Health Insurance Operations Director jobs in Virginia Beach, VA

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 OF CLINICAL OPERATIONS - HOSPICE
  • BrightSpring Health Services
  • Manteo, NC FULL_TIME
  • DIRECTOR OF CLINICAL OPERATIONS - HOSPICE
    Job Locations US-NC-MANTEO
    ID 2024-138959 Line of Business Adoration Home Health and Hospice Position Type Full-Time
    Our Company

    Adoration Home Health and Hospice

    Overview

    $10,000 Sign on Bonus

    Relocation Assistance!

    The Director, Clinical Operations is responsible for the overall direction of hospice clinical services. The Director, Clinical Operations establishes, implements, and evaluates goals and objectives for hospice services that meet and promote the standards of quality and contribute to the total organization and philosophy.

    Our comprehensive benefits include:

      Medical and dental benefits
    • Short- and long-term disability
    • Life insurance
    • Paid time off
    • 401(k) program
    • Flexible Spending Account (FSA)
    • Employee Assistance Program (EAP)
    • Vendor discounts
    Responsibilities
    • Coordinates and oversees all direct and indirect patient services provided by clinical
      organization personnel
    • Provides guidance and counseling to coordinators and Clinical Supervisors to assist them in continually improving all aspects of hospice care services, provided through organization personnel
    • Assists Clinical Supervisors in managing clinical teams and planning
    • In the absence of the Executive Director/Administrator, the Director, Clinical Operations will become the acting Executive Director/Administrator and will be vested with authority to act in behalf of the Executive Director/Administrator
    • Provides help in assessment, planning, implementation and evaluation of patient and family/caregiver care to all clinical personnel as indicated
    • Assists the Executive Director/Administrator in the preparation and administration of the organization's budget
    • Interprets operational indicators to detect census changes and increases or decreases in volume that could impact staffing levels, revenues or expenses
    • Evaluates performance of Clinical Supervisors
    • Assists Clinical Supervisors to develop skills and techniques in evaluating the performance of clinicians
    • Hires, evaluates, and terminates organization personnel
    • Conducts annual evaluations on clinicians, or more frequently if indicated
    • Oversees the maintenance of patient clinical records, statistics, reports and records for purposes of evaluation and reporting of organization activities
    • Assures proper maintenance of clinical records in compliance with local, state and federal laws
    • Responsible for the maintenance of adequate and appropriate inventory supplies and equipment for the provision of patient services
    • Develops, implements and evaluates the orientation program for new organization personnel. Responsible for orientation of new organization personnel, directly or delegated
    • Plans and implements in-service and continuing education programs to meet education and training needs of organization personnel
    • Assists with the evaluation of organization performance via performance improvement program, productivity, quarterly and annual reviews
    • Assures for the quality and safe delivery of hospice services provided through the Organization
    • Assists in the development of organization goals. Develops, recommends, and administers Organization policies and procedures
    • Assures compliance with all local, state and federal laws regarding licensure and certification of organization personnel and maintains compliance to the CHAP Home Care standards
    • Stays informed about changes in the field of nursing and hospice care, shares information with appropriate organization personnel
    • Promotes hospice referrals in the health care community
    • Other duties as assigned by the Executive Director/Administrator
    Qualifications
    • Registered nurse in the State with current licensure to practice professional nursing in the State
    • Bachelor's degree in Nursing from an accredited program by the National League for Nursing
    • Three years of management experience preferred
    • Experience in a hospice or related health care organization
    • Demonstrated ability to supervise and direct professional and administrative personnel
    • Ability to market and deal tactfully with customers and the community
    • Has excellent observation, verbal and written communication skills
    • Knowledge of business management, governmental regulations and CHAP standards
    About our Line of Business
    Adoration Home Health and Hospice provides quality and compassionate services in the comfort of home, providing support for patients, families and caregivers in their time of need. Adoration was formed to fill the need for a loving, community-focused, caring organization. We empower patients to live with dignity, find a sense of fulfillment, and celebrate with their families a life well-lived. Our employees and caregivers are proud to be a part of the Adoration team and the mission of our company. For more information about Adoration, please visit www.AdorationHealth.com. Follow us on FacebookandLinkedIn.

    Res-Care, Inc., dba BrightSpring Health Services (“ResCare”), is an Equal Opportunity Employer. ResCare does not discriminate against any person on the basis of gender, race, color, national origin, religion, disability, age, veteran status, gender identity or sexual orientation in admission, treatment, or participation in its programs, services and activities, or in employment, or on the basis of gender in its health programs and activities.

