Health Insurance Operations Director jobs in Stillwater, OK

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Oklahoma Complete Health, a Centene company, is committed to providing quality healthcare solutions to transform the health of Oklahomans.

At Oklahoma Complete Health, we are community advocates and change-makers in search of an inclusive culture grounded by our commitment to work-life balance, competitive compensation, and continuous career development. Join us and be a part of a collaborative, growing network of innovative thinkers delivering solutions at the local level.

***Must Reside in Oklahoma***

Position Purpose: Leads and manages all hands-on operational aspects and activities of various functional areas within the Plan which may include: Claims, Provider Services, Information Technology, Grievance and Appeals and Member Services. Assists the Plan leader in the successful growth and performance of the Plan. Interfaces, collaborates and works cooperatively with corporate office functional leaders and centralized business departments Candidate Education: Required A Bachelor's Degree in a related field

• Provides day-to-day leadership and management to a service organization that mirrors the mission and core values of the company. Interfaces with corporate operations office staff as required.
• Drives the Plan to achieve and surpass operational performance metrics, profitability, and business goals and objectives.
• Oversees employee compliance with, and measurement and effectiveness of, all Business Standards of Practice including Project Management and other processes internal and external. Provides timely, accurate, and complete reports on the operating condition of the Plan. Develops policies and procedures for assigned areas. Ensures that other impacted areas, as appropriate, review new and changed policies.
• Assists State President in collaborative efforts related to the development, communication and implementation of effective growth strategies and processes. May be required to spearhead the implementation of new programs, services, and preparation of bid and grant proposals.
• Collaborates with management team and others to develop and implement action plans for the operational infrastructure of systems, processes, and personnel designed to accommodate the rapid growth objectives of the organization.
• Assists in defining marketing and advertising strategies within State guidelines. Participates in the development and implementation of marketing policies for the Plan, and ensures their compliance with program regulations.
• Provides assistance in preparation and review of budgets and variance reports for assigned areas.
• Communicates, motivates and leads a high performance management team. Attract, recruit, train, develop, coach, and retain staff. Fosters a success-oriented, accountable environment within the Plan.
• Ensures compliance to and consistent application of law, rules and regulations, company policies and procedures for all assigned areas.
• Ensures prompt response with a sense of urgency/priority to customer requests. Documented follow through/closure.
• Performs other duties as assigned. Additional Responsibilities:

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

About the Company:
Oklahoma Complete Health