Health Insurance Operations Director jobs in Sacramento, CA

The Director, Patient Care Services Business Operations, advises the Chief Nursing and Patient Care Services Officer and Executive Directors on strategic planning and provides administrative leadership and direction within Patient Care Services to ensure achievement of the division’s strategic and operational plans. This role develops, monitors and executes long and short-term Patient Care Services strategic plans, financial budgets, informatics support, operational efficiency, and allocation management measurement for Patient Care Services.

This position determines objectives, directs programs, develops strategies and policies, manages human, financial, and physical resources, and functions with a high degree of autonomy. Proactively assesses risk to establish systems and procedures to protect organizational assets and determines strategies for a program with organization-wide impact.

The Director, Patient Care Services Operations, implements and maintains the financial and business goals and objectives which assure fiscally viable and optimal service delivery in all areas of Patient Care Services. Responsible for managing, preparing, administering, and directing resources. Reviews and approves recommendations for functional programs. Involved in developing, modifying and executing organizational policies that affect immediate operations and may also have organization-wide effect.

Areas of direct management responsibility include: Business operations, Nursing Unit Support Services, standardizing administrative delegated practices to HUSCs, billing and charges, analysis of revenue and expenses, budget preparation and analysis, capital equipment management, and business contracts and grant management. This role ensures that all areas operate within the established policies and procedures and in compliance with all local, state and federal regulations and guidelines.

The Director, Patient Care Services Business Operations, works to plan, implement and direct ongoing activities within the areas of responsibilities that optimizes fiscal prudence and budgetary compliance; works closely with the Chief Nursing and Patient Care Services Office and Executive Directors to develop business and operation plans, ensures operational efficiency, productivity and effectiveness of Patient Care Services, including the timely delivery of information.

Required Qualifications

• Bachelor’s degree in a related disciplinary field such as Health Administration, Business Administration or Nursing, or equivalent experience/training.
• Three (3) years of recent management experience, or equivalent responsible leadership experience.
• Must possess management, operational and regulatory healthcare administration experience
• Must have demonstrated skills necessary to be responsible for the identification, monitoring and maintenance of department’s financial, human, technical and facility processes.
• Must possess management, operational and regulatory healthcare administration knowledge.
• Ability to learn UCD Health operations to be an effective resource to PCS Leaders, providers, and staff.
• Administrative skills to develop and lead a successful team to oversee the day-to-day operations.
• Professional effectiveness as demonstrated by the ability to establish clear and challenging goals, and develop effective, realistic long- and short-range plans.
• Track information, schedules and systems in a organized fashion, and exercise reason and sound judgment for informed decisions.
• Use initiative, vision and creativity to take on new tasks and generate innovative ideas.
• Possess negotiation and persuasion skills to build consensus and create collaborative relationships with representatives from diverse departments.
• Communication skills to effectively convey information, concepts, instructions, and ideas in oral and written formats to a variety of audiences with diverse backgrounds, agendas, and levels of knowledge and expertise.
• Must have demonstrated skills necessary to be responsible for the identification, monitoring and maintenance of department’s financial, human, technical and facility processes.
• Must possess management, operational and regulatory healthcare administration knowledge.
• Ability to learn UCD Health operations to be an effective resource to PCS Leaders, providers, and staff.
• Administrative skills to develop and lead a successful team to oversee the day-to-day operations.
• Professional effectiveness as demonstrated by the ability to establish clear and challenging goals, and develop effective, realistic long- and short-range plans.
• Track information, schedules and systems in a organized fashion, and exercise reason and sound judgment for informed decisions.
• Use initiative, vision and creativity to take on new tasks and generate innovative ideas.
• Possess negotiation and persuasion skills to build consensus and create collaborative relationships with representatives from diverse departments.
• Communication skills to effectively convey information, concepts, instructions, and ideas in oral and written formats to a variety of audiences with diverse backgrounds, agendas, and levels of knowledge and expertise.

Preferred Education/Experience

• Master’s degree in related field such as Health Administration, Business Administration or Nursing, or equivalent experience/training.
• Five (5) or more years of recent management experience related field

.

Applicants are strongly encouraged to submit a resume and cover letter with their application.

We offer exceptional employment benefits including medical, dental, and vision plans, generous paid vacations and holidays, excellent retirement savings and investment plans, continuing education, and reduced fee and scholarship programs.

THIS IS NOT AN H1- B OPPORTUNITY

Special Requirements

This position may be subject to a criminal background investigation, drug screen, Live Scan fingerprinting, medical evaluation clearance, and functional capacity assessment.

The University of California has implemented a SARS-CoV-2 (COVID-19) Vaccination Program SARS-CoV-2 Vaccination Policy (ucop.edu) covering all employees. To be compliant with the policy, employees must submit proof of vaccination or a University-approved exception or deferral.

Diversity, Equity, Inclusion and Belonging

At UC Davis, we’re solving life’s most urgent challenges to bring a fuller, healthier, and more resilient world within reach. We grow from every challenge we take on and we don’t just maintain - we improve. We recognize that creating an inclusive and intellectually vibrant organization means understanding and valuing both our individual differences and our common ground. The most comprehensive solutions come from the most diverse minds, and you belong here.

As you consider joining UC Davis, please explore our Principles of Community, our Clinical Strategic Plan and strategic vision for research and education, and our latest efforts to outgrow the expected.

The University of California is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy.

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