Healthcare Operations Director
1 week ago
Molina Healthcare is a leading healthcare provider dedicated to delivering quality care and innovative solutions to our patients.
Job SummaryWe are seeking an experienced AVP, Health Plan Operations to join our team. The ideal candidate will have 7-10 years of experience in healthcare administration, health plan operations, managed care, and/or provider services. This role will direct and coordinate health plan operations, ensuring compliance with all relevant federal, state, and local regulatory requirements.
Responsibilities- Directs analytical activities to identify trends and potential opportunities that may impact the functionality of health plan operations
- Manages benefit configuration, claim payment policies, and maintenance/modification to support accurate and timely claims payment
- Ensures compliance with regulatory requirements and accurate claims and encounter submissions
- Liaises with enrollment and contact center operation leaders to ensure full and consistent compliance with health plan state contract and regulatory requirements
- Partners to support plan encounter submissions to regulators
- Bachelor's degree in business, health services administration, or related field
- 7-10 years' experience in healthcare administration, health plan operations, managed care, and/or provider services
- Experience managing/supervising employees
- Demonstrated adaptability and flexibility to a rapidly moving business environment
We offer a competitive salary range of $120,000 - $180,000 per year, depending on experience. Additionally, we provide a comprehensive benefits package, including medical, dental, and vision coverage, 401(k) matching, and paid time off.
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Operations Director
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Healthcare Operations Director
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International Healthcare Marketing Director
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Director of Operations
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Primary Care Operations Director
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Maintenance Operations Director
7 days ago
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Director Therapy Operations
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Director of Operations
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Director of Operations
2 months ago
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Director of Operations
2 months ago
miami, United States Specialty Restaurants Full timeCompany Overview:Specialty Restaurants is a leader in the hospitality industry, known for our portfolio of iconic restaurants and venues. We pride ourselves on delivering exceptional dining experiences and outstanding service. We are seeking a dynamic and experienced Director of Operations to join our team and oversee the success of our restaurants.Top-notch...
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Director of Operations
2 months ago
Miami, United States Specialty Restaurants Full timeCompany Overview:Specialty Restaurants is a leader in the hospitality industry, known for our portfolio of iconic restaurants and venues. We pride ourselves on delivering exceptional dining experiences and outstanding service. We are seeking a dynamic and experienced Director of Operations to join our team and oversee the success of our restaurants.Top-notch...
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Global Operations Director
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Director of Operations Primate Breeding Facility
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Medical Laboratory Operations Director
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Optical Operations Director
1 week ago
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Director of Site Safety Operations
1 week ago
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