Health Insurance Operations Manager jobs in Oregon

Umpqua Health is an equal opportunity employer that embraces individuals from all backgrounds. We prohibit discrimination and harassment of any kind, ensuring that all employment decisions are based on qualifications, merit, and the needs of the business. Our dedication to fairness and equality extends to all aspects of employment, including hiring, training, promotion, and compensation, without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, veteran status, or any other protected category under federal, state, or local law.

We are seeking a highly skilled and experienced Behavioral Health Operations Manager to join our dynamic team. In this role, you will have the chance to make a real difference in the lives of our patients and their families. Your strategic vision, coupled with your hands-on approach to operational management, will drive the success of our behavioral health programs and ensure that our services are delivered with the utmost efficiency, compassion, and quality. As a key member of our team, you will collaborate with stakeholders across the organization to develop and implement initiatives that address the evolving needs of our community. Your leadership will inspire others to strive for excellence, fostering a culture of innovation, collaboration, and continuous improvement.

• Collaborate with leadership to develop and implement innovative behavioral health programs aligned with UHA's strategic initiatives for adult services.
• Ensure program compliance with contractual and regulatory requirements, reporting on all activities to track progress towards goals.
• Operationalize workflows, policies, and standard procedures for population-specific programs, driving efficiency and effectiveness.
• Foster positive relationships with stakeholders, including state, county, and community partners, as well as internal teams.
• Stay informed on relevant regulations, such as Oregon Administrative Rules (OAR) governing OHP and HIPAA, and integrate best practices into program development.
• Oversee the production of reports to evaluate program outcomes, collecting and analyzing data to identify gaps in services.
• Pursue grant opportunities and collaborate on Behavioral Health reporting requirements to support program sustainability and growth.
• Serve as a subject matter expert for internal and external stakeholders, providing technical assistance and guidance as needed.
• Lead continuous quality improvement efforts, identifying opportunities to enhance operational policies and procedures.
• Track metrics, goals, and outcome targets, implementing operational changes to optimize performance.
• Provide training programs for staff and community groups, promoting a culture of learning and development.
• Proactively identify and resolve operational issues to maintain overall quality and effectiveness.
• Perform other duties as assigned by management needed to help drive to our Vision, fulfill our Mission, and abide by our Organization’s Values.

• Bachelor's degree in Healthcare Administration, Public Health, or related field (Master's degree preferred).
• Minimum of 5 years of experience in healthcare operations, with a focus on behavioral health.
• Strong understanding of regulatory requirements and best practices in behavioral health care delivery.
• Exceptional leadership, communication, and interpersonal skills.
• Proven ability to manage multiple projects and initiatives in a fast-paced environment.
• Proficiency in data analysis and reporting, with a commitment to data-driven decision-making.
• Experience in program development, implementation, and evaluation.
• Demonstrated commitment to diversity, equity, and inclusion in healthcare settings.
• No suspension/exclusion/debarment from participation in federal healthcare programs (eg. Medicare/Medicaid)

Umpqua Health is an equal opportunity employer that embraces individuals from all backgrounds. We prohibit discrimination and harassment of any kind, ensuring that all employment decisions are based on qualifications, merit, and the needs of the business. Our dedication to fairness and equality extends to all aspects of employment, including hiring, training, promotion, and compensation, without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, veteran status, or any other protected category under federal, state, or local law.