Health Insurance Operations Director jobs in Reno, NV

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)

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Director, IT Strategy & Operations
  • EMPLOYERS Insurance Group (EIG)
  • Reno, NV FULL_TIME
  • Director, IT Strategy & Operations | 100% Remote Opportunity

    General Summary:

    The IT Strategy & Operations Director ensures the streamlined operations of the Technology, Product, and Data & Analytics Departments in alignment with the business objectives of the organization. This individual will plan, coordinate, direct, and design technology related activities of the organization across peers and executives, as well as provide administrative direction and support for daily operational activities, metrics, OKRs, KPIs, operating model implementation. The IT Director will work closely with the CIO, and technology VPs as well as decision makers in other departments to identify, recommend, develop, implement, and support an operating model that delivers cost-effective technology solutions for all aspects of the organization. This person will also define and implement IT policies, procedures, and best practices.  The breadth of responsibility of an IT Director extends to include a deep understanding of the business process, function, and strategy and a strong liaison with the business leaders.  The breadth of responsibility spans multiple business functions and departments, and includes identifying future organizational needs, upskilling, and accountability for tracking and achieving department objectives.

     

    Essential Duties and Responsibilities:

    • Focus on the end-to-end software and data operational processes to eliminate manual intervention, streamline process creating efficiency and reducing cycle time.
    • Partner with CIO and CIO direct reports to design and implement an operating model that matures product management, improves data and delivers best in class solutions and enhancements to Operation teams, closing any identified gaps.
    • Understand, analyze and drive transformational decisions based on data. Be able to identify and track appropriate OKRS, KPIs and other metrics that determine the health of the organization, while being able to communicate outside and across the organization leveraging that data.
    • Partner with peers to update and optimize operational processes and lead process reengineering campaigns to drive improved efficiency and effectiveness.
    • Work closely with technology and business partners to develop strategies that achieve business targets, improve technical landscape, and help create opportunities for the business.
    • Identify opportunities and create recommendations for digitization and automation including but not limited to RPA and Workflow Management opportunities.
    • Develop and implement relevant operating model changes in order to pivot the organization towards digitization and enhanced client experience.
    • Promote a culture of continuous improvement and cultivating a robust service and control environment.
    • Other duties may be assigned.

     

    Job Requirements:

    • 10 years of experience in the financial, technology, or consulting industry, change management, process re-engineering or client onboarding role specifically with strategy or operational experience.
    • Bachelor’s/University degree or equivalent experience. Master’s degree preferred.
    • Track record of implementing operational metrics and dashboards to support strategic decision making.
    • Strong familiarity with process management, six sigma, process flow diagramming and governance.
    • Experience program managing large scale global and complex initiatives and implementations.
    • Ability to effectively partner with business leaders, technology partners, senior management.
    • Strategic thinker and visionary who can also roll up sleeves to ensure proper execution.
    • Exceptional written & verbal communication skills.
    • Very strong presentation, communication, PowerPoint & Excel skills
    • Excellent leadership and negotiation skills.
    • Demonstrated organization skills with the ability to multitask effectively in a high-volume environment while maintaining adherence to deadlines and priorities.
    • Self-motivated and directed, proactive and action-oriented, must demonstrate personal accountability.

     An equivalent combination of education and experience may be substituted for the requirements listed above.

     

     Key Required Competencies

    • Strong knowledge and experience working with large data sets, determining the key data points and being able to concisely summarize it for senior management.
    • Knowledgeable with creating dashboards/KPIs including using key industry tools such as SharePoint, AWS Quicksight, and other reporting tools.
    • Project Management experience in working in Waterfall / AGILE methodologies.
    • Strong knowledge of process flow diagramming and knowledge of relevant tools.
    • Strong expertise in both PowerPoint & Excel (Advanced).

     

    Salary Range:  $120,000 – 185,000 comprehensive benefits package. Please follow the link to our benefits page for details!  https://www.employers.com/careers/our-benefits-and-perks/

    Work Environment:

    • Remote: This role is remote, and only open to candidates currently located in the United States and able to work without sponsorship.
    • It requires a suitable space that provides a private and quiet workplace.
    • Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.
    • Travel: May be required to travel to off-site location(s) to attend meetings, as necessary

    EMPLOYERS is a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work!

    We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS®!

    Headquartered in Reno, Nevada, EMPLOYERS/ attributes its long-standing success to its most valuable resource, our employees across the United States.  EMPLOYERS/ is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees.

    We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment.  These are the pillars that support how we do business with our clients as well as how we treat each other!

