Health Plan Operations Director

19 hours ago


Reston, Virginia, United States LHH Full time
Health Plan Operations Leadership Opportunity

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.

  • Director of Operations

    21 hours ago


    Reston, Virginia, United States BrightSpring Health Services Full time

    BrightSpring Health Services is seeking a highly skilled and experienced Executive Director to lead our operations. The ideal candidate will have a proven track record of driving financial performance, implementing strategic plans, and ensuring quality assurance initiatives. Key responsibilities include reviewing operations performance, analyzing staff...

  • Director of Operations

    22 hours ago


    Reston, Virginia, United States BrightSpring Health Services Full time

    BrightSpring Health Services is seeking a highly skilled and experienced Executive Director to lead our operations. The ideal candidate will have a proven track record of driving financial performance, implementing strategic plans, and ensuring quality assurance initiatives. Key responsibilities include reviewing operations performance, analyzing staff...


  • Reston, Virginia, United States IronRoad Full time

    Job DescriptionJob Title: Strategic Planning DirectorJob Summary:IronRoad is seeking a highly skilled Strategic Planning Director to oversee the development and implementation of our AmeriCorps program. The successful candidate will be responsible for coordinating efforts among cross-sector partners, leveraging funding opportunities, and identifying the...


  • Reston, Virginia, United States New Mexico Climate Investment Center Full time

    {"About the New Mexico Climate Investment CenterThe New Mexico Climate Investment Center (NMCIC) is a mission-driven nonprofit financial institution that operates on the 'Green Bank' model. It leverages private sector money for investments in projects that boost equity and reduce greenhouse gas emissions. NMCIC prioritizes providing benefits to low-income...

  • Director of Operations

    12 hours ago


    Reston, Virginia, United States New Mexico Climate Investment Center Full time

    {"About the New Mexico Climate Investment CenterThe New Mexico Climate Investment Center (NMCIC) is a mission-driven nonprofit financial institution that operates on the 'Green Bank' model. It leverages private sector money for investments in projects that boost equity and reduce greenhouse gas emissions. NMCIC prioritizes providing benefits to low-income...


  • Reston, Virginia, United States The Buttered Biscuit Full time

    About The Buttered BiscuitWe are a rapidly growing upscale modern southern breakfast, brunch, and lunch restaurant that values cultivating a food-focused dining experience. Our unique and diverse personalities come together to deliver handcrafted classic southern food.Job Title: Director of OperationsWe are seeking a highly skilled and experienced Director...


  • Reston, Virginia, United States QPS Employment Group Full time

    Job DescriptionWe are seeking a seasoned professional to lead our sourcing and production planning teams. As Director of Sourcing and Production Planning, you will be responsible for developing and executing strategic plans to optimize our supply chain.Key Responsibilities:Lead and enhance processes from sourcing material to scheduling equipment on the shop...


  • Reston, Virginia, United States CEO Inc. Full time

    Job Title: Director of Manufacturing OperationsLocation: Southern OhioReports to: EVP of ManufacturingJob Summary:The Director of Manufacturing Operations is a pivotal role responsible for the overall management of our recycling polymer plant. This includes operations, maintenance, EHSQ (Environmental, Health, Safety, and Quality), and site logistics...


  • Reston, Virginia, United States CEO Inc. Full time

    Job Title: Director of Manufacturing/OperationsLocation: Southern OhioReports to: EVP of ManufacturingJob Summary:The Director of Manufacturing/Operations is a pivotal role responsible for overseeing the overall management of our recycling polymer plant. This includes operations, maintenance, EHSQ (Environmental, Health, Safety, and Quality), and site...


  • Reston, Virginia, United States Rise Technical Full time

    Director of Plant Operations – Solid FuelsBuffalo, NY – Commutable from: Rochester, Niagara + Full Relocation Assistance$150,000 - $185,000 + Annual Bonus Incentive Plan (40%) + 401k 7% Match + 4 Weeks PTO + Progression to Senior Directorship + Relocation Package + Full Benefits PackageAre you a seasoned plant manager with solid fuels experience looking...