     

  • 24 Days Ago

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Deputy Director Civilian Policy and Programs
  • US Office of Chief of Space Operations
  • Wallops Island, VA FULL_TIME
  • Duties The United States Space Force (USSF) at the Pentagon is searching for a Deputy Director for Civilian Policy and Programs (NH-0201-04, GS14/15 equivalent). Description: The United States Space F...
  • 24 Days Ago

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Director Of Operations
  • The Cahoon Real Estate Team
  • Virginia, VA FULL_TIME
  • The Cahoon Real Estate is searching for a Director of Operations who will provide top-notch client care support to team agents and clients throughout the real estate transaction. This person would als...
  • 13 Days Ago

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Director of Operations
  • The Dragas Companies
  • Virginia, VA FULL_TIME
  • The Dragas Companies, named America’s Best Builder by the National Association of Homebuilders and Builder Magazine, seeks the talents and experience of a senior level professional to join our expandi...
  • 23 Days Ago

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Director of Operations
  • WilliamsonHeckt
  • Kill Devil Hills, NC FULL_TIME
  • Do you want to own your own business?You are not alone, approximately 85% of the new franchise owners were professionals transitioning out of the corporate grind, and 25-30% keep their job and run the...
  • 26 Days Ago

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Director of Operations
  • Quality Staffing Services
  • Salisbury, MD FULL_TIME
  • What to expect: As a senior leadership role of Director of Operations, you will oversee all operational aspects of a healthcare organization. This position plays a critical role in ensuring the effici...
  • 27 Days Ago

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0 Health Insurance Operations Director jobs found in Virginia Beach, VA area

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Nurse Practitioner
  • Milan Laser Company
  • Virginia Beach, VA
  • About Milan Laser Hair Removal Milan Laser Hair Removal is one of the nation's premier laser hair removal providers. Tha...
  • 4/23/2024 12:00:00 AM

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Group Fitness Instructor
  • Onelife Fitness
  • Virginia Beach, VA
  • ** Group Fitness Instructor** **Job Category****:** Group Fitness **Requisition Number****:** GROUP12230 Showing 1 locat...
  • 4/23/2024 12:00:00 AM

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Vmware Engineer
  • Data Intelligence, LLC
  • Virginia Beach, VA
  • Data Intelligence (DI) is looking for a Mid/Senior VM Engineer to work on CVN Hull, Mechanical and Electrical (HM&E) sys...
  • 4/23/2024 12:00:00 AM

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Patient Care Customer Service Representative
  • Therapy Network The LLC
  • Virginia Beach, VA
  • ** Patient Care Customer Service Representative** + **Job Tracking ID**: 512934-778457 + **Job Location**: Virginia Beac...
  • 4/22/2024 12:00:00 AM

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Group Fitness Instructor
  • Sport & Health
  • Virginia Beach, VA
  • ** Group Fitness Instructor** **Job Category****:** Group Fitness **Requisition Number****:** GROUP014409 Showing 1 loca...
  • 4/21/2024 12:00:00 AM

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Nurse Practitioner
  • Hiring Now!
  • Virginia Beach, VA
  • About Milan Laser Hair Removal Milan Laser Hair Removal is one of the nation's premier laser hair removal providers. Tha...
  • 4/20/2024 12:00:00 AM

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Assistant Fitness Director
  • Onelife Fitness
  • Virginia Beach, VA
  • ** Assistant Fitness Director** **Job Category****:** Personal Training and Athletic Conditioning **Requisition Number**...
  • 4/20/2024 12:00:00 AM

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Data Warehouse Architect
  • American Auto Shield, Inc
  • Virginia Beach, VA
  • ** Data Warehouse Architect** **Job Category****:** Data Governance **Requisition Number****:** DATAW001917 Showing 1 lo...
  • 4/19/2024 12:00:00 AM

Virginia Beach is located at 36°51′02″N 75°58′40″W / 36.8506°N 75.9779°W / 36.8506; -75.9779 (Virginia Beach). According to the United States Census Bureau, the city has a total area of 497 square miles (1,290 km2), of which 249 square miles (640 km2) is land and 248 square miles (640 km2) (49.9%) is water. It is the largest city in Virginia by total area and third-largest city land area. The average elevation is 12 feet (3.7 m) above sea level. A major portion of the city drains to the Chesapeake Bay by way of the Lynnhaven River and its tributaries. The city is located at the southeaster...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Director jobs
$165,406 to $223,065
Virginia Beach, Virginia area prices
were up 1.2% from a year ago