Health Insurance Operations Director jobs in the United States

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, US Regulatory Policy & Intelligence
  • 10001059 - Assoc Director Reg Operations
  • Boston, MA FULL_TIME
  • This is what you will do:  

    The Director, US Regulatory Policy & Intelligence (RPI), is responsible for US regulatory policy activities within the Regulatory Science & Execution team. This includes identifying and advocating for US regulatory policies specific to Alexion business goals, developing policy positions, and conveying Alexion positions to relevant stakeholders. This will be done in close collaboration with Alexion and AstraZeneca colleagues through participation on external and internal work groups, analysis of impact of proposed US policy changes, communicating to relevant internal stakeholders, and providing insights that advances regulatory strategies. The aim of this position is to partner with cross-functional colleagues, US and global regulatory leads, the Regulatory Intelligence & Policy team, and US Corporate Affairs, as well as engaging regulatory authorities, industry, patient advocates, professional associations and other stakeholders to progress development activities of the pipeline. This position is an integral part of the Global Regulatory Affairs – Regulatory Science & Execution (GRA-RSE) team. 

    Based on the above activities, it is expected that he/she will be a key partner across R&D and other areas of the organization to ensure that Alexion’s regulatory strategies and activities are based on an adequate understanding of the US regulatory environment. 

    The Director, Regulatory Policy & Intelligence (RPI) will: 

    • Represent Alexion and our business interests in trade association working groups; 

    • Work collaboratively with cross-functional partners within Alexion to identify regulatory policy priorities and develop positions;  

    • Work collaboratively with partners within AstraZeneca Regulatory Policy to ensure alignment on regulatory policy priorities and develop positions to inform regulatory strategy; 

    • Work with US Corporate Affairs team to assist in the development of response and stakeholder engagement strategies to address unexpected regulatory challenges.  

    • Collaborate with US Corporate Affairs team to ensure that regulatory intelligence is effectively integrated into the broader policy and advocacy strategies.  

    • Work collaboratively with other experts in a pre-competitive manner to build a Regulatory Policy network to support Alexion and AstraZeneca priorities; 

    • Communicate clearly and effectively (verbally and written) on US Regulatory Policy developments to a broad, diverse and global audience; 

    • Actively contribute to development of an Alexion RPI group dedicated to providing information that advances regulatory strategies for Alexion’s products and R&D activities; 

    • Identify areas where continuous, new or increased external engagement will progress our business goals; 

    • Actively engage with senior leaders to discuss strategic topics that require understanding of the US regulatory environment 

     

    You will need to have: 

    • A degree in life sciences or health-related discipline; 

    • Minimum of 7 years of life sciences and regulatory experience; 

    • Experience working in R&D organizations and cross-functional teams; 

    • Good knowledge and interest in the regulatory system of major jurisdictions (EU and US); 

    • Excellent communication skills, both verbally and written (proficiency in English required); 

    • Motivated to develop as a regulatory and R&D professional and to partner effectively with other colleagues to achieve business goals; 

    • The duties of this role are generally conducted in an office environmentEmployees should be able to (with or without accommodation) use a computer; engage in communications via phone, video, and electronic messaging; problem solve; engage in complex and non-linear thought, analysis, and dialogue; collaborate with others; maintain general availability during standard business hours.    

     

    We would prefer for you to have: 

    • Solution-seeking attitude and able to adapt to change;  

    • Passionate to promote a culture of teamwork, joy at work and putting patients in the center of our daily work; 

    • Previous experience in regulatory policy and intelligence activities, including in writing summaries/reports for different audiences; 

    • Previous experience in a regulatory authority and/or pharmaceutical industry; 

    • Supplementary education in life-sciences with a regulatory component or previous regulatory training  

    • Proficient management of regular IT tools (MS Office, notably PowerPoint and Excel, amongst others) 

    The annual base pay for this position ranges from $165,300.80 - $247,951.20. Hourly and salaried non-exempt employees will also be paid overtime pay when working qualifying overtime hours. Base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience. In addition, our positions offer a short-term incentive bonus opportunity; eligibility to participate in our equity-based long-term incentive program (salaried roles), to receive a retirement contribution (hourly roles), and commission payment eligibility (sales roles). Benefits offered included a qualified retirement program [401(k) plan]; paid vacation and holidays; paid leaves; and, health benefits including medical, prescription drug, dental, and vision coverage in accordance with the terms and conditions of the applicable plans. Additional details of participation in these benefit plans will be provided if an employee receives an offer of employment. If hired, employee will be in an “at-will position” and the Company reserves the right to modify base pay (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.

