By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.
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Director Client Services, Managed Care
Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?
Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations.
Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights.
Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
Enjoy flexibility and autonomy in your daily work, your location, and your career path.
Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.
PRIMARY PURPOSE OF THE ROLE: The Managed Care Client Services Director (MC CSD) is the primary managed care relationship leader for assigned clients. The role focuses on client stewardship, program performance, operational issue resolution, and strategic consultation across managed care services, including provider networks, case management, utilization review, behavioral health, bill review, specialty programs, ancillary services, and related clinical or vendor-supported solutions.
The Managed Care Client Services Director acts as a trusted advisor and connector between clients, claims operations, clinical leaders, account teams, analytics, network services, and vendor partners to ensure managed care programs are aligned with client objectives and delivering measurable value.
ESSENTIAL RESPONSIBLITIES MAY INCLUDE
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.
QUALIFICATIONS
Education & Licensing: Bachelor's degree from an accredited college or university preferred. CPCU, AIC and/or ARM or other related designation preferred.
Experience: Ten (10) years related experience or equivalent combination of education and experience required to include 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.
TAKING CARE OF YOU
Offering flexibility and autonomy.
Supporting meaningful work that promotes critical thinking and problem solving.
Providing on-going learning and professional growth opportunities.
Promoting a strong team environment and a culture of support.
Recognizing your successes and celebrating your achievements.
We offer diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day.
Work environment: When applicable and appropriate, consideration will be given to reasonable accommodation.
Physical: Computer keyboarding, travel as required
Auditory/visual: Hearing, vision and talking
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
NEXT STEPS
If your application is selected to advance to the next round, a recruiter will be in touch.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $110,000 - $135,000.00/year. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com
