Health Insurance Operations Director jobs in North Carolina

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)

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Director of HR Operations
  • Flatlands Jessup Insurance Group
  • New Bern, NC FULL_TIME
  • Who We Are:

    Flatlands Jessup Insurance Group empowers people to secure their financial future and protect the ones they love. We prioritize client education. Our offices are in 5 locations throughout ENC, and we are still growing! Our core values are Passion, Dedication, Loyalty, Accountability, and Integrity. We have developed a culture in our offices that prioritizes supportiveness, collaboration, and fun. FJIG placed a priority on maintaining this culture by doing quarterly team bonding activities (most recently, Axe Throwing!) and by creating inter-office committees to help streamline processes and support growth!

    Position Title: Director of HR & Operations

    A. SUMMARY

    Is responsible for the communication, interpretation, and administration of policies and procedures. Deals directly with employees and owners to support agency functions such as employee relations, the development of policies and procedures, training and development, incentive plans, performance management, onboarding, and policy implementation. Conducts and develops formal training programs designed to provide employees with the skills, knowledge, and tools necessary to attain both department and agency goals.

    B. ESSENTIAL JOB FUNCTIONS

    • Ensures all employees comply with agency systems and procedures.
    • Manages and administers agency training programs.
    • Ensures agency efficiency through continuous, process-improvement efforts and effective utilization of systems automation.
    • Develops and administers employment policies and procedures and carries out personnel objectives and programs.
    • Communicates all agency issues as a liaison between staff and upper management.
    • Advises senior management on staff-perpetuation planning and development of select staff members.
    • Acts as an in-house expert on all issues relating to Human Resources functions and knows where to locate available resources.
    • Understands business issues and concerns and how they relate to agency personnel.
    • Maintains current organizational chart and job descriptions.
    • Manages the performance evaluation process so that all employees are evaluated within two weeks of review date.
    • Maintains a current employee handbook in compliance with local, state, and federal laws.
    • Manages labor issues as they arise.
    • Develops and implements the affirmative action program throughout the agency.
    • Manages the areas of compensation planning, wage and salary administration, employee benefits, employee relations, and personnel administration.
    • Oversees the payroll function to ensure that employees are paid accurately and on time.
    • Provides guidance and support to managers on employment policies, compensation and benefits issues, development and administration of incentive programs, and recruiting.
    • Works with management and staff to identify training needs.
    • Develops internal and external training programs to meet needs.
    • Monitors continuing education requirements and industry designation completion, ensuring that all employees satisfy their continuing education requirements on a timely basis.
    • Maintains familiarity with job descriptions and performance reviews to identify and coordinate training requirements.
    • Budgets and monitors training expenses as well as monitoring the marketing budget.
    • Participates in developing department, goals and objectives.
    • Participates in administrative staff meetings and attends other meetings and seminars.
    • Performs other duties as requested by management.

    C. KNOWLEDGE, SKILLS, AND ABILITIES

    Excellent understanding of agency workflow and processes. Must be organized with a demonstrated skills for effective verbal and written communication. A high level of familiarity with business operations in a corporate setting is key and candidates should have a strong understanding of agency systems. Ability to motivate staff and management in maintaining high-skill levels.

    D. WORKING CONDITIONS/ENVIRONMENT

    Fast-paced multitasking office environment. Employees are provided a dedicated workstation with basic ergonomic setup features, such as an ergonomic keyboard and mouse, dual monitors, and an adjustable chair. Workstation accommodations and adjustments are provided upon request and evaluation.

    E. PHYSICAL REQUIREMENTS

    Must be physically able to work a minimum of 40 hours per week in the office. The employee is regularly required to see, hear, and project voice well enough without amplification. There is frequent need for the employee to stand, sit, walk, use repetitive small motor activity, use hands and fingers, and reach with hands and arms. The employee is occasionally required to lift and carry up to 30 pounds; to stoop, kneel, crouch, or crawl, and to ascend and descend stairs. This position requires a high-energy level and ability to handle stress-related situations on a daily basis. The employee may be required to drive and travel unaccompanied in diverse weather conditions.

    F. OTHER REQUIREMENTS (PREREQUISITES)

    • A minimum of three years of management experience, preferably in insurance operations.
    • Ability to use a personal computer, calculator, agency automation system, and demonstrate proficiency in various software programs, including but not limited to all Microsoft Office software suite programs.
    • Familiarity with business and financial principles
    • Excellent communication skills
    • Strong excel, financial and basic computation skills
    • Outstanding organizational skills
    • Degree in Business, Operations Management or Human Resources, or related field

    Candidate must satisfactorily complete pre-hire employment assessments and maintain a satisfactory driving record. Candidate may be asked to submit to a drug and/or alcohol screening. A civil and criminal history background check will be performed at the company’s expense. Physical attendance is required at regular and/or mandatory company meetings. Employees are encouraged to pursue relevant professional designations; however, this is not required.

