Sr. Director, Insurance Operations

3 weeks ago

Springfield, United States Navient Full time
Job Description

***Xtend offers competitive benefits including; Medical/Dental/Vision, Generous Paid Time Off/Paid Holidays/Monthly Bonus Eligibility/Tuition Reimbursement/401k plan plus Employer Match/Professional Development***

Xtend Healthcare, LLC, provides entirely revenue cycle-based projects which range from complete business office outsourcing to A/R legacy cleanup, self-pay and third-party CBO safety net engagements as well as coding and consulting engagements.

We serve clients of all types and sizes in all 50 states -- from critical-access hospitals to those with more than 2,000 patient beds, and from individual facilities to multi-hospital, university-affiliated health systems as well as physician's revenue cycle business.  In 2015, Xtend was acquired by Navient, the nation's leading loan management, servicing and asset recovery company. By joining forces with Navient, the Xtend team will be bolstered by the strength, stability and resources of an industry leader, and leverage the parent company's large-scale business process outsourcing capabilities.

THIS POSITION WILL BE A HYBRID ROLE WORKING (3 DAYS) IN OFFICE AT OUR CHICAGO, IL CLIENT LOCATION.


Xtend Healthcare is looking for a Sr. Director, Insurance Operations.  This position shall be responsible for coordinating with Xtend’s sales force and service center operations teams to carry out all terms and deliverables of the scope of work outlined in task orders between Xtend Healthcare and its clients and provide leadership and management for its clients. Qualified candidates are expected to:

  • Have extensive knowledge of hospital revenue cycle improvement strategies and operations management.
  • Quickly develop positive trusting relationships with the key client revenue cycle contacts including the Chief Executive Officer, Chief Financial Officer, Vice President of Revenue Cycle, Director of Patient Financial Services, Billing and Collection managers.
  • Maintain a high level of credibility and integrity on behalf of Xtend.
  • Provide direct supervision of onsite Client Services Directors and Managers, as well as their subordinates.
  • Increase revenues by identifying client needs for which Xtend Healthcare can provide services and solutions, e.g., coding, consulting, interim management, etc. Detail knowledge of revenue cycle improvement strategy and operations management.
  • Ensure the Xtend Healthcare service center obtains any needed on-site support and response to client obligations such as requests for additional information, e.g., code reviews, medical record needs, charge reviews, IT support and other client support for effective resolution of assigned accounts.
  • Coordinate strategy and communications between the service center management group and on-site teams to assure progress on contracted scope of work and meeting cash and AR resolution goals.
  • Identify opportunities to provide additional Xtend services to clients.  This includes working closely with the sales team as needed.
  • Assist to coordinate workflows, project management and reporting for the Coding, Consulting, and Self Pay service lines.
  • Design, develop and implement policies and procedures to drive Xtend process excellence.
  • Organize, motivate, encourage, and lead work teams.  This includes serving as a management role model for all levels of personnel.
  • Represents Xtend Healthcare in a positive and professional manner at work and in the community by maintaining professional and ethical relationships with clients and staff.

JOB SUMMARY:

1.  Client Management  

  • Establishing trust and credibility by fostering a positive relationship with senior revenue cycle management, PFS management and departments supporting revenue cycle.
  • Anticipating needs, developing and articulating solutions to prevent potential financial and compliance liability to the client and Xtend Healthcare.
  • Maintaining the client management and contacts’ confidence in Xtend by demonstrating its support and responsiveness to client needs, making engagements successful.
  • Leads development and presentation of recommended process flows and action plans to the client which maximize efficiencies and effectiveness.

2.  Project Management                                                 

  • Participates in implementing new projects and coordinates with the Director, Operations of Service Center Operations to ensure Xtend executes the scope according to the terms defined in the project task order.
  • Ensures monthly project cash and resolution targets are set and monitored leading to resolution of initial and additional inventory placements.
  • Maintains satisfactory project performance standards by monitoring project key performance indicators.
  • Reviews monthly executive reporting and provides editorial comments and revisions. This includes detail inventory analysis and the approval of executive summaries and other key reporting as appropriate.
  • Ongoing monitoring of key reports to support appropriate on-site staffing levels, identify payer trends and set performance goals
  • Manages efficient and financially effective project work down and close out. 

3.  Personnel Management   

  • Completes performance evaluations.
  • Works with project directors to identify and mentor team members to assume new roles and responsibilities.
  • Reviews and approves direct reports’ expense reports.

