Health Insurance Operations Director jobs in Melbourne, FL

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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Sr. Director, Operations (Staffing)
  • Comprehensive Health Services
  • Cape Canaveral, FL FULL_TIME
  • Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, exciting and fulfilling career path. Pick your path today! To see what career opportunities we have available, explore below to find your next career!

    The Senior Director, Operations (SDO) is responsible with overseeing the strategic direction and operational direction of the Program Managers and is responsible for the effective delivery of all aspects of the scope of services agreed to and expected by the clients. The SDO is accountable for all aspects of service delivery and contractual obligations under the Client Service Agreements or Master Service Agreements for his/her clients. The SDO is accountable for delivering quality products and services to Acuity clients while maintaining professional excellence and achieving profit targets. Reports directly to the Vice President of Operations, Care Division.

    Location: Cape Canaveral, FL

    Travel Required: 25%

    Duties and Responsibilities

    • Responsible for the execution and oversight of a repeatable, standard delivery model for the Care offering.
    • Must exhibit organizational leadership and serve as a resource and mentor.
    • Assumes oversight, accountability and administrative responsibility for all designated Client Service Agreements and Master Service Agreements throughout the contract life cycle.
    • Supports program management and maintains involvement in material client issues that could impact Acuity's reputation with the client.
    • Develops and oversees the implementation and compliance of policies, guidelines and standard operating procedures for program activities, to ensure achievement of financial and operational goals and to deliver "Best in Class" services.
    • Oversees the establishment, monitoring and reporting of key performance indicators, including quality, efficiency, and customer/client satisfaction measures.
    • Accountable for audit outcomes and any necessary plans for improvement resulting from audits.
    • Maintains budgetary responsibility for client profit and loss statements or project status reports.
    • Collaborates with corporate resources (HR, IT, Quality, Finance and Accounting) regarding company processes, policies, and procedures.
    • Uses continuous quality improvement methods to identify performance gaps, develop innovative solutions and implement changes for program enhancement.

    OTHER DUTIES:

    • May lead or participate in interdepartmental project groups or task forces to integrate activities, communicate issues, obtain approvals, resolve problems and maintain specific level of knowledge pertaining to new developments, new task efforts, contract awards, and new policy requirements.
    • Supports marketing/sales objectives and efforts as requested. May be required to travel for client meetings, presentations, etc.
    • Follows the corporate safety policy. Participates and supports safety meetings, training, and goals.
    • Ensures safe operating conditions within area of responsibility. Encourages co-workers to work safely. Maintains a clean and orderly work area.
    • Identifies close calls and/or safety concerns to supervisory personnel.
    • Assists in active implementation of company initiatives to ensure compliance with ISO, OSHA VPP, JCAHO, AAAHC, and other mandated regulations/standards.

    Qualifications

    • Bachelor's Degree required, preferably in business or healthcare administration.
    • Experience with managing Staffing contracts, recruiting teams.
    • Work experience that demonstrates progressive advancement in a large staffing agency company
    • Additionally, 10 years team management experience, including onboarding new personnel. And 10 years business experience, preferably including contracts and financial/budget expertise.
    • Experience working with both Commercial and Government clients.
    • Exceptional presentation, oral and written communication skills required with strong analytical and problem-solving skills.
    • Demonstrated skills in staff management, project management and contract negotiation. Management experience should include financials, programs, and personnel management.
    • Must have experience in successfully working with, and leading, integrated teams, and using current business management principles.
    • Proficiency with computer and common office equipment, as well as with MS Office products required.
    • Ability to think strategically, understand clients' underlying business needs, and effectively work with key internal colleagues to facilitate and deliver work products.
    • Strong sense of self-motivation and desire for success
    • Ability to obtain and maintain a security clearance from Government agencies.
    • Ability to maintain medical clearance in accordance with Acuity's Medical Readiness policy for deployed personnel.

    Physical Requirements and Working Conditions

    • Work is normally performed in a typical interior/office work environment.
    • Work involves sitting for prolonged periods of time.
    • May require bending, stooping and lifting up to 15 lbs.

    Acuity International is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration without regard to race, color, sex, national origin, age, protected veteran status, or disability status.

    For OFCCP compliance, the taxable entity associated with this job posting is:

    Acuity-CHS, LLC
    Comprehensive Health Services is an Equal Opportunity Employer (EOE). Employment selection and related decisions are made without regard to race, color, national origin, religion, sex, disability, veteran status, gender identity, and sexual orientation, and other statuses protected by law.


