Health Insurance Operations Director jobs in Tennessee
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)
Recently Added Health Insurance Operations Director jobs
Regional Director of Operations
- SaVida Health
-
Knoxville, TN
FULL_TIME
-
REGIONAL DIRECTOR OF OPERATIONSSouthwest VirginiaABOUT THE ORGANIZATIONSaVida Health, a private equity backed healthcare company, provides outpatient opiate and alcohol addiction treatment services. SaVida Health's care model includes medical care, counseling, comprehensive toxicology testing, case management and medical management of psychiatric medications. SaVida is headquartered in Nashville, TN and currently operates in Massachusetts, Delaware, Vermont, Maine and Virginia and is developing the capability to expand rapidly to meet the needs of patients suffering from opiate and alcohol addiction.
DESCRIPTION
The Regional Director of Operations will have operational oversight for existing sites located in Southwest Virginia and will be responsible for working with each site to provide compassionate, respectful and effective outpatient treatment for individuals struggling with Alcohol or Opioid Addiction. The Regional Director will be responsible for solving day to day operational problems and working to achieve growth within each site while providing high quality patient care. This is a position that requires strong people management and problem solving skills. This position will also be responsible for opening additional locations in the northeast.
Essential Duties:- Working with each Site Practice Administrator, ensure the SaVida Health goals of service, mission statement, patient experience and staff engagement are accomplished, while achieving business metrics and growth goals within each site.
- Ensure effective clinical care is being delivered and operating results are achieved.
- Ensure SaVida Health policies and procedures are being followed at each practice and that staff are adequately trained in their roles.
- Ensure adequate staffing at the sites. Interview candidates and negotiate compensation packages with candidates.
- Working with the Sr. Leadership, develop annual budgets and achieve the budgeted metrics.
- Identify potential new geographic areas for possible expansion and work Sr. Leadership to expand additional practices in new states.
- Participate in the development of SaVida Health goals, objectives and policies, as appropriate.
- Serve as a mentor for staff and provide constructive feedback when necessary. Ensure all staff complete annual performance reviews.
- Ensure a positive, professional, and respectful work environment within each practice.
- Maintain compliance with payer requirements, including referrals and authorizations and cash collection.
- Working with Sr. Leadership, set business goals and achieve the business metrics.
- Ensure and enhance patient satisfaction.
- Embrace a philosophy of continuous process improvement and suggest ideas for improvement as appropriate.
- Routinely assess staff members and practice's overall compliance with policies and procedures, employee orientation expectations, employee handbook, patient manual, Client Bill of Rights/Responsibilities and codes of ethics and conduct.
- Investigate and respond to complaints by staff, grievances related to patients and their treatment at the agency; answer patient requests, letters and correspond as needed.
- Manage relationships and agreements with external partners and vendors.
- Participate in outreach and development meetings to increase referrals to each practice.
- Assist staff members in developing professional goals for the upcoming year.
- Ensure sites comply with all applicable laws and regulations.
- Act as primary liaison between the practices and Sr. Leadership.
- Perform other duties as needed or requested by Sr. Leadership.
FULL-TIME
POSITION REQUIREMENTS
Qualifications:- Bachelor’s Degree. Master’s Degree (MBA) preferred.
- A minimum of 5 years’ experience in a management position including a minimum of 3 years’ experience in a healthcare setting or organization.
- Management experience working in the mental health/substance use disorder treatment setting a plus.
- Demonstrated ability to manage and motivate staff.
- Ability to make sound decisions and to problem solve.
- Strong analytical skills with the ability to evaluate data and make sound operational decisions based on the data.
- Demonstrated ability to manage the business to the budgeted P&L.
- Ability to work independently and as part of a team.
- Experience working with EMRs (Athena Health Systems a plus).
- Ability to work with individuals and groups from diverse populations.
- Must be extremely organized with a keen attention to detail.
- Ability to delegate tasks as appropriate.
