Health Insurance Operations Director jobs in Somerset, NJ

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)

E
Director of Operations Excellence
  • Everest National Insurance Company
  • Warren, NJ FULL_TIME
  • Title: Director of Operations Excellence Company: Everest Insurance Company Job Category: Operations Job Description: Everest is a leading global reinsurance and insurance organization with extensive product and distribution capabilities, a strong balance sheet and an innovative culture. Throughout our history, Everest has maintained its discipline and focus on creating long term value through underwriting excellence and strong risk and capital management. Over the past 10 years, Everest Insurance has steadily grown in premium size and geographic reach through its Property & Casualty insurance business. That growth has been fueled by strong underwriting and operational talent. To continue fueling our growth, we are investing in the bringing in a Director of Operations Excellence to oversee a diverse portfolio of work critical to the success of the North American Insurance Operation. This role will be responsible for chief of staff functions such as: communications, operations portfolio oversite, budget planning and review, leadership routines, staffing model development and executing on a culture of continuous improvement within the North American Insurance operation. A suitable candidate is a successful, experienced, and accomplished professional with significant hands-on experience in all of the facets of the accountabilities with a proven track record of success. The individual should be a self-starter who requires minimal oversight to translate vision and strategy into execution. Responsibilities include but not limited to: Owns the development and execution of communication strategies both within North American Insurance Operations and including key stakeholder groups (Underwriting, IT, etc.) Plans, coordinates, builds content/presentations/deliverables aligned to routines within Operations. Works collaboratively with application owners, business SME’s, underwriting and IT partners to document and communicate strategic project expectations and outcomes. Owns the development and execution of project/strategic initiative work intake and reporting mechanisms partnering with stakeholder groups. Acts as a catalyst for the development and execution of a continuous improvement mindset within the North American Operations organization. Owns the oversight of ongoing continuous improvement portfolio and serves as a resource to teammates looking to own process improvement initiatives. Acts as the owner of the North American Operations metrics portfolio, partnering with our Global partners, data, and IT organizations to document current state and drive towards aspirational goals. Owns the development, execution and updating of workforce planning and demand/capacity models within the operations. Will synthesize flow volumes, average handle times and service levels to create a robust tool. Serves as a resource to execute on both change management and project management accountabilities for large scale business and operations projects when warranted. Partners with others across the organization to seek out and synthesize customer feedback and turn it into actionable takeaways. Qualifications, Education & Experience: At least 5 years of experience in insurance operations or similar role, preferably P&C insurance. Expert level knowledge of both Microsoft PowerPoint and Excel with proven ability to translate vision into tangible action. At least 5 years of experience owning and driving process efficiencies utilizing a framework such as Six Sigma, Lean, Continuous Improvement. Knowledge and experience across Underwriting process and driving standardization. Demonstrated experience managing projects of various size and scope, inclusive of proven track record of creating engagement at Senior Leadership levels. Superior communication skills and ability to interact with stakeholders across all levels of an organization. Knowledge, Skills & Competencies: Ability to influence decision making with focus on business outcomes Exceptional organization skills, experienced in working on several diverse projects Exemplary communication, negotiation, documentation, organization, and planning skills Ability to create strong relationships and work collaboratively with multiple stakeholders and end users Ability to manage complex projects Strong process/continuous improvement mindset with demonstrated examples of success Ability to think from an end to end customer perspective using customer feedback as guiding principles Problem solver with a strong sense of individual ownership and accountability Ability to work both constructively in a team environment as well as effectively independently in a dynamic environment Ability to communicate effectively with both business and IT partners Expertise with Microsoft PowerPoint and Excel Our Culture At Everest, our purpose is to provide the world with protection. We help clients and businesses thrive, fuel global economies, and create sustainable value for our colleagues, shareholders and the communities that we serve. We also pride ourselves on having a unique and inclusive culture which is driven by a unified set of values and behaviors. Click here to learn more about our culture. Our Values are the guiding principles that inform our decisions, actions and behaviors. They are an expression of our culture and an integral part of how we work: Talent. Thoughtful assumption of risk. Execution. Efficiency. Humility. Leadership. Collaboration. Diversity, Equity and Inclusion. Our Colleague Behaviors define how we operate and interact with each other no matter our location, level or function: Respect everyone. Pursue better. Lead by example. Own our outcomes. Win together. All colleagues are held accountable to upholding and supporting our values and behaviors across the company. This includes day to day interactions with fellow colleagues, and the global communities we serve. #LI-HYBRID #LI-AS1 Type: Regular Time Type: Full time Primary Location: Warren, NJ Additional Locations: Everest is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex (including pregnancy), sexual orientation, gender identity or expression, national origin or ancestry, citizenship, genetics, physical or mental disability, age, marital status, civil union status, family or parental status, veteran status, or any other characteristic protected by law. As part of this commitment, Everest will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Everest Benefits at everestbenefits@everestglobal.com. Everest U.S. Privacy Notice | Everest (everestglobal.com) EVEREST is a leading international reinsurance and insurance group with an extensive distribution network that spans five continents. With roots dating back to 1973, Everest has developed a global footprint and deep client relationships that are largely unmatched by its peers. The Company’s principal business strategies seek to leverage its strengths to optimize returns over the underwriting cycle, thereby creating value for its shareholders and business partners.
  • 3 Days Ago

