Health Insurance Operations Director jobs in Pennsylvania
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
- KP Recruiting Group
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Philadelphia, PA
FULL_TIME
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KP Recruiting Group is a consulting firm that provides leadership and exceptional talent to some of the world’s leading companies. Headquartered in the Midwest, KP Recruiting Group has successfully completed countless engagements across the United States. We represent clients in all industries and all sizes. Our mission is to provide exceptional client and candidate experiences in order to get the best possible results. On behalf of our client, we are excited to present the following confidential role. We look forward to hearing from you and discussing the opportunity!
The Role:
The Market Underwriting Director manages market underwriters within a given region(s), serving as the leadership face to sales and customers, guiding the delivery of insights and recommendations to sales in order to aid customer acquisition/retention while maintaining performance goals. The incumbent is responsible for all levels of books of business and monitors quality and response time to sales requests, develops skills and performance of team, oversees strategy of region. This job may handle progressively more complex and multiple books of business. Will contribute and oversee the execution of the underwriting market strategy.Job Duties:Perform management responsibilities to include, but are not limited to, involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.Plan, organize, staff and direct and control the day to day operations of the department, develop and implement policies and programs as necessary, may have budgetary responsibility.Accountable for all levels of books if businesses. Works with Underwriting and Sales leadership to develop and continually refresh region-level book management strategy. Coordinates with regional Sales leadership to anticipate upcoming client needs.Provide guidance, deeper insights and communication assistance for critical and sensitive clients.Understand Underwriting and the Health Plan's strategic goals and competitive position and drives portfolio results towards these ends.Develop and maintain positive customer relationships with key stakeholders.Contribute to the development of strategy and oversees execution. Proactively manage and drive resolution to risks and issues as they arise.Deliver routine and ad-hoc presentations to Underwriting and health plan leadership.Requirements
EDUCATIONRequiredBachelor's Degree in Science, Mathematics, Technology or related FieldSubstitutions6 years of related underwriting experience in lieu of Bachelor's degreePreferredNoneEXPERIENCERequired7 years of Health Care Underwriting OR risk mgmt OR actuary work OR applying advanced mathematicsto include5 years of external client interaction or comparable external interactionsto include5 years leadership experiencePreferred7 years of External Client interaction5 years of applying Advance Mathematics OR in an Actuarial OR Risk Management roleBenefits
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Employee Referral Program
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- 401k
Matching
- 4 Days Ago
- Commonwealth of Pennsylvania
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Dauphin, PA
FULL_TIME
- Looking for a rewarding career in retiree health care? The Public School Employees' Retirement System (PSERS) is looking for a Director of the Health Insurance Office to oversee our unique post-employ...
- 4 Days Ago
- Commonwealth Of Pennsylvania
-
Harrisburg, PA
FULL_TIME
- THE POSITION Looking for a rewarding career in retiree health care? The Public School Employees' Retirement System (PSERS) is looking for a Director of the Health Insurance Office to oversee our uniqu...
- 4 Days Ago
- Commonwealth of PA
-
Dauphin, PA
FULL_TIME
- THE POSITION Looking for a rewarding career in retiree health care? The Public School Employees' Retirement System (PSERS) is looking for a Director of the Health Insurance Office to oversee our uniqu...
- Just Posted
- Trinity Health Mid-Atlantic
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Langhorne, PA
FULL_TIME
- Trinity Health Mid-Atlantic is looking to hire a Director of Finance Operations who will oversee St Mary Medical Center (Langhorne, PA) and Nazareth Hospital (Philadelphia, PA). Location: On-site In c...
- 5 Days Ago
- Jefferson Health
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Philadelphia, PA
FULL_TIME
- ResponsibilitiesPRIMARY FUNCTION:Will be a key contributor to the strategic design of patient-centered care delivery throughout the Department of Obstetrics and Gynecology, and will be responsible for...
- 13 Days Ago
Health Insurance Operations Director jobs at Popular Companies
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-
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-
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-
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- Centria Autism
-
Mount Pleasant, MI
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- Centria Autism
-
Phoenix, AZ
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- Centria Autism
-
Beaverton, OR
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- 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