Health Insurance Operations Manager manages and maintains daily health insurance operations in multiple service areas, including account installation, implementation, client support, contract administration, claim processing, and enrollment and eligibility. Handles and settles complicated customer service issues which can not be resolved by lower level staff. Being a Health Insurance Operations Manager monitors performance of each service area. Requires a bachelor's degree or its equivalent. Additionally, Health Insurance Operations Manager typically reports to senior management or Director. The Health Insurance Operations Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Health Insurance Operations Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!
The Manager, Health Access Operations is responsible for coordination, implementation, and the Health Access-wide oversight of community program operations. This includes, but is not limited to, the operational activity of Health Access ECM Providers, their affiliated Care Teams, and their adherence to operational compliance with regulatory requirements, quality assurance initiatives, and requisite program authorization or delivery activities. This role will assist with the implementation and revision of Health Access policies and standards. This role requires collaboration and communication with various departments that share ECM-related functions. This role will inspire and influence the team towards cultural transformation of the Health Access programs through continuous improvement, regulatory adherence, and quality service delivery. This position will support functions beyond ECM if additional clinical services are offered under Health Access.
Perks
IEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more.
Education & Experience
Key Qualifications
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