Health Insurance Operations Director jobs in Charleston, WV

We are looking for an experienced Operations Director to organize and oversee daily operations across a telemedicine outreach across multiple programs. They will ensure that our programs are well-coordinated and productive by managing its procedures and coaching its people. The area of responsibility for this role is very wide and thus requires thorough knowledge of various processes and people management best practices. The ideal candidate must have extensive operations experience and be able to oversee many different kinds of operational activities. They must be an excellent leader who can discover the most efficient ways to advance strategic goals and to support culture in a rapidly growing organization. In addition, they will advise the operations components associated with community partners. Internally, they are responsible for directing actions across the work team, building a culture of trust, enhancing communications, and improving processes and workflows.

Responsibilities

The Director of Telehealth is responsible for providing oversight of all clinical activities, including clinical quality improvement, and serve as a liaison between referring and consulting physicians. Key duties include: • Oversee the operations of sites, specialties, and other telemedicine clinical and educational services. • Develop and implement systems to track/monitor key metrics visible company-wide to optimize revenue stream, upkeep sales. • Scaling the company accordingly. • Develop and manage operational workflows and processes to ensure efficient and effective delivery of care across all locations and modalities. • Collaborate with engineer, data science and other teams to ensure the delivery of high-quality telehealth services and support the integration of telehealth into clinical workflows • Implement and manage clinical information systems and electronic health records to support real-time access to patient data and streamline clinical documentation. • Develop data dashboards and monitor metrics to support group operational and clinical improvement, quality assurance and business success. • Develop and implement policies and procedures to ensure compliance with all applicable regulatory requirements, including HIPAA and OSHA. • Develop and maintain relationships with external partners, and other healthcare providers, to support business growth and expansion • Manage clinical operations budgets and resources to ensure optimal allocation and utilization of resources • Monitor and analyze clinical operations data and KPIs to identify areas for improvement and make data-driven decisions to drive better clinical outcomes and business success. • Other Tasks Include: • Collaborating with your team • Provide direct oversight of organizational development, to ensure effective services are administered and provided to the target populations and surrounding communities. • Solicits and reinforces constructive and professional relationships with patients, community partners, funders, and regulatory bodies etc., with which the organizations partners and/or sub-contracts with, for the provision of quality health care services.

Knowledge, Skills & Abilities

Patient Group Knowledge (Only applies to positions with direct patient contact) The employee must possess/obtain (by the end of the orientation period) and demonstrate the knowledge and skills necessary to provide developmentally appropriate assessment, treatment or care as defined by the department’s identified patient ages. Specifically the employee must be able to demonstrate competency in: 1) ability to obtain and interpret information in terms of patient needs; 2) knowledge of growth and development; and 3) understanding of the range of treatment needed by the patients. Competency Statement Must demonstrate competency through an initial orientation and ongoing competency validation to independently perform tasks and additional duties as specified in the job description and the unit/department specific competency checklist. Common Duties and Responsibilities (Essential duties common to all positions) 1. Maintain and document all applicable required education. 2. Demonstrate positive customer service and co-worker relations. 3. Comply with the company's attendance policy. 4. Participate in the continuous, quality improvement activities of the department and institution. 5. Perform work in a cost effective manner. 6. Perform work in accordance with all departmental pay practices and scheduling policies, including but not limited to, overtime, various shift work, and on-call situations. 7. Perform work in alignment with the overall mission and strategic plan of the organization. 8. Follow organizational and departmental policies and procedures, as applicable. 9. Perform related duties as assigned.

Education

• Master's Degree (Required) Desired experience includes: Extensive experience in the telehealth space Experience scaling a telehealth Department Business Development experience Management experience Strong communication skills Attention to detail

Credentials

• No Certification, Competency or License Required

Work Schedule: Days

Status: Full Time Regular 1.0

Location: General Hospital

Location of Job: US:WV:Charleston

Talent Acquisition Specialist: Anita J. Ferguson anita.ferguson@vandaliahealth.org