E
Director Business Operations Liaison
  • Everest National Insurance Company
  • Warren, NJ FULL_TIME
  • Title: Director Business Operations Liaison Company: Everest Insurance Company Job Category: Technology Job Description: It’s an exciting time for Everest Re Group, Ltd. (“Everest”)! As we continue on...
  • 1 Month Ago

E
Insurance Technology Portfolio Director
  • Everest National Insurance Company
  • Warren, NJ FULL_TIME
  • Title: Insurance Technology Portfolio Director Company: Everest Insurance Company Job Category: Analytics Job Description: About Everest: It’s an exciting time for Everest Group, Ltd. (“Everest”)! As ...
  • 1 Month Ago

E
Business Operations Liaison
  • Everest National Insurance Company
  • Warren, NJ FULL_TIME
  • Title: Business Operations Liaison Company: Everest Insurance Company Job Category: Operations Job Description: It’s an exciting time for Everest Re Group, Ltd. (“Everest”)! As we continue on our jour...
  • 1 Month Ago

B
Director of Operations
  • Baird Consulting Group
  • Bridgewater, NJ FULL_TIME
  • About Us PROTECS, Inc is a leading, innovative full-service project and construction management company focused on serving hi-tech regulated market sectors. For more than 17 years, PROTECS has provide...
  • 1 Day Ago

T
#13451 - Technology Sales Director (Retail & Consumer Goods)
  • Technology Sales Director (Retail & Consumer Goods) - Qualitest
  • Bridgewater, NJ FULL_TIME
  • Are you interested in working with the largest independent software testing company? Read on!Qualitest is looking for an experienced Regional Sales Director to develop new logo sales for Retail and Co...
  • 12 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Health Insurance Operations Director jobs found in Somerset, NJ area

A
Complex Claims Director, Excess
  • AIG
  • Jersey City, NJ
  • Complex Director- Excess Major Claims | Primary Severity Unit Who we are American International Group, Inc. (AIG) is a l...
  • 4/26/2024 12:00:00 AM

B
Director of Audit Compliance - 131 West 25th Street
  • Bowery Residents Committee
  • New York, NY
  • Position Overview Reporting to the CFO, the Director of Audit Compliance performs various aspects of professional intern...
  • 4/26/2024 12:00:00 AM

B
Program Compliance Coordinator - 131 West 25th Street
  • Bowery Residents Committee
  • New York, NY
  • The Program Compliance Coordinator works as part of the Program Compliance team to ensure that BRC programs provide high...
  • 4/26/2024 12:00:00 AM

A
Reinsurance Analyst
  • AIG
  • New York, NY
  • Reinsurance Analyst: About the role What you need to know: The Ceded Reinsurance Placement team is seeking a Reinsurance...
  • 4/26/2024 12:00:00 AM

T
Director, Quality System Compliance
  • Teva Pharmaceutical Industries
  • Parsippany, NJ
  • Who we are Together, we're on a mission to make good health more affordable and accessible, to help millions around the ...
  • 4/24/2024 12:00:00 AM

P
Product Compliance Strategy Director
  • Payoneer
  • New York, NY
  • Product Compliance Strategy Director, New York, NY Build Your Career | Have Fun | Make a Difference Payoneer's mission i...
  • 4/24/2024 12:00:00 AM

P
Claims Director, Personal Injury Protection
  • Plymouth Rock Assurance
  • Woodbridge, NJ
  • The Personal Injury Protection (PIP) Claims Director provides business leadership and strong technical skills for the Cl...
  • 4/23/2024 12:00:00 AM

U
Contract and Compliance Specialist
  • Upwardly Global
  • New York, NY
  • Title: Contract and Compliance Specialist Department: Finance Reports to: Director of Budget and Grants Compliance Locat...
  • 4/22/2024 12:00:00 AM

Somerset is an unincorporated community and census-designated place (CDP) located within Franklin Township, in Somerset County, New Jersey, United States. As of the 2010 United States Census, the CDP's population was 22,083. Somerset housed one of the first Marconi Wireless Stations in the United States. According to the United States Census Bureau, the CDP had a total area of 6.444 square miles (16.692 km2), including 6.327 square miles (16.388 km2) of land and 0.117 square miles (0.304 km2) of water (1.82%)....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Director jobs
$194,474 to $262,265
Somerset, New Jersey area prices
were up 1.5% from a year ago