Health Insurance Operations Director jobs in Maine
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
Regional Director of Operations and Development
- SaVida Health
-
Portland, ME
FULL_TIME
-
Regional Director of Operations & Development
About The Organization
SaVida Health is a specialty medical practice providing outpatient opiate and alcohol addiction treatment services. SaVida Health's care model includes medical care, counseling, comprehensive toxicology testing, case management and medical management of psychiatric medications. SaVida provides compassionate and individualized treatment programs to support those with substance use disorder.
Description
The Regional Director of Operations and Development will assist the Regional Vice President of Operations with operational oversight for the existing sites located in Vermont, New Hampshire and Maine and will be responsible for working with each site to provide compassionate, respectful and effective outpatient treatment for individuals struggling with Alcohol or Opioid Addiction. The Regional Director will be responsible for solving day to day operational problems and working to achieve growth within each site while providing high quality patient care. This is a position that requires strong people management, problem solving skills and frequent travel.
Essential Duties:- Working with each Practice/Office Manager, ensure the SaVida Health goals of service, patient experience and staff engagement are accomplished, while achieving business metrics and growth goals within each site.
- Ensure effective clinical care is being delivered and operating results are achieved.
- Ensure SaVida Health policies and procedures are being followed at each practice and that staff are adequately trained in their roles.
- Manage and participate in outreach and development meetings/initiatives to increase referrals to each practice.
- Nurture new and old relationships with community partners and referral sources
- Ensure adequate staffing at the sites. Interview candidates and negotiate compensation packages with candidates.
- Working with the Regional VP, develop annual budgets and achieve the budgeted metrics.
- Participate in the development of SaVida Health goals, objectives and policies, as appropriate.
- Ensure a positive, professional, and respectful work environment within each practice.
- Maintain compliance with payer requirements, including referrals and authorizations and cash collection.
- Working with the Regional VP, set business goals and achieve the business metrics.
- Ensure and enhance patient satisfaction.
- Investigate and respond to complaints by staff, grievances related to patients and their treatment at the practice; answer patient requests, letters and correspond as needed.
- Manage relationships and agreements with external partners and vendors as needed.
- Act as primary liaison between the practices and the Regional VP.
- Perform other duties as needed or requested by the Regional VP.
Qualifications:- Bachelor’s Degree in related field of study
- A minimum of 3 years’ experience in a management position in a healthcare setting or organization.
- Management experience working in the mental health/substance use disorder treatment setting a plus.
- Demonstrated ability to manage and motivate staff.
- Ability to make sound decisions and to problem solve.
- Strong analytical skills with the ability to evaluate data and make sound operational decisions based on the data.
- Demonstrated ability to manage the business to the budgeted P&L.
- Ability to work independently and as part of a team.
- Experience working with EMRs (Athena Health Systems preferred).
- Ability to work with individuals and groups from diverse populations.
- Must be extremely organized with a keen attention to detail.
- Ability to delegate tasks as appropriate.
- Ability to effectively manage time to meet deadlines.
- Ability to represent the agency effectively and professionally with community leaders; outreach experience a plus.
- Ability to serve as a role model for other staff members and to help maintain a professional workplace.
- Must be able to travel between locations.
We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law. - 12 Days Ago
Director Perioperative Business Operations
- Covenant Health
-
Lewiston, ME
FULL_TIME
- Full TimePosition Summary: Under the supervision of the System Vice President of Perioperative Services - Covenant and the Vice President of Patient Care Services - St. Mary's Healthcare, is responsib...
- 21 Days Ago
Director of Plant Operations
- First Atlantic Health Care
-
South Portland, ME
FULL_TIME
- Located in Madawaska The Director of Plant Operations will be responsible for working indoors and outdoors in all types of weather conditions with simple and complex machines, as well as with a variet...
- Just Posted
Director of Operations
- Bon Appétit Management Company
-
Waterville, ME
FULL_TIME
- Bon AppetitPosition Title: Director of Operations Reports To:Salary: $75,000 to $85,000 Other Forms of Compensation:Our Passion is Food!At Bon Appetit Management Company we are committed to two things...
- 11 Days Ago
Director of Operations
- Northeastern University
-
Portland, ME
FULL_TIME
- About the Opportunity Leads a small team that carries out the day-to-day operations, including project management, financial planning, and business and/or operational strategy. Develops and implements...
- 12 Days Ago
Director of Operations
- Insource Renewables
-
Pittsfield, ME
FULL_TIME
- Insource Renewables, a Certified B Corporation, worker-owned company, and one of only ten solar installation firms in North America to be recognized as a NABCEP Accredited PV Installation Company, is ...
- 27 Days Ago
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- AHC Lexington
-
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- Centria Autism
-
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- Every child deserves the brightest future and Centria Autism Services is on a mission to help children with Autism Spect...
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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...
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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...
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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 Maine
To the south and east is the Atlantic Ocean and to the north and northeast is New Brunswick, a province of Canada. The Canadian province of Quebec is to the northwest. Maine is both the northernmost state in New England and the largest, accounting for almost half of the region's entire land area. Maine is the only state in the continental US to border only one other American state (New Hampshire to the South and West).
Maine is the easternmost state in the United States in both its extreme points and its geographic center. The town of Lubec is the easternmost organized settlement in the United...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Director jobs
$169,122 to $228,080