Health Insurance Operations Director jobs in Everett, WA
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
Director Clinic Operations
- Providence Health
-
Everett, WA
FULL_TIME
- Description THE ROLE Provides leadership and oversight for clinic operation at multiple sites. In partnership with the Medical Directors, this position is responsible for setting expectations in the areas of medical quality, service access, utilization, finance, productively and operational excellence. Support the medical directors in improving and maintaining provider productively and service quality. Represents the clinics in organizational projects, committees and initiatives. Responsible for implementing the Providence Medical Group strategic and financial goals in the area of reasonability. Optimizes services to achieve the highest levels of patient satisfaction and successfully manages to organizational benchmarks in the areas of medical quality, utilization, service/access, and financial performance. Develops management and assisting in the professional growth of support staff within the NWSA PMG clinics. Responsible for collaboration with population health services, payors, and System government advocacy departments with ownership of execution and management of new business models (such as PCP capitation) that are directly tied to improved management of PMG's covered lives and cost of care. ESSENTIAL FUNCTIONS Develops and implements processes to ensure the efficient and cost-effective operation of new and existing clinic sites while meeting organizational strategic and financial goals. Provides strategic and operational oversight for implementation of programs through development, of quality and effective clinic operations for new and existing service lines. Is part of the PMG senior leadership team and is as an effective team member sharing information on guidelines and processes for quality improvement related to Primary Care management and Revenue Integrity team. Responsible for strategic oversight of all NWSA and PSJH initiatives/projects as directed by the COO/CMO. Cultivates new practices and/or new services are developed to meet patient population(s) requirements. Maintain current knowledge in the field of ambulatory care clinics *In collaboration with Population Health teams- works to operationalize and manage new business models that are overlaid upon primary care that improve overall PMG panel management and drive down cost of care. This may include examples such as direct contracting to employers for primary care and delivering on primary care capitation models with insurers. Financial Management/Planning and Development: In collaboration with management team, develop the annual clinic budget at each site and ensures it is used as an effective management tool. Leads and has broad strategic accountability for the financial success of the clinic and achievement of financial goals. Responsible for the overall management and performance of new business models – i.e. capitation and risk arrangements –as adopted within primary care and successfully meeting utilization and cost of care targets. Leadership: Responsible for daily leadership in the clinic sites to achieve the highest levels of patient and employee satisfaction. Leads and promotes compliance in the clinic sites with the performance management system and progressive discipline as needed in accordance with the Human Resources policies Serves as a mentor to clinic management staff and ensures compliance with State and organizational policies. Provides strategic leadership with the recruitment and retention of high-quality staff for each clinic site. Partners with the Medical Director at each site in the recruitment and retention of high-quality medical staff. Directs managerial growth of primary care managers and supervisory staff at the sites. Provides leadership and coordination with population health, payors, and government services in order to maximize the impact and effectiveness of new business models in primary care. Human Resources: Responsible for timely employee performance evaluations according to PH&S policy. Provides strategic oversight for core leaders to manage and document employee performance issues; uses progressive discipline appropriately per PMG policies and procedures. Guides and directs the hiring and orientation of employees utilizing behavioral interview materials. Responsible for compliance of employment laws, contractual agreements and employment policies and procedures. Develops and ensures department specific competency-based training and meetings. QUALIFICATIONS Bachelor's Degree in Health Administration or Business Administration; or equivalent educ/experience And/Or a combination of education and directly related progressive expanded work experience in healthcare clinics and administration 5 years of progressive experience, managing complex healthcare administrative projects and business units, and governance support to senior leadership 3 years of specific experience working with senior leaders teams, matrix leadership in a region or enterprise Demonstrated strong business acumen and a deep understanding of clinic leadership in Primary Care and Revenue capture with the proven ability to develop and implement strategic initiatives with emphasis on solutions that provide business value Strong analytic skills with the ability to gather, interpret and utilize data to improve overall clinic operations Must have proven ability to interact and communicate to all levels of the organization Demonstrated organizational, interpersonal, and communication skills and the ability to manage shifting priorities are critical for this position Financial, business development, complex project management, team building, and collaborative working skills are essential Proven change management skills including crafting of strategic direction and effectively directing/managing tactical processes Must be adaptable: dealing with daily operations, related problem solving, physician relations, while retaining strategic focus and driving long term results Knowledgeable and skills in medical group management and health systems operations and reimbursement. About Providence At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Check out our benefits page for more information about our Benefits and Rewards. Requsition ID: 241523 Company: Providence Jobs Job Category: Patient Care (Non-Acute) Job Function: Clinical Care Job Schedule: Full time Job Shift: Day Career Track: Leadership Department: 3001 PMG ADMINISTRATION WA Address: WA Everett 1717 13th St Work Location: Regional Cancer Center-Everett Pay Range: $72.72 - $117.05 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Check out our benefits page for more information about our Benefits and Rewards.