- Ability to effectively manage time to meet deadlines.
- Ability to represent the agency effectively and professionally with community leaders; outreach experience a plus.
- Ability to serve as a role model for other staff members and to help maintain a professional workplace.
- Must be able to travel.
- Must reside in the New England area
EOE STATEMENTWe are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law. - 1 Month Ago
DIRECTOR OF CLINICAL OPERATIONS - HOSPICE
- Adoration Home Health and Hospice
-
Chattanooga, TN
FULL_TIME
- Our Company: Adoration Home Health and Hospice Overview: The Director, Clinical Operations is responsible for the overall direction of hospice clinical services. The Director, Clinical Operations esta...
- 6 Days Ago
DIRECTOR OF CLINICAL OPERATIONS - HOSPICE
- BrightSpring Health Services
-
Murfreesboro, TN
FULL_TIME
- DIRECTOR OF CLINICAL OPERATIONS - HOSPICE Job Locations US-TN-MURFREESBORO ID 2024-140512 Line of Business Adoration Home Health and Hospice Position Type Full-Time Our Company Adoration Home Health a...
- 2 Months Ago
DIRECTOR OF CLINICAL OPERATIONS - HOSPICE
- BrightSpring Health Services
-
Kingston, TN
FULL_TIME
- DIRECTOR OF CLINICAL OPERATIONS - HOSPICE Job Locations US-TN-KINGSTON SPRINGS ID 2024-140059 Line of Business Adoration Home Health and Hospice Position Type Full-Time Our Company Adoration Home Heal...
- 2 Months Ago
Regional Director of Clinic Operations
- Cherokee Health Systems
-
Morristown, TN
FULL_TIME
- Regional Director of Clinic Operations Monday-Friday 8:00am – 5:00pm Full-time (40/hour per week) Location available: Maynardville, TN Cherokee Health Systems is seeking compassionate, service-oriente...
- 11 Days Ago
DIRECTOR OF CLINICAL OPERATIONS - HOSPICE
- BrightSpring Health Services
-
Cleveland, TN
FULL_TIME
- DIRECTOR OF CLINICAL OPERATIONS - HOSPICE Job Locations US-TN-CLEVELAND ID 2024-142850 Line of Business Adoration Home Health and Hospice Position Type Full-Time Our Company Adoration Home Health and ...
- 17 Days Ago
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Director of Development
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Assistant Director
- Kiddie Academies of Greater Seattle Careers
-
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- Assistant Director - Child Care Center Make a difference in a child's life - and your own. Excellent opportunity for an ...
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Director of Development
- Children's Chorus of Washington
-
Washington, DC
- POSITION DESCRIPTION Title: Director of Development (full time, exempt position) Reports to: Executive Director Hours: M...
- 5/10/2024 12:00:00 AM
Early Learning Center Director
- New Hope for Families
-
Bloomington, IN
- New Hope for Families is looking for an experienced, passionate early childhood education (ECE) professional to lead our...
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Youth Mental Health Residential Shift Supervisor
- Wingspan Care Group
-
Shaker Heights, OH
- Residential Program Shift Supervisor This position now offers an annual salary of $45,000 - $50,000 AND a $2,000 Sign on...
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Plant Operator - Plant Technician
- CenTrio
-
Houston, TX
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About Tennessee
Tennessee borders eight other states: Kentucky and Virginia to the north; North Carolina to the east; Georgia, Alabama, and Mississippi on the south; Arkansas and Missouri on the Mississippi River to the west. Tennessee is tied with Missouri as the state bordering the most other states. The state is trisected by the Tennessee River.
The highest point in the state is Clingmans Dome at 6,643 feet (2,025 m). Clingmans Dome, which lies on Tennessee's eastern border, is the highest point on the Appalachian Trail, and is the third highest peak in the United States east of the Mississippi River. The ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Director jobs
$160,586 to $216,569