Health Insurance Operations Director jobs in Illinois
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)
Recently Added Health Insurance Operations Director jobs
Director Of Operations
- Endeavor Health
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Arlington, IL
FULL_TIME
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A Brief Overview
Reporting to the Vice President Physician Operations is responsible for evaluating market, financial and operational analysis to support NCH Medical Group business development strategies. Collaborates with administrators, physician leadership, and clinical services and decision support to develop and implement strategic and tactical plans for new products, programs and services that meet customer and organization goals. In collaboration with the Executive Director Medical Group Operations, the position is responsible for operational success and financial sustainability of new practice acquisitions. The position is responsible for the on-boarding and credentialing process of new physicians, mid-level providers, practice acquisitions and new program activity and the ongoing monitoring and reporting related to physician compensation; is accountable for oversight of quality assurance and safety.- Various subspecialities – details to be discussed during the interview
- NCH and EEH market locations
- In conjunction with the Vice President Physician Operations, continuously assesses areas of opportunity for medical group growth. Works in conjunction with NCH finance, planning, and decision support functions to research and evaluate the prospect of new programs or services from a reimbursement, financial, operational and compliance perspective. In cooperation with service line leadership integrates and aligns NCH Medical Group with NCH service line strategies to accomplish organizational goals and service needs.
- Collaborates with other leaders throughout the organization in developing and implementing tactical plans for new or revised business processes and services. With management input, develops project implementation plans, monitors timelines and recommends modifications when appropriate. Facilitates the successful integration of new programs or changes to processes with supporting departments, physicians and vendors. Evaluates the effectiveness of new or expanded services compared to business and strategic plan objectives. Assists the management team in developing communication and/or training materials to educate staff and ancillary departments on operational changes.
- Oversees the direction and management of all aspects of quality assurance and patient safety, including oversight of Director of Quality across all MG areas. Utilizes clinical informatics data, patient safety, clinician input and statistical analysis methodologies to identify opportunities for improvement and measure effectiveness of interventions. Reviews industry trends, compliance guidelines and best practices for quality improvement opportunities. Oversees development, communication and implementation of policies, standards, procedures and practices for clinical integrity, patient safety and quality initiatives. Seeks and executes outside accreditation on quality programs or services when required.
- Conducts business and financial analysis on prospective physicians’ group acquisitions. Liaises with prospective MG physicians and prospective physician’s group leadership regarding practice, services, operations, standardization, financial and business issues. Collaborates in the process of physician recruiting and new practice acquisitions ensuring successful operational integration and financial sustainability. Oversees and ensures an efficient onboarding and credentialing process for new physicians and practice acquisitions. Works closely with Operations on strategies and communications to facilitate integration and adoption of all business and operations changes.
- Collaborates with physicians regarding practice, operations, standardization, financial and systems issues and works with physicians and the Executive Director of Medical Group Operations to enhance productivity, efficiency, access, quality and patient satisfaction.
- Develops, documents and implements processes for physician compensation monitoring and reporting.
- Regularly evaluates the performance of staff according to the guidelines of the hospital's performance management system. Recommends/initiates corrective action as appropriate. Ensures that staff are oriented to the medical group and hospital, including safety and infection control policies and procedures. Oversees the planning of in-service educational programs and collaborates with others responsible for organization wide education to assure that learning needs are identified and addressed.
- Adheres to all Northwest Community Healthcare standards, policies and procedures.
- Bachelors Degree Business Administration/Management Required Or
- Masters Degree Business Administration/Management Preferred
- 5 Years progressively responsible experience in a business development or operations management position preferably in a healthcare setting. And
- 1 Year Previous experience with data collection/analysis, trending and time study techniques.
- Excellent interpersonal skills to interact effectively with physicians, hospital leadership and personnel.
- Proven leadership skills to build and motivate a cohesive team, anticipate and identify changes in healthcare, initiate programs and effectively manage on-going operations.
- Organizational and project management skills, with the ability to oversee and provide direction for a number of complex projects concurrently.
- The oral and written communication skills necessary to convey information in a clear, concise, and persuasive manner.
- The analytical skills to assess patients' needs, develop and administer a budget, develop goals, and evaluate subordinates' performance.
- The ability to use a computer to perform the representative functions of the job.