    AstraZeneca embraces diversity and equality of opportunity. We are committed to building an inclusive and diverse team representing all backgrounds, with as wide a range of perspectives as possible, and harnessing industry-leading skills. We believe that the more inclusive we are, the better our work will be. We welcome and consider applications to join our team from all qualified candidates, regardless of their characteristics. We comply with all applicable laws and regulations on non-discrimination in employment (and recruitment), as well as work authorization and employment eligibility verification requirements.

  • 13 Days Ago

1
Product Champion Director, Operations, GTO
  • 10001095 - Assoc Director Science
  • Gaithersburg, MD FULL_TIME
  • Product Champion Director, GTOLocation: Gaithersburg, MD (minimum 3x days a week onsite)Overview:Do you have a passion for manufacturing, developing, and commercializing life-changing medicines in a p...
  • 4 Days Ago

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Entry-Level Director of Operations for an Insurance Agency
  • Sterling Insurance Group
  • Boston, MA FULL_TIME
  • We are seeking an Entry-Level Director of Operations with a foundation in Property & Casualty (P&C) insurance and strong information technology experience to help lead the operational growth of our in...
  • 7 Days Ago

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Health Insurance Operations Specialist
  • Fenyx Health
  • Lewisburg, PA FULL_TIME
  • OverviewWe are seeking a passionate Operations Specialist join our team and support our enrollment, call/service, claim and general operations. If you have health insurance experience, a knack for man...
  • Just Posted

1
Executive Director, Head of Immune Cell Therapy Operations
  • 10001105 - Senior Director Translational Sci
  • Boston, MA FULL_TIME
  • Are you ready to take on a leadership role that will shape the future of AstraZeneca R&D? We are seeking an Executive Director, Head of Immune Cell Therapy Operations. This role is pivotal in driving ...
  • 23 Days Ago

1
Insurance Verification Representative II - Evanston
  • 1100 Endeavor Health Clinical Operations
  • Evanston, IL FULL_TIME
  • Position Highlights: Position: Insurance Verification Representative II Location: Evanston, IL Full Time/Part Time: Full Time Hours: Monday-Friday, 8am - 4:30pm Required Travel: N/A A Brief Overview: ...
  • 24 Days Ago

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Registered Nurse Operating Room
  • StoneSprings Hospital Center
  • Dulles, VA
  • Description Introduction Are you looking for a place to deliver excellent care patients deserve? At StoneSprings Hospita...
  • 12/3/2024 12:00:00 AM

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Basketball, Boys Head Coach (SY 2024-2025)
  • Loudoun County Public Schools
  • Sterling, VA
  • Job Overview High school Dominion Basketball coaching position. Season runs Winter, November - February Roles and Respon...
  • 12/3/2024 12:00:00 AM

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Volleyball, JV Head Coach
  • Loudoun County Public Schools
  • Sterling, VA
  • Job Overview High school Park View Volleyball coaching position. Season runs Fall, August - November Roles and Responsib...
  • 12/3/2024 12:00:00 AM

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Deputy Director, Insurance Programs
  • Union Privilege
  • Washington, DC
  • Job Description Job Description Deputy Director, Insurance Programs Reports to the Vice President, Program Management Re...
  • 12/1/2024 12:00:00 AM

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Supervisor, Critical Operations
  • Quality Technology Services, LLC
  • Ashburn, VA
  • Learn what makes QTS a unique place to grow your career! (https://vimeo.com/727409140/ff26de87d4) The **Supervisor, Crit...
  • 11/30/2024 12:00:00 AM

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Supervisor, Critical Operations
  • QTS Realty Trust, Inc.
  • Ashburn, VA
  • Learn what makes QTS a unique place to grow your career! The Supervisor, Critical Operations is responsible for the supe...
  • 11/29/2024 12:00:00 AM

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Intensive Outpatient Coordinator - Sterling, VA
  • HEALTH CONNECT AMERICA, INC
  • Sterling, VA
  • Join Our Impactful Team at Health Connect America! Before you get started on your journey, take some time to learn more ...
  • 11/29/2024 12:00:00 AM

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General Manager
  • Marriott
  • Dulles, VA
  • Additional InformationBonus Eligible Job Number24197651 Job CategoryProperty Leadership LocationCourtyard Dulles Town Ce...
  • 11/16/2024 12:00:00 AM

Income Estimation for Health Insurance Operations Director jobs
$176,228 to $237,659