Health Insurance Operations Director jobs in Georgia
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
Director, Practice Operations Digestive Health
- Wellstar Health System
-
Marietta, GA
FULL_TIME
-
Facility: WCO - Wellstar Corporate Office
Job Summary
Director of Practice Operations, provides administrative leadership to all WellStar Physicians practices, in partnership with physicians. Responsibilities include planning, organizing, delegating, coordinating and controlling the operation of all assigned practices. Ensures that quality services are provided according to established policies and procedures. Responsible for working in collaboration with practice's physician(s) to manage overall operations. This position requires a 5 day work week, plus occasional weekends and evenings.
Core Responsibilities And Essential Functions
Human Resource Management- Adheres to WellStar Health Systems policy and procedure regarding overall human resource management and applies such policies and procedures consistently
- Demonstrates effective hiring and management of staff. Financial Resource Management
- Responsible for the financial viability of the WellStar Physicians Group practices, including but not limited to:
- Monitoring progress against budget
- Planning and implementing capital expenditures
- Following progress of business office (either central or local)
- Plans and maintains operating budget on a practice by practice level.
- Administers accounting and financial control systems, accounts receivables and budgets
- Utilizes financial and operational principles in daily and long-term practice operations. Leadership and Professional Responsibility
- Cultivates a relationship of mutual respect and trust with providers and staff. Works in conjunction with physician leaders, Practice Managers, and VP Physician Services to facilitate provider understanding and acceptance of good business management
- Ensures providers at assigned practices understand their obligations as specified by their contract within the Wellstar Physicians Group
- Seeks out opportunities to network and enhance practice management knowledge base. Actively participates in organizational activities and continuing education
- Exhibits professionalism in dress, style and manner.
- Ability to demonstrate good communication skills with providers, managers and staff. Practice Operations
- Supervises and advises the Practice Managers of all practices.
- Acts as a liaison between physicians and Wellstar Administration.
- Assures resource management to achieve practice business goals
- Directs practice operations to assure financial viability through service quality and clinical excellence to the population served.
- Demonstrates appropriate knowledge and proficiency of the IS and communication systems available to meet practice needs. Compliance and Risk Management
- Supports and applies a working knowledge of WellStar Health Systems Standard and Department Policies and Procedures.
- Upholds all applicable regulatory agency guidelines.
- Supports Clinical Consultants and Office Staff in upholding clinical quality in the practice. Customer Service
- Adheres, supports and embodies WellStar Physicians Groups Customer Service Commitment to Excellence.
- Strives for excellence in employee engagement and patient satisfaction.
Bachelor's Degree Required and
MBA And/or MHA Preferred Preferred
Required Minimum License(s) and Certification(s):
All Certifications Are Required Upon Hire Unless Otherwise Stated.- Cert Healthcare Exec-Preferred or Cert Healthcare Financial Prof-Preferred
Additional License(s) and Certification(s):
Required Minimum Experience
Minimum 5 years healthcare management experience, preferably in a practice setting. Required
Required Minimum Skills
Excellent communication and presentation skills, both verbal and written.
Knowledge and command of the principles of financial analysis, strategic planning, operations, human resources and information systems.
Ability to collect, analyze and apply data and other pertinent information to develop short and long term practice goals and budget needs.
Ability to work independently and to motivate and develop staff.
Work closely with physicians, other providers and Wellstar Administration to establish and meet short and long term strategic practice goals.
Proactively searches for and recommends opportunities to enhance practice services and revenue.
Consistently demonstrates excellent leadership and customer service skills. - 1 Day Ago
Director, Practice Operations Digestive Health
- Wellstar Health System, Inc.
-
Atlanta, GA
FULL_TIME
- Facility: VIRTUAL-GA Job Summary:Director of Practice Operations, provides administrative leadership to all WellStar Physicians practices, in partnership with physicians. Responsibilities include plan...
- 20 Days Ago
Director, Practice Operations - GI/Digestive Health
- Wellstar Health System
-
Roswell, GA
FULL_TIME
- Overview We have an immediate need for a Director of Practice Operations for Gastrointestinal (GI) / Digestive Health. Director of Practice Operations, provides administrative leadership to all Wellst...
- 14 Days Ago
Quality Operations Program Director
- Wellstar Health System, Inc.
-
Marietta, GA
FULL_TIME
- Facility: WCO - Wellstar Corporate Office Job Summary:The Director of Quality Operations assumes responsibility for planning and coordinating efforts across the organization for the strategic and oper...
- 5 Days Ago
Director, Healthcare Operations
- Better Health Group
-
Atlanta, GA
FULL_TIME
- Our purpose is Better Health. Specializing in primary care for patients 65 is our passion.What’s Your Why?• Are you looking for a career opportunity that will help you grow personally and professional...
- 12 Days Ago
Director Business Operations
- Grady Health System Careers
-
United States, GA
FULL_TIME
- Grady Health System offers many career paths for experienced professionals. Whether you have many years of experience or are in the early stages of your career, you can find a rewarding career at Grad...
- Just Posted
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Health Insurance Operations Director
- 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
About Georgia
Georgia is a state in the Southeastern United States.Beginning from the Atlantic Ocean, the state's eastern border with South Carolina runs up the Savannah River, northwest to its origin at the confluence of the Tugaloo and Seneca Rivers. It then continues up the Tugaloo (originally Tugalo) and into the Chattooga River, its most significant tributary. These bounds were decided in the 1797 Treaty of Beaufort, and tested in the U.S. Supreme Court in the two Georgia v. South Carolina cases in 1923 and 1989.
The border then takes a sharp turn around the tip of Rabun County, at latitude 35°N, thou...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Director jobs
$168,079 to $226,673