- 6 Days Ago
Director Clinic Operations
- Providence Health
-
Everett, WA
FULL_TIME
- Description THE ROLE Provides leadership and oversight for clinic operation at multiple sites. In partnership with the Medical Directors, this position is responsible for setting expectations in the a...
- 6 Days Ago
Director of Operations
- Sysco
-
Everett, WA
FULL_TIME
- Company: US1643 Bellissimo Distribution, LLC - Greco The Cheese ManZip Code:98203Minimum Level of Education:Bachelor’s DegreeMinimum Years of Experience:7 YearsEmployment Type:Full TimeTravel Percenta...
- 3 Days Ago
Senior Insurance Follow Up
- Coronis Health
-
Everett, WA
FULL_TIME
- Job title: Senior Insurance Follow-Up Representative - OnsiteReports to: VP of OperationsFSLA Status: Non-exemptSalary: $20.00 - $24.00 per hour* Starting pay varies based on location and experience, ...
- 1 Month Ago
Director Clinic Operations
- Providence
-
Everett, WA
OTHER
- DescriptionTHE ROLEProvides leadership and oversight for clinic operation at multiple sites. In partnership with the Medical Directors, this position is responsible for setting expectations in the are...
- 7 Days Ago
Director of Plant Operations (Maintenance)
- Fields Senior Living
-
Arlington, WA
FULL_TIME
- Essential Functions and Responsibilities: Maintain a clean and organized work environment. Assure compliance of life safety regulations, based on state specific requirements. This includes staff train...
- 11 Days Ago
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0 Health Insurance Operations Director jobs found in Everett, WA area
Patient Care Technician- Paid Training! No Sundays!
- DaVita Inc.
-
Everett, WA
- 8130 Evergreen Way, Everett, Washington, 98203-6419, United States of America DaVita is seeking a Patient Care Technicia...
- 4/25/2024 12:00:00 AM
Director Program Management Office
- Akkodis
-
Everett, WA
- Akkodis is seeking a Director, PMO for a Fulltime position with a client located in Everett WA 98206. Salary Range: $190...
- 4/25/2024 12:00:00 AM
Assistant Community Director
- Fpi Management
-
Everett, WA
- Multifamily Property Management The Assistant Community Director is fully accountable in assisting the Community Directo...
- 4/25/2024 12:00:00 AM
Human Services Specialist II - Developmental Disabilities and Early Learning
- Snohomish County Human Services Department
-
Everett, WA
- Human Services Specialist II - Developmental Disabilities and Early Learning Salary $72,385.32 - $87,943.32 Annually Loc...
- 4/23/2024 12:00:00 AM
Human Services Specialist II - Developmental Disabilities and Early Learning
- Snohomish County Human Services
-
Everett, WA
- Human Services Specialist II - Developmental Disabilities and Early Learning Salary $72,385.32 - $87,943.32 Annually Loc...
- 4/23/2024 12:00:00 AM
Human Services Specialist II-Office of Housing and Community Development
- Snohomish County Human Services
-
Everett, WA
- Human Services Specialist II-Office of Housing and Community Development Salary $72,385.32 - $87,943.32 Annually Locatio...
- 4/23/2024 12:00:00 AM
Affordable Field Compliance Specialist - Onsite
- FPI Management, Inc.
-
Seattle, WA
- Company Description Multifamily Property Management Job Description The Field Compliance Specialist (FCS) will be assign...
- 4/22/2024 12:00:00 AM
Human Services Specialist III-ECEAP Supervisor
- Snohomish County, WA
-
Everett, WA
- Salary : $87,943.32 - $106,942.08 Annually Location : Everett, WA Job Type: Full-Time Job Number: 2024-01865 Department:...
- 4/21/2024 12:00:00 AM
About Everett, Washington
Everett is the county seat of and the largest city in Snohomish County, Washington, United States. It is located 25 miles (40 km) north of Seattle and is one of the main cities in the metropolitan area and Puget Sound region. Everett is the seventh-largest city in Washington state and had a total population of 103,019 at the 2010 census. The city is located at the mouth of the Snohomish River along Port Gardner Bay, an inlet of Possession Sound (itself part of Puget Sound).
American settlement on the Everett peninsula began in the 1860s, with several sawmills built to serve the area's growing ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Director jobs
$187,553 to $252,932
Everett, Washington area prices
were up 2.9% from a year ago
were up 2.9% from a year ago