Health Insurance Operations Director directs and oversees health insurance operations programs in multiple service areas, including account installation, implementation, client support, contract administration, claim processing, and enrollment and eligibility. Manages vendors assigned to each operation. Being a Health Insurance Operations Director resolves issues within each service area. Has deep knowledge of health insurance operations. Additionally, Health Insurance Operations Director typically requires a bachelor's degree of business administration or its equivalent. Typically reports to top management. The Health Insurance Operations Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Health Insurance Operations Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)
At Porter Medical Center we are improving the health of our community, one patient at a time.
JOB SUMMARY:
The Operations Director shall provide direct management and oversight of operations of the provider practices under the management of the UVM Health Network Medical Group and UVMHN Porter Medical Group (PMG). They/them shall address and resolve all issues pertaining to practice operations in accordance with established budgets and policies and procedures of PMG. They/them shall demonstrate visibility and build trust among all team members and providers; provide financial management guidance and support; manage and develop the office managers and other leaders within the practices; promote the use of information technology and systems; participate in strategic goals; establish and maintain budgets for practices; implement new clinical and other programs; integrate newly acquired physician practices into PMG; and complete other duties as assigned. They/them shall perform duties under a matrix reporting structure to Porter Medical Center leadership and UVM Health Network leadership when appropriate.
EDUCATION
Bachelor’s degree I Business Administration, Health or related field required. The ideal candidate will possess a Master’s Degree in Health Care Administration or a related area.
EXPERIENCE:
Must have a minimum of 5-7 years of progressively responsible experience in a health care management setting, preferably in an academic physician practice setting.
Strong financial experience, particularly in the areas of budgeting, financial forecasting, physician office billing and reimbursement.
Excellent communication, team building skills with an ability to prioritize and multi-task. Analytical individual with a contemporary knowledge of information systems. Excellent verbal and written communication skills with demonstrated abilities in persuasion.
Applicants must have a track record of outstanding leadership and a desire for career growth.
Demonstrated knowledge, experience, and comfort with business strategy implementation, cost controls, productivity enhancement, and operating in a politically sensitive environment.
Direct experience with and knowledge of physician practice management information systems and electronic health records. Preference will be given to those with an experience using Epic.
Demonstrated ability to identify, evaluate, and develop staff and provider talent.
BENEFIT ELIGIBLE!
Our employees make a difference to our patients and their families by bringing compassion to those in a time of need. We are proud to extend this culture of caring back to our employees and their families by providing a comprehensive and flexible benefits package. Key benefits in our package include:
· Medical, Dental and Vision Insurance
· 403(b) Retirement Plan
· Tuition Advance Program
· Combined Time Off (CTO) - paid holidays, vacation, sick and personal time
· Employee Assistance Program (EAP)
· Employee Discounts
· Pet Insurance
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