    At EMPLOYERS, you’ll discover an energetic environment that inspires top achievement.  As “America’s small business insurance specialist”, we have the resources, a solid reputation, and an expanding nationwide identity to enrich your work/life and enhance your career.

     

  • 5 Days Ago

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Director of Operations
  • Steve DeClerck Enterprises
  • Susanville, CA FULL_TIME
  • Pay Range- up to $120,000 per year.Who is Taco Bell?Taco Bell is a leading Mexican-inspired quick service restaurant brand that is a part of Yum! Brands, Inc. which includes Pizza Hut and KFC. Founded...
  • 12 Days Ago

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Director of Operations
  • Nevada Urban Indians, Inc.
  • Reno, NV FULL_TIME
  • Title: Director of Operations Department: Administration Exemption: Non-Exempt Supervisor: CEO DESCRIPTION: The Director of Operations (DOO) will oversee the day-to-day activities of the company, ensu...
  • 21 Days Ago

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Director of Behavioral Health
  • Community Health Alliance
  • Reno, NV FULL_TIME
  • Community Health Alliance is looking for a Director of Behavioral Health. Join our talented team of healthcare providers that focus on serving the community and helping those in need by creating healt...
  • Just Posted

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RN Branch Director Home Health
  • CenterWell Home Health
  • Reno, NV FULL_TIME
  • Become a part of our caring community and help us put health firstThe Branch Director is accountable for managing the day-to-day branch operations to ensure the following: operational efficiencies, qu...
  • 1 Month Ago

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Insurance and Claims Representative
  • Renown Health
  • Reno, NV FULL_TIME
  • Position Purpose This position is accountable for the billing and collections of Renown healthcare claims, ensuring timely and accurate claim submission, maximizing reimbursement for those services re...
  • 20 Days Ago

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0 Health Insurance Operations Director jobs found in Reno, NV area

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Finance Director
  • Lumos & Associates
  • Reno, NV
  • Job Description Job Description About the Position Reporting to the CEO, the Finance Director will oversee the accountin...
  • 4/19/2024 12:00:00 AM

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Project Manager-PM
  • United Construction Company
  • Reno, NV
  • PRECONSTRUCTION PROJECT MANAGER United Construction Company is currently seeking a Preconstruction Project Manager. This...
  • 4/18/2024 12:00:00 AM

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HOUSE SUPERVISOR (RN), Part Time Days
  • Hiring Now!
  • Reno, NV
  • Responsibilities Northern Nevada Sierra Medical Center is part of Northern Nevada Health System, a regional multi-facili...
  • 4/18/2024 12:00:00 AM

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REGISTERED NURSE, Emergency Dept, PartTime Varied Shifts
  • Hiring Now!
  • Reno, NV
  • Responsibilities Northern Nevada Sierra Medical Center is part of Northern Nevada Health System, a regional multi-facili...
  • 4/18/2024 12:00:00 AM

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Senior Project Manager
  • United Construction Company
  • Reno, NV
  • Senior Project Manager BUSINESS DEVELOPMENT Build, retain and maintain successful customer relationships for the Company...
  • 4/17/2024 12:00:00 AM

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Assistant Manager
  • Octapharma Plasma Inc.
  • Sparks, NV
  • Want to be a part of something exciting? Help Octapharma Plasma open our next Donor Center! At Octapharma Plasma you can...
  • 4/16/2024 12:00:00 AM

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RN Branch Director, Home Health
  • CenterWell Home Health
  • Reno, NV
  • Become a part of our caring community and help us put health first The Branch Director is accountable for managing the d...
  • 4/15/2024 12:00:00 AM

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Assistant Manager
  • Octapharma Plasma, Inc.
  • Sparks, NV
  • Want to be a part of something exciting? Help Octapharma Plasma open our next Donor Center! At Octapharma Plasma you can...
  • 4/15/2024 12:00:00 AM

Reno (/ˈriːnoʊ/ REE-noh) is a city in the U.S. state of Nevada, located in the northwestern part of the state, approximately 22 miles (35 km) from Lake Tahoe. Known as "The Biggest Little City in the World", Reno is known for its casino industry. It is the county seat of Washoe County. The city sits in a high desert at the foot of the Sierra Nevada and its downtown area (along with Sparks) occupies a valley informally known as the Truckee Meadows. The city is named after Union Major General Jesse L. Reno, who was killed in action at the Battle of South Mountain on Fox's Gap. Reno, with an esti...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Director jobs
$173,884 to $234,499
Reno, Nevada area prices
were up 2.5% from a year ago