  • Reston, Virginia, United States Tutera Senior Living and Health Care Full time

    Job SummaryWe are seeking a highly skilled and experienced Regional Director of Operations to oversee the operations of our senior living communities in a designated region.Key ResponsibilitiesOversee the day-to-day operations of senior living communities in the assigned regionDevelop and implement business strategies to drive growth and improve operational...

  • Operations Director

    16 hours ago


    Reston, Virginia, United States COREcruitment Ltd Full time

    Director of Operations – Café – New York - $130,000 to $180,000 DOEWe are excited to be working with a Speciality Coffee House brand who is expanding their concept This dynamic and innovative hospitality brand is known for its unique approach and exceptional service. They are seeking a Director of Operations with a strong franchise background to oversee...


  • Reston, Virginia, United States RexMont Real Estate Full time

    {"h1": "Director of Operations at RexMont Real Estate", "p": "We are seeking a highly skilled and experienced Director of Operations to join our team at RexMont Real Estate. As a key member of our leadership team, you will be responsible for ensuring the smooth operation of our business, driving growth and innovation, and leading our teams to achieve...

  • Operations Director

    3 days ago


    Reston, Virginia, United States Vosa Spirits Full time

    Job Title: Operations DirectorCompany: Vosa Spirits, LLCWe are seeking an experienced Operations Director to join our innovative team at Vosa Spirits, an innovator in the canned cocktail market. The ideal candidate will have a passion for optimizing operations and driving efficiency in a fast-paced environment.Key Responsibilities:Strategic Leadership:...

  • Operations Director

    12 hours ago


    Reston, Virginia, United States Human Capital Associates Full time

    Director of Operations and StrategyHuman Capital Associates is seeking an experienced Director of Operations to join their leadership team. Reporting to the Board, the Director of Operations is responsible for all aspects of the Company's overall operation, including production, purchasing and materials, human resources, financial controls, and customer...

  • Operations Director

    17 hours ago


    Reston, Virginia, United States WorldBridge Partners - Leaders in Recruiting and Executive Searc Full time

    Director of Operations Job DescriptionWe are seeking a seasoned Director of Operations to oversee and develop the management of all areas of manufacturing, quality, shipping & receiving, and maintenance for a non-union facility operating 2 shifts.Key Responsibilities:Develop and establish manufacturing, sourcing, procurement, and engineering procedures to...

  • Operations Director

    2 days ago


    Reston, Virginia, United States KIP Search Full time

    Operations Director Job DescriptionKIP Search is seeking an experienced Operations Director to lead our team and drive business growth. As a key member of our leadership team, you will be responsible for overseeing daily operations, developing and implementing processes to improve efficiency, and providing direct leadership to staff.Key...

  • Operations Director

    17 hours ago


    Reston, Virginia, United States Skills Alliance Full time

    About the RoleWe are seeking a highly experienced and dynamic Operations Director to join our global team at Skills Alliance. As the Operations Director, you will play a key role in overseeing and managing our company's operations to ensure efficiency, productivity, and growth.Key ResponsibilitiesDevelop and implement operational strategies and plans to...


  • Reston, Virginia, United States CARsgen Therapeutics Full time

    Clinical Operations DirectorAt CARsgen Therapeutics, we are seeking a highly experienced Clinical Operations Director to lead our clinical trials operations team. The successful candidate will be responsible for ensuring the smooth execution of clinical trials, from planning to completion, in accordance with regulatory requirements and company standards.Key...

  • Director of Operations

    11 hours ago


    Reston, Virginia, United States Vishay Intertechnology, Inc. Full time

    About the Role:Vishay Intertechnology, Inc. is a Fortune 1,000 Company listed on the NYSE (VSH). We are seeking a highly skilled Director of Operations to join our team in Bennington, VT.Key Responsibilities:Manage day-to-day activities to ensure efficient operation of the plantOversee the Operational team, including Production, Planning, Purchasing,...