Health Insurance Operations Manager jobs in Roseville, CA

OPERATIONS MANAGER

HealthLinkNow, part of Universal Health Services, Inc. (UHS) is looking for an experienced and innovative Operations Manager to join our growing team of dedicated professionals.

The Operations Manager is responsible for HealthLinkNow' s (HLN) organizational processes and operations for any new leads, new business, and existing business ensuring a smooth, organized, and high-quality delivery of services. The Operations Manager additionally oversee the performance, efficiencies, and satisfaction of the new and existing business. The Operations Manager is responsible for managing providers, developing, and maintaining relationships with the providers, and addressing providers inquires and concerns. In this role, strategic planning, collaboration and problem-solving with internal and external stakeholders will be the key to success. Must be able to develop and foster relationships with internal and external stakeholders to support the overall success of the business. This includes but is not limited to; regularly productive check-ins with the stakeholders regarding the accounts, managing client accounts and alleviate concerns. Also, monitoring and tracking trends to produce ways to improve our practice, ability to act quickly to resolve problems, the ability to navigate priorities to meet the needs of the stakeholders.

This is a full-time administrative position for an individual to join our management team in our home office in Gold River, California. While we are looking for individuals that can work out of our headquarters, we are also considering qualified individuals that would like to join our team remotely.

Primary Responsibilities

• First line of support for communication and/or support or any conflicts resolution between providers, staff, internal/external stakeholders and/or clients.
• Assist Providers with relevant training, IT support, scheduling problems, or changes.
• Responsible for scheduling Coverage Calendars per each Facility Agreement.
• Assists with Proposal development, maintenance, and submission.
• Initiates Provider, Vendor and Facility contracts in the CAM/ECM system.
• Knowledgeable on Provider, Vendor and Facility-contract components
• Pro-actively communicates contract statuses, launch dates and terminations with CEO and other members of the team.
• Subject expert in videoconferencing systems used for Telemedicine assignments, to include training end-users on this platform as well as trouble-shooting problems that may arise.
• Ability to utilize and maintain Electronic Health Record(s)
• Responsible for assuring accurate and timely entries of pertinent medical information on all patients, to include, but not limited to reports from outside facilities, patient information, dashboard items, etc.
• Improve operational management systems, processes, and best practices.
• Perform quality controls and monitor data to improve the overall quality of facility services.
• Ability to know when to adjust schedules and targets on the assignment as needs are changing.
• Making effective decisions when presented with multiple options of how to progress with the assignment(s).

The right candidate will have a solid knowledge, skills, and ability in:

• Leadership.
• Outstanding organizational skills.
• Excellent communication skill.
• In depth knowledge of facility processes and an understanding of how contract provider's work.
• Ability to collaborate with and listen to the needs of their stakeholders.
• Time management skills.
• The ability to delegate effectively.
• Interpersonal skills to communicate with executives and staff level employees.
• Strong personal and professional judgment.
• Adaptability to respond quickly and shift/adjust initiatives and priorities.
• Organizational skills and the flexibility to jump from priority to priority.
• Comfortable with legal and regulatory processes to ensure facility compliance.
• Problem-solving skills.
• Demonstrated ability to start and finish projects.
• Proficient with Microsoft Outlook, Word, Excel, and Power-Point software.
• Ability to apply critical thinking skills to various situations.
• Self-initiated learning and professional development.
• Demonstrated passion for customer service and employee engagement.

Our Commitment: HealthLinkNow (HLN) is an integrated network of psychiatrists and licensed mental health providers who care for patients via telehealth. HLN provides support to individuals and facilities experiencing challenges in accessing care. This flexible solution to healthcare is designed to help individuals in need, assist healthcare systems with meeting the immediate needs of their patients and aid in the long-term goals of health centers, clinics, and healthcare providers.

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $10.77 billion in 2018. In 2020, UHS was again recognized as one of the World's Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 90,000 employees and through its subsidiaries operates 26 acute care hospitals, 327 behavioral health facilities, 40 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.

• Bachelor's degree in healthcare or business administration or related field preferred; associate degree or equivalent combination of education and experience is required.
• Minimum of two (2) years' experience in Mental Health or Telemedicine required, or a proven track record.
• Minimum of two (2) years in a lead or managerial role preferred.
• Will consider work experience.