Health Insurance Operations Director jobs in Pensacola, 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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Executive Director - Financial Operations
  • Baptist Health Care
  • Pensacola, FL FULL_TIME
  • Job Description

    The Executive Director - Finance provides management with key strategic information on assigned business segments. This position develops a thorough knowledge of Allscripts SFM/SCM/CPM, EPSi, HPM, HBI, Axiom, general ledger, decision support and cost accounting systems. This position works closely with the vice president, and the assigned leaders to provide accurate and timely reports, budgeting, contract management and review, and revenue integrity for assigned business segments, and productivity management. This position is responsible for the development pro forma projections and forecasts across assigned business segments. This position gains full understanding of costing processes and for the explanation of actual results of the various financial reporting systems including but not limited to, monthly responsibility reports, service line reports, and other areas assigned. This position is responsible for working with leaders to explain financial reports, dashboards, and analytics to help them understand their business and identify opportunities for improvement. This position is responsible for understanding productivity reporting and management. This position works directly with the senior leadership, directors and managers to render assistance in matters of a financial nature. This position works with leaders to assist in the production of financial forecasts for routine as well as highly confidential business opportunities. In this role, the Executive Director will, with input from the Vice President, Operational Finance set the appropriate standards to ensure appropriate utilization of the hospital and its resources while maintaining optimal achievable standards of patient care. This position is responsible for increasing program awareness to the entire hospital staff. This position provides a key role in facilitating long-term success of care management by providing oversight of Baptist, Gulf Breeze, and Behavior Medicine.

    Responsibilities

    The Executive Director - Financial Operations supports the Vice President Finance in managing the financial performance of Baptist Health Care. The role will be integral in supporting the financial management, performance measurement, and the analytics needs of the organization. This role is critical in partnering with the finance and analytics teams and the service line leaders to support the execution of financial/operational strategies across the organization. This role will help drive the development of analyses to aid in revenue growth, expense management, quality improvement, and human capital initiatives. The role will help to support the growth of the internal reporting platforms of the organization. This individual will drive a culture of high performance and continuous improvement and should possess excellent and proven leadership, communication, and financial analytical skills.
    • Partners with the Vice President Finance in the preparation of short- and long-range strategic plans, and monthly financial/operational reporting for various lines of business.
    • Builds and maintains strategic working relationships with the leadership team, the Controller, and the finance teams.
    • Key resource in educating the roll out of future financial tools for field teams.
    • Interprets and presents data for decision-making needs.
    • Recommends l areas of improvement and assists in driving results.
    • Provides cost analytics for operations and profitability reviews.
    • Assists in the completion and or review of financial justifications for operational business cases.
    • Coordinates all ad-hoc financial, operational, and data mining reporting requests.
    • Understanding of methodologies for performing financial and opportunity analysis of proposals.
    • Manage team members which include orientation, development, and evaluation of personnel, and monitoring the provision of delivering quality services.
    • Monitor and evaluate the efficiency and performance of financial processes and information; recommend and implement changes to improve customer service and overall efficiency.
    • Support the reviews of monthly financial statements to ensure compliance with accounting rules and regulations.
    • Effectively communicates departmental, organization, and industry information.
    • Assist in other duties as assigned to support the operational needs of the department and organization.
    • May be required to remain on campus immediately before, during, and after severe weather and/or disasters.


    Qualifications

    Work Experience
    • 10 years of progressive accounting/management experience, preferably in healthcare hospital setting
    • Public Accounting experience preferred.

    Knowledge, Skills, and Abilities
    • Proficiency with excel spreadsheets and word processing.
    • Strong interpersonal skills.
    • Strong organizational and planning skills to meet deadlines.
    • Knowledge of advanced functions of PC software including Excel, Access, and PowerPoint.
    • Advanced knowledge of concepts related to data warehouse, database structure, and enterprise software, including the Power BI platform including but not limited to Power BI, Power Apps and Power Automate.
    • In-depth knowledge of hospital and Medicare reimbursement and regulations preferred.
    • Understands data collection and analysis for hospital and physician profiling.

    Education
    • Bachelor's degree in accounting, finance or related field required.
    • Master's degree preferred.

    Licenses and Certifications
    • CPA Preferred


    About Us

    Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida.