- Proficient in Microsoft Office products to prepare complex spreadsheets, graphs and custom reports.
- Career Pathways to Promote Professional Growth and Development
- Various Medical, Dental, and Vision options, including Domestic Partner Coverage
- Tuition Reimbursement
- Free Parking at designated locations
- Wellness Program Savings Plan
- Health Savings Account Options
- Retirement Options with Company Match
- Paid Time Off and Holiday Pay
- Community Involvement Opportunities
- 18 Days Ago
Director or Operations
- Health Conservation, Inc. (HCI)
-
Rockford, IL
FULL_TIME
- HCI is a national provider of occupational health services to corporations across the United States. HCI provides an ongoing service to support the health and safety plan of our clients to protect the...
- 10 Days Ago
Director of Operations
- Near North Health
-
Chicago, IL
FULL_TIME
- Are you passionate about making a difference in the lives of underserved communities? Do you thrive in a role that allows you to lead and coordinate community health initiatives to improve the well-be...
- 29 Days Ago
Director of Operations
- Near North Health Service Corporation
-
North Chicago, IL
FULL_TIME
- Job DetailsJob LocationNear North Health Service - Chicago, ILPosition TypeFull TimeDescription Are you passionate about making a difference in the lives of underserved communities? Do you thrive in a...
- 9 Days Ago
Behavioral Health Director of Operations
- Ada Brand
-
Chicago, IL
FULL_TIME
- Principal Duties/Responsibilities: Assists in the drafting and implementation of BHCS procedures and protocols to ensure a standardized and structured clinical approach across all programs. Schedules ...
- 29 Days Ago
Director, Hospital Operations
- Advocate Health
-
Libertyville, IL
FULL_TIME
- Major ResponsibilitiesProvides leadership, direction and administration over assigned operations while growing revenue and improving operating margins. Directs leaders to be fiscally responsible and t...
- 8 Days Ago
Health Insurance Operations Director jobs at Popular Companies
Assisted & Senior Living Manager - LALD - Full Time - Luverne
- Good Samaritan Society
-
Luverne, MN
- Careers With Purpose Join our not-for-profit organization that has provided over 100 years of housing and services to se...
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Director of Nursing (DON)
- AHC Lexington
-
Lexington, TN
- Join our Community as a Director of Nursing (RN)!!! As an Director of Nursing (RN) at American Health Communities under ...
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- Centria Autism
-
Katy, TX
- Every child deserves the brightest future and Centria Autism Services is on a mission to help children with Autism Spect...
- 6/12/2024 12:00:00 AM
Laboratory Manager - Sanford Medical Center, Fargo
- Sanford Health
-
Fargo, ND
- Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the Unite...
- 6/12/2024 12:00:00 AM
Board Certified Behavior Analyst (Bcba) $10,000 Sign ON Bonus
- Centria Autism
-
Mount Pleasant, MI
- Every child deserves the brightest future and Centria Autism Services is on a mission to help children with Autism Spect...
- 6/12/2024 12:00:00 AM
Remote Board Certified Behavior Analyst (Bcba)
- Centria Autism
-
Phoenix, AZ
- Every child deserves the brightest future and Centria Autism Services is on a mission to help children with Autism Spect...
- 6/12/2024 12:00:00 AM
Board Certified Behavior Analyst (Bcba)
- Centria Autism
-
Beaverton, OR
- Every child deserves the brightest future and Centria Autism Services is on a mission to help children with Autism Spect...
- 6/12/2024 12:00:00 AM
Health Insurance Operations Director
- Realm Health
-
Dallas, TX
- Job Description Job Description About The Role Realm Health is recruiting for a seasoned Operations Director to oversee ...
- 6/7/2024 12:00:00 AM
About Illinois
Illinois (/ˌɪlɪˈnɔɪ/ (listen) IL-ih-NOY) is a state in the Midwestern and Great Lakes region of the United States. It has the fifth largest gross domestic product (GDP),
the sixth largest population, and the 25th largest land area of all U.S. states. Illinois is often noted as a microcosm of the entire United States. With Chicago in northeastern Illinois, small industrial cities and immense agricultural productivity in the north and center of the state, and natural resources such as coal, timber, and petroleum in the south, Illinois has a diverse economic base, and is a major transportation hu...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Director jobs
$177,813 to $239,800