Health Insurance Operations Director jobs in New Mexico

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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Sr. Reinsurance Operations Specialist
  • Arch Insurance Group Inc.
  • Cannon, NM FULL_TIME
  • With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠.

    Responsibilities

  • Responsible ensuring reinsurance agreements internal and external requirements are met for the following work streams:
    • Treaty Set up/Profiling
    • Facultative Set up/Profiling
    • Captive Set up/Profiling
    • Reinsurance identification/calculation
    • Financial Data Processing/Reconciliation
    • Reinsurance reporting & record keeping
    • Other work streams as needed
    • Delivers in accordance with Standard Work and Service Level agreements
    • Effectively communicates and collaborates across the organization as needed
    • Effectively handles escalated issues and resolves problems
    • Escalates IT related issues impacting workflow and production
    • Provides training, technical expertise to less experienced staff, as needed
    • Implements assigned projects as needed
    • Other duties as needed

    Key Competencies

    • Reinsurance technical knowledge
    • Collaborative and team-oriented
    • Analytical with ability to problem solve
    • Self-directed showing personal accountability and sense of urgency
    • Strong customer service orientation with an ability to operationalize customer needs
    • Self-motivated, proactive, and able to manage competing demands
    • Mid – Advance working knowledge of reinsurance operations (QS/XOL, Treaty/Fac)
    • Proficient in Microsoft Office Suite, SmartSheets, ImageRight, PowerBI. Other insurance platforms a plus (Policy Decisions, PolicyWriter, etc.)

    Education And Experience

    • College degree – BA or BS preferred
    • 3-5 years relevant (re)insurance experience
    • Reinsurance Operations Experience
    • ARe, AINS, CPCU or similar designation is a plus

    For individuals assigned or hired to work in California, Colorado, Hawaii, Jersey City, NJ; New York State; and/or Washington State, the base salary range is listed below. This range is as of the time of posting. Position is incentive eligible.

    $70,000 - $82,000/year

    • Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above range may be modified in the future
    • Click here to learn more on available benefits

    Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn’t the right fit but you’re interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch’s Talent Acquisition team.

  • 1 Day Ago

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Operations Director
  • Cancer Foundation for New Mexico
  • Santa Fe, NM FULL_TIME
  • Are you a highly organized team player who loves optimizing operational efficiencies and finding ways to work smarter, not harder? Do you have a positive outlook, self-assurance, and a good sense of h...
  • 4 Days Ago

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Director of Operations
  • ASM Global-SMG
  • Albuquerque, NM FULL_TIME
  • POSITION: Director of Operations DEPARTMENT: Operations REPORTS TO: General Manager FLSA STATUS: Full Time-Salaried Exempt Summary ASM Global, the leader in privately managed public assembly facilitie...
  • 17 Days Ago

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Director-Health Information Management
  • Peak Behavioral Health
  • Santa Teresa, NM FULL_TIME
  • Director-Health Information Management | Peak Behavioral Health | Santa Teresa, New MexicoAbout the Job:The Health Information Management Director is responsible for the overall leadership and managem...
  • 3 Days Ago

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Insurance Representative
  • Ben Archer Health Center
  • Hatch, NM FULL_TIME
  • General Job Description: •Performs a variety of complex clerical and accounting functions for patient billing, including verification of invoice information, maintenance of third party billing records...
  • 2 Months Ago

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Producing Finance and Insurance Director
  • AutoNation, Inc.
  • Albuquerque, NM FULL_TIME
  • AutoNation USA Albuquerque At AutoNation, doing what’s right by the customer comes standard at 300 locations coast to coast, so it’s no wonder we have served over 10 million happy customers. As an F&I...
  • 10 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

New Mexico (Spanish: Nuevo México Spanish pronunciation: [ˈnweβo ˈmexiko] (listen), Navajo: Yootó Hahoodzo pronounced [jòːtxó xɑ̀xʷòːtsò]) is a state in the Southwestern region of the United States of America; its capital and cultural center is Santa Fe, which was founded in 1610 as capital of Nuevo México (itself established as a province of New Spain in 1598), while its largest city is Albuquerque with its accompanying metropolitan area. It is one of the Mountain States and shares the Four Corners region with Utah, Colorado, and Arizona; its other neighboring states are Oklahoma to the north...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Director jobs
$159,892 to $215,633