     

  • 26 Days Ago

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Director of Operations
  • Sunchase Construction
  • Gulf Breeze, FL FULL_TIME
  • Sunchase Construction Sunchase Construction is seeking a highly motivated and experienced leader who is excited by the prospect to play a pivotal role in the growth of an ambitious company. The Direct...
  • 1 Day Ago

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Engineering Operations Director
  • Eastern Shipbuilding Group
  • Panama City, FL FULL_TIME
  • POSITION SUMMARYEastern Shipbuilding Group (ESG) is a leader in government and commercial maritime build contracts, including DOD and DHS asset construction. The Engineering Operations Director will b...
  • 19 Days Ago

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Director, Clinical Operations
  • Bausch + Lomb
  • Destin, FL FULL_TIME
  • Bausch Lomb (NYSE/TSX: BLCO) is a leading global eye health company dedicated to protecting and enhancing the gift of sight for millions of people around the worldfrom the moment of birth through ever...
  • 19 Days Ago

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Director, Clinical Operations
  • Bausch + Lomb
  • Panama, FL FULL_TIME
  • Bausch Lomb (NYSE/TSX: BLCO) is a leading global eye health company dedicated to protecting and enhancing the gift of sight for millions of people around the worldfrom the moment of birth through ever...
  • 19 Days Ago

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Engineering Operations Director
  • easternshipbuilding
  • Panama, FL FULL_TIME
  • Job Title Engineering Operations Director Location Panama City, FL US (Primary) Job Type Full-time Education Bachelor's Degree Travel Security Clearance Required Ability to obtain and maintain a U.S. ...
  • 21 Days Ago

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

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Intake Chaplain
  • Waterfront Rescue Mission
  • Pensacola, FL
  • Job Summary: Under the direction of the ProgramManager and Director of Ministry, this position provides compassionate in...
  • 3/28/2024 12:00:00 AM

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PRN Hospice Nurse Practitioner
  • Curo Health Services
  • Pensacola, FL
  • Our Company Gentiva Hospice is a member of the Gentiva family - an industry leader in hospice, palliative, home health, ...
  • 3/28/2024 12:00:00 AM

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Finance and Data Manager
  • Manna Food Bank, Inc.
  • Pensacola, FL
  • Join an impactful team of professionals at Manna Food Bank! Each day we work together to fight hunger in our area. The F...
  • 3/28/2024 12:00:00 AM

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QUALITY DIRECTOR FILTRATION - MEMBRANE SITES
  • Cytiva
  • Pensacola, FL
  • Be part of something altogether life-changing! Working at Cytiva means being at the forefront of providing new solutions...
  • 3/28/2024 12:00:00 AM

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Sales Account Executive
  • Athena Specialty Group
  • Pensacola, FL
  • Job Description Job Description Location: Pensacola, Florida, United States Categories: Full-time Full/Part-time: Full-t...
  • 3/28/2024 12:00:00 AM

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RN PATC PRN
  • HCA Florida West Hospital
  • Pensacola, FL
  • Description Introduction Do you want to be appreciated daily? Our nurses are celebrated for being on the front line, emp...
  • 3/27/2024 12:00:00 AM

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Pharmacist
  • Baptist Health Care
  • Pensacola, FL
  • Job Description The Pharmacist is responsible for the interpretation and dispensing of medication orders including the p...
  • 3/25/2024 12:00:00 AM

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Registered Nurse Director -Surgical Services
  • Ascension
  • Pensacola, FL
  • Details Department: Surgical Services Admin Schedule: Full-time, Days Hospital: Ascension Sacred Heart Hospital Pensacol...
  • 3/6/2024 12:00:00 AM

Pensacola (/ˌpɛnsəˈkoʊlə/) is the westernmost city in the Florida Panhandle, approximately 13 miles (21 km) from the border with Alabama, and the county seat of Escambia County, in the U.S. state of Florida. As of the 2010 census, the city had a total population of 51,923, down from 56,255 at the 2000 census. Pensacola is the principal city of the Pensacola metropolitan area, which had an estimated 461,227 residents in 2012. Pensacola is a sea port on Pensacola Bay, which is protected by the barrier island of Santa Rosa and connects to the Gulf of Mexico. A large United States Naval Air Statio...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Director jobs
$156,315 to $210,811
Pensacola, Florida area prices
were up 1.5% from a year ago