     

  • 1 Month Ago

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Director of Emergency Medical Services and Operations - MSSI
  • Comprehensive Health Services
  • Cape Canaveral, FL FULL_TIME
  • Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, excit...
  • 1 Month Ago

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Director of Operations
  • Panera Bread
  • Melbourne, FL FULL_TIME
  • Joining the Panera Bread family is really something special. Youll have the opportunity to connect with our amazing customers and have an impact on our growing business. Experience our vibrant and pro...
  • 1 Day Ago

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Director of Operations
  • Panera Bread
  • Indialantic, FL FULL_TIME
  • Joining the Panera Bread family is really something special. Youll have the opportunity to connect with our amazing customers and have an impact on our growing business. Experience our vibrant and pro...
  • 3 Days Ago

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RN Branch Director, Home Health
  • CenterWell Home Health
  • Cocoa, FL FULL_TIME
  • Become a part of our caring community and help us put health first The Branch Director is accountable for managing the day-to-day branch operations to ensure the following: operational efficiencies, q...
  • 1 Day Ago

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RN Branch Director, Home Health
  • CenterWell Home Health
  • Satellite Beach, FL FULL_TIME
  • Become a part of our caring community and help us put health first The Branch Director is accountable for managing the day-to-day branch operations to ensure the following: operational efficiencies, q...
  • 1 Day Ago

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0 Health Insurance Operations Director jobs found in Melbourne, FL area

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Principal Engineer Industrial
  • Northrop Grumman
  • Melbourne, FL
  • Location: Melbourne, Florida, United States of AmericaClearance Type: SecretTelecommute: No- Teleworking not available f...
  • 4/25/2024 12:00:00 AM

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Weapons Engineer
  • Northrop Grumman
  • Melbourne, FL
  • Location: Melbourne, Florida, United States of AmericaClearance Type: SecretTelecommute: No- Teleworking not available f...
  • 4/25/2024 12:00:00 AM

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Engineer Industrial
  • Northrop Grumman
  • Melbourne, FL
  • Location: Melbourne, Florida, United States of AmericaClearance Type: SecretTelecommute: No- Teleworking not available f...
  • 4/25/2024 12:00:00 AM

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Student Admissions Counselor II
  • University of Central Florida
  • Orlando, FL
  • Unleash YOUR Potential With Us As a next-generation public research institute and Forbes-ranked top employer in Florida,...
  • 4/25/2024 12:00:00 AM

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Maintenance Technician-Melbourne, FL
  • Princeton Management
  • Melbourne, FL
  • Property Management Company is seeking maintenance tech candidates for a beautiful apartment community located in Melbou...
  • 4/24/2024 12:00:00 AM

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Director of Sales
  • Discovery Senior Living
  • Melbourne, FL
  • About Discovery Senior LivingDiscovery Senior Living ranks prominently among the 8 largest senior housing providers in t...
  • 4/23/2024 12:00:00 AM

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Principal Classified Cybersecurity Analyst - Secret
  • Northrop Grumman
  • Melbourne, FL
  • Principal Classified Cybersecurity Analyst - Secret Requisition ID: R10156877 Category: Information TechnologyLocation: ...
  • 4/23/2024 12:00:00 AM

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Staff Systems Test Engineer (Air Vehicle Management)
  • Northrop Grumman
  • Melbourne, FL
  • Staff Systems Test Engineer (Air Vehicle Management) Requisition ID: R10155370 Location: Melbourne, Florida, United Stat...
  • 4/22/2024 12:00:00 AM

Melbourne /ˈmɛlbərn/ is a city in Brevard County, Florida, United States. As of the 2010 census, the population was 76,068. The municipality is the second-largest in the county by both size and population. Melbourne is a principal city of the Palm Bay – Melbourne – Titusville, Florida Metropolitan Statistical Area. In 1969 the city was expanded by merging with nearby Eau Gallie. Melbourne is located approximately 60 miles (97 km) southeast of Orlando on the Space Coast, along Interstate 95. It is approximately midway between Jacksonville and Miami. According to the United States Census Bureau,...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Director jobs
$157,967 to $213,032
Melbourne, Florida area prices
were up 1.5% from a year ago