Health Insurance Operations Director jobs in Michigan

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 Operations
  • VitalCore Health Strategies
  • Lansing, MI FULL_TIME
  • Join the VitalCore Team in Michigan! We're people fueled by passion, not by profit!

    VitalCore Health Strategies (VCHS), an industry leader in Correctional Health Care, has an opening for a Director of Operations for our facilities in the state of Michigan!!!

    At VitalCore we pride ourselves on retaining and acquiring compassionate, ethical individuals who are committed to providing quality services. Join our team and experience first-hand how VitalCore Health Strategies promotes a positive work environment that is based on respect and appreciation of the hard work and dedication of our staff. VitalCore’s Corporate Office is in Kansas with Regional Offices and facilities throughout the nation. Employment with VitalCore provides employees with above industry wages, an extensive benefits package, and a guaranteed annual incentive payment! VitalCore Health Strategies promotes a positive work environment that is based in respect and appreciation of the hard work and dedication of our staff. Join our team and experience first-hand how VCHS is leading the pack in the correctional healthcare industry and help us to make a difference in this field!

    DIRECTOR OF OPERATIONS BENEFITS PACKAGE:

    • Holiday Pay: New Year’s Day, Martin Luther King Jr. Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Veteran’s Day, Thanksgiving Day, and Christmas Day
    • Medical
    • Dental
    • Vision
    • Health Savings Account
    • Life Insurance
    • Short Term/Long Term Disability
    • Identity Theft Protection
    • Pet Insurance
    • Employee Assistance Program and Discount Center
    • 401K & Plan Matching
    • PTO
    • Dependent Care Flexible Spending Account
    • Annual Incentive Bonus

    DIRECTOR OF OPERATIONS POSITION SUMMARY

    The Regional Director of Operations is accountable for the delivery of contract services within the institutions of an area or region. The Regional Manager works collaboratively with the Operations management team to determine, implement, and monitor the strategic direction and plan for the company. In conjunction with executive medical leadership, the Regional Director of Operations is responsible for establishing and maintaining effective clinical quality oversight for the Company. The Regional Director of Operations negotiates contract terms, amendments, extensions and bids, and must proactively identify potential business opportunities and participate in the pursuit of new contracts and clients.



    DIRECTOR OF OPERATIONS MINIMUM REQUIREMENTS

    • Serves as the liaison with key senior level clients to ensure client satisfaction and continued business opportunities.
    • Ensures regional resources are directed accordingly for implementation of contract support and personnel programs.
    • In conjunction with medical leadership, implements and systematically monitors clinical quality oversight.
    • Participates in marketing and sales process by providing operational input on staffing development, pro forma and proposal development, as well as bid conferences and presentations.
    • Markets VitalCore’s contract services on an on-going basis.
    • Responsible for public relations within the region including interfacing with government officials and organizations.
    • Reviews and analyzes the financial reports for the region and takes corrective action as needed.
    • Oversees regional budgeting and leads operational planning processes.
    • Implements a contract audit program and assures that audits are conducted at each site at least bi-annually.
    • Ensures that each assigned region submits timely and accurate reports to the client and Corporate Office.
    • Prepares a monthly summary on the status of the region’s operations.
    • Proactively monitors labor management and takes appropriate corrective action, ensuring staffing is maintained consistent with contract requirements.
    • Responsible for ensuring that all Provider Contracting activities are reflective of clinical/program services identified by client contract.
    • Sets a strategic plan and direction for operations recruitment efforts, maintaining and monitoring effective selection and retention practices.
    • Consistently and systematically identifies high performing management personnel, actively planning for their development, promotion and succession planning.
    • Provides mentoring and coaching to direct reports in order to fortify management and supervisory skills across the Company.
    • Conducts special projects as requested by Corporate Office.
    • Serves as the VitalCore information resource during contract negotiations.
    • Ensures that each facility in assigned area is visited regularly by Regional management.

    DIRECTOR OF OPERATIONS ESSENTIAL FUNCTIONS

    • Maintain accurate, detailed reports and records.
    • Administer medications to patients and monitor patients for reactions and side effects.
    • Record patients’ medical information and vital signs.
    • Monitor, record, and report symptoms or changes in patients’ condition.
    • Consult and coordinate with healthcare team members to assess, plan, implement, or evaluate patient care plans.
    • Modify patient treatment plans as indicated by patients’ responses and conditions.
    • Monitor all aspects of patient care, including diet and physical activity.
    • Direct or supervise less-skilled nursing or healthcare personnel or supervise a particular unit.
    • Prepare patients for and assist with examinations or treatments.
    • Instruct individuals, families, or other groups on topics such as health education, disease prevention, and childbirth as well as develop health improvement programs.
    • Prepare rooms, sterile instruments, equipment, or supplies and ensure that stock of supplies is maintained.
    • Order, interpret, and evaluate diagnostic tests to identify and assess patient’s condition.
    • Additional duties as assigned by facility.

