellence that ensures our patients receive the same high level of care found at larger medical centers, all while maintaining a friendly, community-centered atmosphere throughout our facilities. CarolinaEast offers a robust benefits package to all full-time employees, as well as benefits for part-time plus and part-time staff. We are proud to be the first medical center in North Carolina recognized as a Cardiovascular Center of Excellence by the American College of Cardiology and the American Heart Association. Additionally, we are honored to be named one of America’s Best-In-State Hospitals by Newsweek, among numerous other prestigious accolades.

Requirements

Master’s degree in Healthcare Administration, Business Administration, Public Health, or a related discipline.
At least five years of healthcare claims experience, including areas such as provider reimbursement, billing disputes, appeals, and grievances.
At least five years of leadership experience in claims operations, patient advocacy, and/or payer relations.