Health Insurance Operations Director jobs in Bergenfield, NJ

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 of Operations
  • Jewish Federation of Northern New Jersey
  • Hackensack, NJ FULL_TIME
  • Director of Operations

    Full-Time

    Non-Profit Organization

    In-Person Position (Possible Hybrid)

    **Start date: Early May 2024**

    General Summary:

    The Director of Operations is primarily responsible for guiding BVMI’s workflow strategy and the organization of all essential, mostly non-clinical operations. Duties include planning, coordinating, supervising and evaluating all operations and administrative activities in the health center(s). Strategic activities include optimizing business functions, planning changes and updating day-to-day operations in collaboration with the CEO and other senior executive staff. Additional responsibilities include the oversight of all human resources, financial, technology, purchasing, insurance, facility management and compliance.

    People Management

    Manage non-clinical staff including but not limited to HR Manager, Front Desk Managers, Volunteer Manager, Operations Manager and contract Accountant & IT

    Strategic and Operations Management

    Work with CEO on development and implementation of strategic plan
    Oversee front desk operations
    Oversee staff and volunteer scheduling
    Oversee human resources functions
    Oversee and support annual filing, reporting and licensure requirements, e.g. FTCA coverage, audits, professional credentialing, etc.
    Oversee purchasing of all office and medical supplies
    Prepare and present operational reports to CEO
    Conduct annual insurance review
    Manage regular Policies & Procedures updates (medical, etc) and assist process improvement
    Oversee eligibility process

    Financial Management

    Assist the CEO with the preparation of annual operating and capital budgets
    Assist with preparation for / review of annual audit and 990
    Review and approve purchasing, accounts payable, payroll and accounts receivable; prepare financial reports as required
    Track accounts payable, ensuring assignment to appropriate expense line
    Track revenue and expenses for special events for accuracy
    Participate in regular review of restricted grants utilization

    Human Resources Management

    Work with HR Manager to support the implementation of performance management process
    Oversee benefits administration, recruiting and employee relations
    Ensure that Personnel Policies & Procedures are regularly updated and communicated as needed
    Oversee new staff orientation
    Oversee contractor agreements

    Facility and Technology Management

    Act as Safety officer
    Assist in planning and utilization of the physical facilities of the Center(s)
    Manage contractual services and facility management
    Ensure that required inspections are conducted in a timely manner
    Develop annual technology plan and implementation (set up new computers/other equipment)
    Provide first level technology support (computers and phones)
    Conduct quarterly meetings with IT vendor
    Support EMR (user maintenance, user support, EMR super user, assist with training, improve design/functionality)
    Support the management of medical record data and medical record software

    Compliance

    Function as Medical Records Officer
    Function as Privacy Officer
    Ensure annual (or appropriate) renewal of all facility, technology, organization licenses and charities registration
    Ensure all equipment and systems are inspected as required, arrange for regular maintenance/repair as needed
    Oversee clinical credentials/recredentialing

    Employment Standards:

    Minimum education and/or experience required: Bachelor’s degree, with proficiency in basic accounting and management, or equivalent experience.
    A minimum of 5 years of office management experience is required.
    Knowledge of and at least 5 years of experience in non-profit preferred (healthcare field a plus).
    A minimum of 5 years people management experience including managing leaders of leaders.
    Knowledge of and experience with electronic data and other office technologies.
    High level of interpersonal skills required to interact with staff, volunteers, and patients.
    Competencies – leadership skills, results orientation, attention to detail; strong organizational skills; process improvement skills; accounting and data analytics skills.