    G. APPLICABLE LAWS

    This employer complies with applicable federal, state, and local laws governing nondiscrimination in employment in every location in which the company has facilities. These laws include, but are not limited to:

    • ADA: The employer will make reasonable accommodations in compliance with the Americans with Disability Act of 1990.
    • EEO: This is an equal opportunity employer. The agency provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics.
    • OSHA: The employer will comply with OSHA requirements as applicable.

    ~This company works in partnership with Remarkable People Solutions to fill this position. Any communication from RPS is done on behalf of this company. All positions are direct hire positions with this company and not with RPS~

    Job Type: Full-time

    Pay: $75,000.00 - $90,000.00 per year

    Benefits:

    • 401(k)
    • Health insurance
    • Paid time off
    • Professional development assistance
    • Vision insurance

    Schedule:

    • Monday to Friday

    Work Location: One location

  • 4 Days Ago

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Operations Director
  • BrightView Health
  • Wilkesboro, NC FULL_TIME
  • Why You’ll Love This Operations Director Job Would you love to work in an environment where you can build genuine connections with a team that shares your passion for making a difference? Do you appre...
  • 14 Days Ago

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Operations Director
  • BrightView Health
  • Asheboro, NC FULL_TIME
  • Why You’ll Love This Operations Director Job Would you love to work in an environment where you can build genuine connections with a team that shares your passion for making a difference? Do you appre...
  • 17 Days Ago

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DIRECTOR OF CLINICAL OPERATIONS - HOSPICE
  • Adoration Health
  • Manteo, NC FULL_TIME
  • Our CompanyAdoration Home Health and HospiceOverview $10,000 Sign on Bonus Relocation Assistance! The Director, Clinical Operations is responsible for the overall direction of hospice clinical service...
  • 1 Day Ago

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ACO Operations Director
  • Wilmington Health
  • Wilmington, NC FULL_TIME
  • About Wilmington HealthSince 1971, Wilmington Health has been committed to the care and health of our community in Wilmington as well as all of Southeastern North Carolina. Wilmington Health is struct...
  • 11 Days Ago

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Health Insurance Agent
  • Carolina Insurance Professionals
  • , NC OTHER,FULL_TIME
  • Overview: We are a family-owned Insurance Agency in Raleigh, NC and are looking to expand our team with an additional Health Insurance Agent. Our Agents enroll clients from all 100 counties in North C...
  • 2 Days Ago

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Corporate Director of Resident Experience
  • Maplewood Senior Living LLC
  • Westport, CT
  • Corporate Director of Resident Experience Want to know what makes our employees eager about going to work every day? The...
  • 6/2/2024 12:00:00 AM

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Director of Residence Experience
  • Inspir Embassy Row, LLC
  • Washington, DC
  • Job Title: Director of Resident Experience Location: Washington D.C. Employment Type: Full-Time Salary Range: $75,000 - ...
  • 6/2/2024 12:00:00 AM

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Producer, MC22 - Located in Dubuque, IA
  • Mediacom Communications Corporation
  • Dubuque, IA
  • Located in Dubuque, IA Position: Producer, MC22 Who we are: Since 1995, Mediacom Communications has become a coast-to-co...
  • 6/2/2024 12:00:00 AM

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Shift Supervisor: Supported Living Services
  • Wingspan Care Group
  • Shaker Heights, OH
  • Lifeworks is a nonprofit organization dedicated to ensuring that individuals with autism lead healthy and enriched lives...
  • 6/2/2024 12:00:00 AM

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Residential Autism Program Director
  • Wingspan Care Group
  • Shaker Heights, OH
  • Now offering $5000 Sign on Bonus! Take the reins. Build your team. Inspire and innovate. Grow professionally. Those are ...
  • 6/2/2024 12:00:00 AM

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Part time-Preschool Sport and Fitness Coach
  • Super Soccer Stars
  • Annapolis, MD
  • The JumpBunch coach is essential to our success as an organization. As the most visible aspect of the program, the coach...
  • 6/2/2024 12:00:00 AM

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Strategic Account Manager - Remote
  • AssistRx
  • Orlando, FL
  • The Senior Account Manager cultivates and maintains AssistRx's relationship with our Pharmaceutical manufacturing partne...
  • 6/2/2024 12:00:00 AM

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Strategic Account Manager - Remote
  • AssistRx
  • Tampa, FL
  • The Senior Account Manager cultivates and maintains AssistRx's relationship with our Pharmaceutical manufacturing partne...
  • 6/2/2024 12:00:00 AM

North Carolina (/ˌkærəˈlaɪnə/ (listen)) is a state in the southeastern region of the United States. It borders South Carolina and Georgia to the south, Tennessee to the west, Virginia to the north, and the Atlantic Ocean to the east. North Carolina is the 28th-most extensive and the 9th-most populous of the U.S. states. The state is divided into 100 counties. The capital is Raleigh, which along with Durham and Chapel Hill is home to the largest research park in the United States (Research Triangle Park). The most populous municipality is Charlotte, which is the second-largest banking center in...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Director jobs
$166,482 to $224,520