Health Plan Operations Director
19 hours ago
Vice President, Health Plan Claims and Operations
We are seeking a seasoned leader to oversee the Utilization Management team, health claims, contracts, and benefits departments. This role will report to the Chief Medical Officer for strategy and growth development, as well as manage team operations.
Key Responsibilities:- Lead the Utilization Management team to ensure efficient and effective management of health claims.
- Develop and implement strategies to improve health plan operations and reduce costs.
- Collaborate with the CMO to drive growth and development of the health plan.
- Manage team operations, including hiring, training, and performance management.
Requirements:
- Multi-state experience from a Health Plan with a self-funded plan.
- Operations and management experience.
What We Offer:
- Competitive salary and benefits package.
- Opportunity to work with a dynamic team and contribute to the growth and development of the health plan.
- Flexible hybrid schedule with remote work options.
Equal Employment Opportunity:
- We are an equal opportunity employer and welcome applications from qualified candidates with arrest and conviction records in accordance with federal, state, and local laws.
Benefits:
- Medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits, and 401K plan.
Additional Information:
- Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.
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