    BVMI is guided by a “Culture of Caring” philosophy; its staff is committed to working with patients of diverse socioeconomic and cultural backgrounds and a dedicated cadre of volunteer practitioners who provide care for our patients. The BVMI Healthcare Center is a NJ State licensed ambulatory care center providing free primary and preventive medical care to low-income, working, uninsured residents of Bergen County. BVMI is an Equal Opportunity Employer. More information about BVMI is available at www.bvmi.org.
  • 8 Days Ago

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Director of Operations
  • FirstService Residential
  • Fort Lee, NJ FULL_TIME
  • The Company FirstService Residential provides full-service, professional association management services to more than 6,500 properties and over 1.5 million residential units across 21 U.S. states and ...
  • Just Posted

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Operations Director
  • Outcomes Matter Innovations LLC
  • Hackensack, NJ FULL_TIME
  • Description Job Title: Director of Operations and Clinical AffairsJob Summary: A professional with experience in a supervisory role and healthcare operational management who organizes and directs offi...
  • 1 Day Ago

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Director of Operations
  • BMS Associates
  • Teaneck, NJ PART_TIME
  • We are a small entrepreneurial office, we operate a bath renovations business and a couple of retail gift shops. We are seeking a leader to help strengthen our business and teams.This is a part time p...
  • 5 Days Ago

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Director, Warehouse Operations
  • CCG Marketing Solutions
  • Little Ferry, NJ FULL_TIME
  • Company Overview:CCG is a dynamic and rapidly growing company delivering a single source supply chain partnership for business to business, direct to consumer, and direct to practitioner distribution....
  • 12 Days Ago

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Operations Manager
  • CVS Health Retail
  • Tenafly, NJ FULL_TIME
  • The Operations Manager is a member of the Store Management team, and as such, fulfills the company purpose of helping people on their path to better health by driving store execution and performance w...
  • 1 Month Ago

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0 Health Insurance Operations Director jobs found in Bergenfield, NJ area

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Director of Audit Compliance - 131 West 25th Street
  • Bowery Residents Committee
  • New York, NY
  • Position Overview Reporting to the CFO, the Director of Audit Compliance performs various aspects of professional intern...
  • 4/16/2024 12:00:00 AM

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Director- Equity Capital Markets Compliance Advisor
  • BNP Paribas
  • New York, NY
  • Business Overview: We are conducting a search for an experienced Compliance Officer to cover the Equity Capital Markets ...
  • 4/15/2024 12:00:00 AM

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Loss Control Specialist II (NY)
  • AmTrust Financial Services, Inc.
  • New York, NY
  • Overview: SUMMARY: Multi-line field position with primary responsibilities of conducting physical Underwriting Loss Cont...
  • 4/15/2024 12:00:00 AM

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Underwriting Manager/Director, Retail Environmental, East Region
  • Markel Corporation
  • New York, NY
  • What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. Beca...
  • 4/13/2024 12:00:00 AM

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Director, Kyndryl Consult Partner Insurance Industry - Remote US NY
  • Kyndryl
  • New York, NY
  • Who We Are At Kyndryl, we design, build, manage and modernize the mission-critical technology systems that the world dep...
  • 4/13/2024 12:00:00 AM

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Director of Compliance Monitoring & Testing
  • BitGo
  • New York, NY
  • BitGo - Director of Compliance Monitoring & Testing BitGo is the leader in digital asset financial services, providing i...
  • 4/13/2024 12:00:00 AM

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Affiliate Account Manager, Insurance (Remote)
  • Forbes Advisor
  • Jersey City, NJ
  • Company Description At Marketplace, our mission is to help readers turn their aspirations into reality. We arm people wi...
  • 4/13/2024 12:00:00 AM

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AVP, Claims Manager
  • Chubb
  • New York, NY
  • Job Description AVP, Claim Manager This Assistant Vice President position will have technical and administrative oversig...
  • 4/13/2024 12:00:00 AM

Bergenfield is a borough in Bergen County, New Jersey, United States. As of the 2010 United States Census, the borough's population was 26,764, reflecting an increase of 517 (+2.0%) from the 26,247 counted in the 2000 Census, which had in turn increased by 1,789 (+7.3%) from the 24,458 counted in the 1990 Census. Bergenfield was formed on the basis of a referendum held on June 25, 1894, from portions of Englewood Township and Palisades Township.[21][22][23] The borough was formed during the "Boroughitis" phenomenon then sweeping through Bergen County, in which 26 boroughs were formed in the co...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Director jobs
$198,972 to $268,332
Bergenfield, New Jersey area prices
were up 1.5% from a year ago