    DIRECTOR OF OPERATIONS REQUIREMENTS

    • Bachelor’s degree in healthcare administration or related field required. MHA, MBA, or comparable postgraduate degree preferred.
    • Minimum of seven (7) years of management experience in a healthcare setting if Master’s prepared. Minimum of eight (8) years of management experience in a healthcare setting if Bachelor’s prepared.
    • Multi-site management experience highly desirable.
    • Correctional healthcare experience preferred.
    • Subject to initial and ongoing security clearance requirements.

    VitalCore Health Strategies is an equal opportunity employer and committed to creating and maintaining an inclusive workplace in which all employees have an opportunity to participate and contribute to the success of the business and are valued for their skills, experience, and unique perspectives.



    Compensation details: 120000-125000 Yearly Salary

  • 7 Days Ago

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Director of Operations
  • Central City Integrated Health
  • Detroit, MI FULL_TIME
  • Education and Experience Bachelor’s degree in business administration, health administration, public health or related field required; Master’s degree preferred. A minimum of five (5) years’ experienc...
  • 24 Days Ago

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Assistant Director of Cage Operations
  • Bay Mills Health Center
  • Brimley, MI OTHER
  • POSITION SUMMARY:Under the direction of the Director of Cage Operations, the Asst. Director of Cage Operations assists the Director in all facets of Cage Operations, including but not limited to: hiri...
  • 4 Days Ago

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Regional Director of Operations
  • Behavioral Health Group - BHG
  • Lansing, MI FULL_TIME
  • We are specifically seeking candidates who currently reside in Lansing, Michigan area. The Regional Director of Operations is a business unit owner and is responsible for maximizing BHG clinical and f...
  • 8 Days Ago

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Director - Technology Operations
  • Trinity Health - IHA
  • Ann Arbor, MI FULL_TIME
  • POSITION DESCRIPTION: The Director of Technology Operations is primarily responsible for the operational and service excellence of IHA#s Information Technology Department. #Provides direction to manag...
  • 9 Days Ago

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Regional Director Of Operations
  • Together Women's Health, LLC
  • Grosse Pointe, MI FULL_TIME
  • Overview The Regional Director “RD” of Together Women’s Health (“TWH”) is a servant leader that is accountable to the operational and financial success of the practices locations that they oversee wit...
  • 9 Days Ago

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Assisted & Senior Living Manager - LALD - Full Time - Luverne
  • Good Samaritan Society
  • Luverne, MN
  • Careers With Purpose Join our not-for-profit organization that has provided over 100 years of housing and services to se...
  • 6/12/2024 12:00:00 AM

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Director of Nursing (DON)
  • AHC Lexington
  • Lexington, TN
  • Join our Community as a Director of Nursing (RN)!!! As an Director of Nursing (RN) at American Health Communities under ...
  • 6/12/2024 12:00:00 AM

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Board Certified Behavior Analyst (Bcba) Center Based IN Katy
  • Centria Autism
  • Katy, TX
  • Every child deserves the brightest future and Centria Autism Services is on a mission to help children with Autism Spect...
  • 6/12/2024 12:00:00 AM

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Laboratory Manager - Sanford Medical Center, Fargo
  • Sanford Health
  • Fargo, ND
  • Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the Unite...
  • 6/12/2024 12:00:00 AM

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Board Certified Behavior Analyst (Bcba) $10,000 Sign ON Bonus
  • Centria Autism
  • Mount Pleasant, MI
  • Every child deserves the brightest future and Centria Autism Services is on a mission to help children with Autism Spect...
  • 6/12/2024 12:00:00 AM

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Remote Board Certified Behavior Analyst (Bcba)
  • Centria Autism
  • Phoenix, AZ
  • Every child deserves the brightest future and Centria Autism Services is on a mission to help children with Autism Spect...
  • 6/12/2024 12:00:00 AM

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Board Certified Behavior Analyst (Bcba)
  • Centria Autism
  • Beaverton, OR
  • Every child deserves the brightest future and Centria Autism Services is on a mission to help children with Autism Spect...
  • 6/12/2024 12:00:00 AM

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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

Michigan consists of two peninsulas that lie between 82°30' to about 90°30' west longitude, and are separated by the Straits of Mackinac. The 45th parallel north runs through the state—marked by highway signs and the Polar-Equator Trail—along a line including Mission Point Light near Traverse City, the towns of Gaylord and Alpena in the Lower Peninsula and Menominee in the Upper Peninsula. With the exception of two small areas that are drained by the Mississippi River by way of the Wisconsin River in the Upper Peninsula and by way of the Kankakee-Illinois River in the Lower Peninsula, Michigan...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Director jobs
$171,556 to $231,361