4.  May have other accountabilities based upon client and company needs.

MINIMUM REQUIREMENTS:

  • Bachelor's degree in related field (additional equivalent experience above the required minimum may substitute for the required level of education)
  • Must have 5+ years experience managing end-to-end revenue cycle in medium to large hospital/health systems
  • 5+ years client relationship management
  • 5+ years supervising/leading people
  • Experience leading complex projects for senior and executive management

PREFERRED QUALIFICATIONS:

  • Organization, planning and prioritizing
  • Communication skills
  • Data management
  • Attention to detail and accuracy
  • Problem-solving
  • Adaptability and flexibility
  • Well developed verbal, written, and presentation communications skills
  • Strong organization and prioritization skills
  • Problem solving and decision making
  • Negotiation
  • Proficiency in Microsoft Office (Excel, Word, PowerPoint, and Outlook)
  • Strong familiarity with patient access, billing, patient accounting, imaging, work flow, eligibility and reporting systems supporting revenue cycle functions

All offers of employment are contingent on standard background checks. Navient and certain of its affiliated companies are federal, state and/or local government contractors. Should this position support a Federal Government contract, now or in the future, the successful candidate will be subject to a background check conducted by the U.S. Government to determine eligibility and suitability for federal contract employment for public trust or sensitive positions. Positions that support state and/or local contracts also may require additional background checks to determine eligibility and suitability.

EOE Race/Ethnicity/Sex/Disability/Protected Vet/Sexual Orientation/Gender Identity. Navient Corporation and its subsidiaries are not sponsored by or agencies of the United States of America.

Navient is a drug free workplace.

  • Sr. Director, Insurance Operations

    1 week ago

    SPRINGFIELD, United States Navient Full time

    ***Xtend offers competitive benefits including; Medical/Dental/Vision, Generous Paid Time Off/Paid Holidays/Monthly Bonus Eligibility/Tuition Reimbursement/401k plan plus Employer Match/Professional Development***Xtend Healthcare, LLC, provides entirely revenue cycle-based projects which range from complete business office outsourcing to A/R legacy cleanup,...

  • Sr. Manager of Provider Contracting

    2 months ago

    Springfield, United States Health New England Full time

    Job DescriptionJob DescriptionPurposeLeads and oversees Network Strategy and Management /Provider Contracting teams ensuring business strategies, plans and initiatives are executed / delivered in compliance with governing regulations, internal policies and procedures. The Sr. Manager of Provider Contracting is responsible for developing, maintaining, and...

  • Senior Health Insurance Auditor

    3 months ago

    Springfield, United States Health New England Full time

    Job DescriptionJob DescriptionPurpose of the JobThe Senior Health Insurance Auditor position at HNE is a key member of the team that ensures there is an effective process of monitoring internal controls and risk mitigation. This position will review financial and operational areas to verify that HNE is operating within the policies, procedures, and...

  • Creative Operations Associate Manager

    2 months ago

    Springfield, Illinois, United States Allstate Insurance Company Full time

    At Allstate, great things happen when our people work together to protect families and their belongings from lifes uncertainties. And for more than 90 years our innovative drive has kept us a step ahead of our customers evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication,...

  • Executive Director of Community Hospital Operations

    1 week ago

    Springfield, Colorado, United States Community Hospital Full time

    Executive Director Position at Community HospitalCommunity Hospital is actively searching for an accomplished Executive Director to guide the organization in fulfilling its strategic goals and mission. The Executive Director will work in close partnership with the Board of Directors to manage all facets of hospital operations, enhance quality standards, and...

  • Director of Operations

    3 days ago

    Springfield, United States Food Manufacturing Business Full time

    Job DescriptionJob DescriptionThis position will report directly to the board of directors and be responsible for a broad range of operations with a food manufacturing and distribution center.- Directly oversee food manufacturing facility operations- Ensure compliance with FDA and Health Department standards- Build policies and procedures to maintain...

  • Operations Director

    1 day ago

    Springfield, Illinois, United States Piper Maddox Full time

    Job Summary:Piper Maddox is seeking an experienced professional to lead the setup and operation of our commercial-scale ethanol plant in China. As an Operations Director, you will play a crucial role in the plant's success, overseeing the development of internal teams and external licensees, and ensuring smooth internal and external affairs.Key...

  • Operations Director

    4 days ago

    Springfield, Illinois, United States The Computer Merchant Full time

    About the RoleWe are seeking an experienced Operations Director to join our team at The Computer Merchant. As a key member of our leadership team, you will be responsible for overseeing the day-to-day operations of our organization, ensuring that our infrastructure and systems are running smoothly and efficiently.Key ResponsibilitiesOperations Management:...

