Health Insurance Operations Director jobs in Fayetteville, NC

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 Operations - Southeastern
  • UNC Health
  • Lumberton, NC FULL_TIME
  • Description

    Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

    Summary:
    The Director Operations will lead the development, implementation and ongoing management of programs to ensure successful clinical and financial results. They will be responsible for overseeing multiple, simultaneous initiatives, and ensure consistency and alignment with UNC Health's overall strategy and goals. They will be responsible for communicating these objectives to their assigned hospital leadership.

    Responsibilities:


    • Lead regular communication and collaboration amongst providers, managers, system stakeholders and hospital leaders to achieve desired outcomes.
    • Support teammates and providers by identifying resources and removing barriers in order to achieve organizational goals. Provide senior leadership as necessary to assure positive results.
    • Partner with system and entity stakeholders in finance to develop practice level budgets and coordination of provider compensation plans. Actively participate in oversight of data reporting and analytics to ensure accuracy of information shared and to allow for ongoing monitoring and improvement of organizational performance.
    • Work closely with Legal and Compliance to assure system and entity policies are widely understood and upheld.
    • Collaborate with Recruitment, hospital leadership, community partners and physician leaders in order to recruit and retain needed providers.
    • Hire, develop, train and evaluate practice managers in order to develop high performing and diverse teams.
    • Utilize KPI, dashboards and other data specific to experience, finance, HR and quality in order to lead performance improvement efforts.
    • Participate in planning with Business Development, Clinical Onboarding and hospital leadership to operationalize new physican practices, providers and initiatives.
    • Meet regularly with partners in clinical areas to coordinate roll out of quality initiatives, patient safety protocols and clinical improvement pilots.


    Qualifications

    Education Requirements:
    • Bachelor's Degree in a related field.
    Licensure/Certification Requirements:
    • None required.
    Professional Experience Requirements:
    • A minimum of five (5) years of experience in practice operations, finance and/or clinical operations management.
    Knowledge/Skills/and Abilities Requirements:
    • Language Skills: Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents. Ability to effectively present information to top management, public groups, and/or boards of directors. Ability to perform high level statistical analysis and be able to determine best sources and metrics for ongoing measurement to validate improvement. Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables. Strong interpersonal skills with the ability to influence, direct, and coach diverse groups.


    Job Details

    Legal Employer: NCHEALTH

    Entity: UNC Physicians Network


    Organization Unit: Southeastern Hub

    Work Type: Full Time


    Standard Hours Per Week: 40.00

    Pay offers are determined by experience and internal equity.


    Work Assignment Type: Onsite

    Work Schedule: Day Job


    Location of Job: US:NC: Lumberton

    Exempt From Overtime: Exempt: Yes


    This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.

    Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

    UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.

  • 2 Months Ago

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Director of Finance and Operations
  • First Choice Community Health Centers
  • Lillington, NC FULL_TIME
  • The Director of Finance and Operations will oversee and serves as the manager of all financial activities/operations and ensure the corporation’s financial health. Develops and executes financial poli...
  • 26 Days Ago

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Director of Operations
  • PS Senior Living
  • Kenansville, NC FULL_TIME
  • Responsibilities: - Provide care and support to individuals with developmental disabilities, including assisting with daily activities and personal care. - Work in assisted living or memory care setti...
  • 16 Days Ago

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Director of Operations
  • Goshen Medical Center
  • Faison, NC FULL_TIME
  • DIRECTOR OF OPERATIONS JOB DESCRIPTION I. BACKGROUND: Graduation from a four-year program with a concentration in business/health care management and a minimum of five years' management experience ( p...
  • 30 Days Ago

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Stadium Operations Director
  • Houston Astros, LLC
  • Fayetteville, NC FULL_TIME
  • Department: Stadium Operations Supervisor: General Manager Classification: Full-Time/Exempt As the Director of Stadium Operations, you will assume a visible leadership role within the organization tha...
  • 10 Days Ago

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Fixed Operations Director
  • Camping World
  • Hope Mills, NC FULL_TIME
  • Camping World Holdings, Inc., headquartered in Lincolnshire, IL, (together with its subsidiaries) is America's largest retailer of RVs and related products and services. Our vision is to build a long-...
  • 6 Days Ago

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0 Health Insurance Operations Director jobs found in Fayetteville, NC area

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Remote Sales Representative
  • Symmetry Financial Group - The Delaney Agency
  • Fayetteville, NC
  • We are currently seeking highly motivated individuals, with a passion for career success and helping families to join ou...
  • 4/17/2024 12:00:00 AM

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Cook
  • CommuniCare Advantage
  • Fayetteville, NC
  • Do you have the recipe we need to nourish our residents in body and spirit? Do you know the ingredients which will put a...
  • 4/15/2024 12:00:00 AM

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Nurse Practitioner - Advanced Practice Provider
  • Oak Street Health Inc.
  • Fayetteville, NC
  • Title: Nurse Practitioner - Advanced Practice Provider Schedule: Full-Time, Monday through Friday, 8:00 AM - 5:00 PM Loc...
  • 4/15/2024 12:00:00 AM

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Veterinarian
  • Southern Veterinary Partners
  • Fayetteville, NC
  • Seventy-First Animal Hospital is located in Fayetteville, North Carolina. We are full-service animal hospital providing ...
  • 4/15/2024 12:00:00 AM

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Physical Therapist Clinic Manager - Raeford, NC
  • Pivot Physical Therapy
  • Fayetteville, NC
  • Position Overview: Pivot/Athleticos Greater Purpose is to empower people, inspire hope and transform lives. We accomplis...
  • 4/15/2024 12:00:00 AM

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Board Certified Behavior Analyst - Clinical Site Director
  • Speech Connections, LLC
  • Fayetteville, NC
  • Speech Connections is looking for a BCBA Clinical Site Director! Join our passionate team of professionals working with ...
  • 4/14/2024 12:00:00 AM

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1:1 Direct Care Worker
  • Service Source
  • Fayetteville, NC
  • Make an impact by joining ServiceSource, a champion for people with disabilities. Explore new opportunities! ServiceSour...
  • 4/14/2024 12:00:00 AM

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Extra Help Assistant- Child Care Aide (Current and Anticipated Future Openings)
  • University of Arkansas System
  • Fayetteville, NC
  • Current University of Arkansas System employees, including student employees and graduate assistants, need to log in to ...
  • 4/13/2024 12:00:00 AM

Fayetteville (/ˈfeɪətˌvɪl/) is a city in Cumberland County, North Carolina, United States. It is the county seat of Cumberland County, and is best known as the home of Fort Bragg, a major U.S. Army installation northwest of the city. Fayetteville has received the All-America City Award from the National Civic League three times. As of the 2010 census it had a population of 200,564, with an estimated population of 204,408 in 2013. It is the 6th-largest city in North Carolina. Fayetteville is in the Sandhills in the western part of the Coastal Plain region, on the Cape Fear River. With an estima...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Director jobs
$157,274 to $212,099
Fayetteville, North Carolina area prices
were up 1.5% from a year ago