Director of Operations for an Innovative Healthcare Solutions Provider

Area : National

Description : Our client is an innovative healthcare solutions provider dedicated to serving the agricultural community. They are seeking a highly strategic Director of Operations to oversee all group health plan operations and member support functions including Claims, Customer Service, Billing and Group Admin, and new product implementations to meet business and corporate strategic objectives.

Responsibilities:

- Provide day-to-day leadership and management that mirrors the mission and core values of the company

- Collaborate with senior leadership to develop and implement plans for the operational infrastructure of systems, processes, and personnel designed to accommodate the rapidly changing healthcare environment.

- Expand health and productivity offerings (wellness and on-site/near site clinics) with a focus on new revenue streams

- Direct the development and implementation of operational work processes and systems with oversight for multiple departments – Claims, Member Services, Group Admin and Billing, and Project Implementation

- Oversee Quality Control and seek and share ‘Best Practices’ and innovations across all clients as appropriate

- Be accountable for budget, revenue targets and profits and loss

- Build and maintain all vendor relationships

- Evaluate program opportunities and recommendations for effectiveness and ROI

- Perform duties as senior liaison between the business unit, corporate and external stakeholders

- Oversee preliminary discovery, due diligence for potential liabilities, internal control, weakness and financial integrity

- Work with senior leadership to develop strategies to achieve organizational goals

Qualifications:

- High degree of knowledge of health plan benefits in leadership role

- Bachelor’s degree in Business Administration, Finance. Masters preferred

- 10-15 years’ experience overseeing benefits administration in the healthcare or insurance industry

-  Extensive knowledge of state and regulatory process

-  Excellent verbal and written communication skills

-  Excellent mathematical skills

- Ability to identify problems, offer solutions and implement change and positively motivate employees

- Ability to successfully work under deadlines

- Computer skills – working knowledge of MS Office and proficiency in Word, Excel and PowerPoint

- Familiarity with Claims systems

- Possession of high business acumen 

Published : Oct 26, 2020

You must Log in in order to apply for a job.

You can register an account in just a few minutes.