  • Sr. Storage Engineeer

    3 months ago

    Springfield, United States General Dynamics Information Technology Full time

    ​Transform technology into opportunity as a Sr. Storage Engineer with GDIT. A career in enterprise IT means connecting and enhancing the systems that matter most. At GDIT you’ll be at the forefront of innovation and play a meaningful part in improving how agencies operate. At GDIT, people are our differentiator. As a Sr. Storage Engineer you will help...

  • Senior Operations Director

    4 weeks ago

    Springfield, United States Fight CRC Full time $70,000 - $85,000

    Job DescriptionJob DescriptionPosition Summary•The Senior Operations Director will be responsible for overseeing and optimizing standard operations, ensuring the efficiency and effectiveness of the organization's virtual and in-office work environments, and supporting the executive leadership team. This role will also be pivotal in tracking and...

  • Executive Director of Operations

    4 days ago

    Springfield, Illinois, United States curiate Full time

    About the RoleWe are seeking an experienced Executive Director of Operations to lead our manufacturing and quality teams at Curia. This is a critical role that requires a strong leader with a proven track record of driving operational excellence and quality improvement.Key ResponsibilitiesLeadership: Foster a culture of ownership, responsibility, and...

  • Insurance Sales Consultant

    2 weeks ago

    Springfield, Illinois, United States Steven Clark American Family Insurance Full time

    Job OverviewThe Insurance Sales Consultant position focuses on marketing, prospecting, and selling insurance products offered by American Family Insurance. This role is essential in fostering strong customer relationships, understanding client needs, and aligning them with suitable services and coverage options. Additionally, the consultant enhances brand...

  • Director of Physical Services Operations

    4 days ago

    Springfield, Illinois, United States Illinois Secretary of State Full time

    Job SummaryWe are seeking a highly experienced and skilled Director of Physical Services Operations to lead our Department of Physical Services at the Illinois Secretary of State. As a key member of our team, you will be responsible for overseeing the management of our state-owned properties, including the Capitol Complex and other facilities throughout the...

  • Maintenance Operations Director

    3 days ago

    Springfield, Ohio, United States CommuniCare Family of Companies Full time

    Job SummaryCommuniCare Health Services is seeking a highly skilled and experienced Maintenance Operations Director to oversee maintenance operations at our healthcare center location. The successful candidate will be responsible for leading a team of maintenance staff and ensuring that all maintenance activities are carried out in a safe and efficient...

  • Food and Beverage Operations Director

    7 days ago

    Springfield, Missouri, United States The Bungalows At Chesterfield Village Full time

    Job SummaryThe Bungalows at Chesterfield Village is seeking a seasoned professional to lead our dining operations as a Food and Beverage Director. This key role reports directly to the Executive Director and is responsible for providing overall leadership and management of the dining experience in our community.Key ResponsibilitiesProcurement and inventory...

  • Food and Beverage Operations Director

    1 week ago

    Springfield, Missouri, United States The Bungalows At Chesterfield Village Full time

    Job SummaryThe Bungalows at Chesterfield Village is seeking a seasoned professional to lead our dining operations as a Food and Beverage Director. This key role reports directly to the Executive Director and is responsible for providing overall leadership and management of the dining experience in our community.Key ResponsibilitiesProcurement and inventory...

  • Director of Facilities Operations

    1 week ago

    Springfield, Ohio, United States Wittenberg University Full time

    Job DescriptionThe Director of Facilities Management is a key leadership position responsible for overseeing the planning, coordination, and execution of facilities operations at Wittenberg University. This role requires a high degree of technical expertise, business acumen, and interpersonal skills to effectively manage a team of professionals and ensure...

  • Regional Operations Director

    1 week ago

    Springfield, Illinois, United States GPM Investments LLC Full time

    Job SummaryWe are seeking a highly skilled Regional Operations Director to oversee the operations of our retail stores in a specific geographic region. The ideal candidate will have excellent leadership and management skills, with the ability to drive business growth and profitability.Key ResponsibilitiesLeadership and ManagementLead and direct District...

  • Director of Facilities Management and Operations

    6 days ago

    Springfield, Ohio, United States Wittenberg University Full time

    Director of Facilities Management and OperationsWittenberg University seeks a highly skilled and experienced Director of Facilities Management and Operations to oversee the coordination of facility operations, including maintenance, grounds, and custodial services.Key Responsibilities:Prepare an annual budget for facilities operations with justifications for...

  • Regional Operations Director

    7 days ago

    Springfield, Illinois, United States GPM Investments LLC Full time

    Job SummaryWe are seeking a highly skilled and experienced Regional Operations Director to join our team at GPM Investments LLC. As a key member of our leadership team, you will be responsible for overseeing the operations of our regional stores, ensuring that they meet our high standards of quality and customer service.Key ResponsibilitiesLeadership and...