Health Insurance Operations Director jobs in Cleveland, OH

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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Clinical Director of Hospice Operations
  • Legacy Health Services
  • Parma, OH FULL_TIME
  • Summary: Responsible for the coordination of the hospice services program. Maintains excellent relationships with all primary constituencies—patients and families, employees, hospice members, and the communities we serve. Coordinates Interdisciplinary Group meetings. Supervises all hospice nurses and home health aides directly or through another staff member. Reports to the Director. Essential Duties and Responsibilities  Performs those tasks and/or functions outlined herein or others as directed by the Director. Implements and makes recommendations for changes to policies annually. Acts as the Quality Improvement Program monitor, conducts studies and recommends changes.  Assists in the development of the annual budget. Implements, interprets and makes recommendations for changes to goals and objectives. Implements, interprets and makes recommendations for changes in work methods. Assists in the recruitment of new hires; interviews new RN, LPN, Home Health Aides, potential hires and recommends whether to hire; recommends hiring or termination of nursing and home health aide staff. Reviews complaints and grievances and makes oral/written reports to the Director. Coordinates and monitors the continuity and quality of care for patients/families for home care component of the program. Supervises and coordinates pertinent professional contracted employees (either volunteer or paid.) Maintains lines of communications between the interdisciplinary group members and patients/families, physicians, other health care providers and other community agencies. Maintains 24 hour, seven days a week availability of RN care for patients/families.  Assures that nursing documentation accurately reflects both the care delivered and patient condition and participates in the development of the plan of care for patients/families. Monitors and evaluates the implementation of the plan of care. Collaborates with other health care professionals when required. Supervises and schedules care conferences with the patients and/or families and the interdisciplinary group. Assures that patient assessments are accurate, complete and timely. Participates in discharge planning. Acts as a resource and provides education, information and/or training for patients/families and interdisciplinary group members for specific care or procedure in home care. Education and Experience: Registered Nurse licensed in our state is required. Baccalaureate Degree in Nursing required  Minimum of three to five years of professional experience in delivering hospice nursing services, which includes at least two years in a management position with a proven track record.
  • 14 Days Ago

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Regional Director of Operations for Nursing Home Group
  • Aventura Health Group
  • Cleveland, OH FULL_TIME
  • Full Job Description Aventura Health Group a Senior Care Provider is looking for an experienced leader with a strong operations and financial background for our Regional Director of Operations positio...
  • 12 Days Ago

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Sales Professional - Life & Health
  • Insurance Partners Agency LLC
  • Westlake, OH FULL_TIME
  • DescriptionOur AgencySeibertKeck Insurance Partners is on a mission to change the insurance buying experience. That starts by doing the right thing, every time. We protect the hard work of our middle ...
  • 3 Days Ago

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Director of Operations
  • Senior Transportation Connection
  • Cleveland, OH FULL_TIME
  • PLEASE READ THIS DESCRIPTION THOROUGHLY. INTERESTED APPLICANTS MUST SUBMIT A COVER LETTER AND RESUME TO: HR@RIDESTC.ORG. TELL US HOW YOU HEARD ABOUT THE POSITION AND YOUR SALARY REQUIREMENTS: Summary:...
  • 16 Days Ago

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Director of Operations
  • Senior Transportation C
  • Cleveland, OH FULL_TIME
  • PLEASE READ THIS DESCRIPTION THOROUGHLY. INTERESTED APPLICANTS MUST SUBMIT A COVER LETTER AND RESUME TO: HR@RIDESTC.ORG. TELL US HOW YOU HEARD ABOUT THE POSITION AND YOUR SALARY REQUIREMENTS: Summary:...
  • 18 Days Ago

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DIRECTOR OF OPERATIONS
  • New Community Bible Fellowship
  • Cleveland, OH FULL_TIME
  • The Director of Operations will report directly to the Executive Director of Finance and Operations, and oversee key areas of the churches operations which include facilities, hospitality, IT, and dat...
  • 2 Days Ago

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0 Health Insurance Operations Director jobs found in Cleveland, OH area

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Remote Commission Only Ad Sales Representative
  • SavvyCard
  • Cleveland, OH
  • Job Specification – Remote Commission Only Advertising Sales Summary SavvyCard operates RE-Target, the #1 digital advert...
  • 4/25/2024 12:00:00 AM

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Senior Product Manager - Fraud and Identity (Remote US)
  • Experian
  • Cleveland, OH
  • Experian is the world’s leading global information services company. During life’s big moments – from buying a home or a...
  • 4/25/2024 12:00:00 AM

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Director, Senior Security Partner (Remote US)
  • Experian
  • Cleveland, OH
  • Experian is the world’s leading global information services company. During life’s big moments – from buying a home or a...
  • 4/25/2024 12:00:00 AM

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Radiologic Technologist - Work in Erie, PA
  • Concentra
  • Cleveland, OH
  • Overview This position is to work at our Erie, PA center. Address: 3010 West Lake Road Erie, PA 16505 Are you ready to t...
  • 4/24/2024 12:00:00 AM

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Director of Job and Career Training Services
  • Catholic Charities Diocese of Cleveland
  • Cleveland, OH
  • Looking for a rewarding career with a purpose that makes a difference? Come see why the Cleveland Plain Dealer has named...
  • 4/22/2024 12:00:00 AM

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Trust Real Estate Advisor
  • PNC Financial Services Group, Inc.
  • Cleveland, OH
  • Position Overview At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. ...
  • 4/22/2024 12:00:00 AM

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Manager, Budget and Analysis
  • Catholic Charities Diocese of Cleveland
  • Cleveland, OH
  • Looking for a rewarding career with a purpose? Come see why the Cleveland Plain Dealer has named Catholic Charities one ...
  • 4/22/2024 12:00:00 AM

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Clinical Operational Excellence Director
  • Medical Mutual
  • Cleveland, OH
  • Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provid...
  • 4/22/2024 12:00:00 AM

Cleveland (/ˈkliːvlənd/ KLEEV-lənd) is a major city in the U.S. state of Ohio, and the county seat of Cuyahoga County. The city proper has a population of 385,525, making it the 51st-largest city in the United States, and the second-largest city in Ohio. Greater Cleveland is ranked as the 32nd-largest metropolitan area in the U.S., with 2,055,612 people in 2016. The city anchors the Cleveland–Akron–Canton Combined Statistical Area, which had a population of 3,515,646 in 2010 and is ranked 15th in the United States. The city is located on the southern shore of Lake Erie, approximately 60 miles ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Director jobs
$169,905 to $229,132
Cleveland, Ohio area prices
were up 1.6% from a year ago