Health Insurance Operations Director jobs in Bloomington, IL

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 Clinical Operations
  • NORTH CENTRAL BEHAVIORAL HEALTH SYSTEM
  • Canton, IL FULL_TIME
  • Job Summary:

    The Director of Clinical Operations has oversight and leadership of identified clinical managersand clinical programs and community work focused on establishing relationships and agreement. Participates in diagnosis, treatment planning and case assignments. Provides clinical consultation and direction to team leads and clinical staff. Provides direction and strategy and plans to implement services as part of the organization's strategic goals. Assists Vice President-Operations in clinical, administrative, and fiscal coordination of services of Fulton County area.

    Duties/Responsibilities:

    1. Provides clinical and adminstrative supervison, consultation and support to assigned personnel.

    2. Provides leadership and decision-making for clinical staffings and clinical conflict resolution.

    3. Provision and/or direction of the staff clinical development.

    4. Completes assigned staff's annual evaluations.

    5. Responsible for the development and maintenance of professional relationships and quality image in the agency's communities.

    6. Responds to client complaints when unable to be addressed by clinical manager.

    7. Participates in assigned agency committees.

    8. Assists in the resolution of assigned personal conflicts.

    9. Assists in the development of services and programming unique to agency clientele.

    10. Provides public speaking and training as requested.

    11. Makes programmatic recommendations to Vice President-Operations.

    12. Integration of the program/department into the primary functions of the organization and with other programs/departments to align services throughout the system.

    13. Development of policies and procedures that guide the provision of services in the department.

    14. responsible for determining the current competence of all clinical staff.

    15. Participates in the meetings, training and education required by the role.

    16. Recommendation of space and other resources needed by the department.

    17. Participation in the selection of external sources of services not provided by the department or organization.

    18. Responsible for assuring fiscal stability of the clinical operations within the area.

    • Performs other related duties as assigned.

    Education and Experience:

    • Master's or Doctorate Degree with licensure that qualifies as a Licensed Practitioner of the Healing Arts.
    • Minimum 2-5 year's experience in management within a Behavorial Health agency.
    • Required 1-2 year's experience working in Director role within a social service agency.
    • Knowledge and experience with Substance Use treatment.

    Agency benefits include: Health, Dental,Vision,Life and Long term disability. 401K 3% employer and match; HSA.

    Pto, Health and Wellness Days, 10 paid Holidays. Reimbursement for CEU's, access to online CEU courses for free.

  • 1 Month Ago

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Director of Clinical Operations Fulton County
  • North Central Behavioral Health Systems
  • Canton, IL FULL_TIME
  • Job Title: Director of Clinical Operations Fulton County (3a) Department: Clinical Reports to: Vice President Chief Operating Officer Effective Date: 01.01.2024 Job Summary: Oversight and leadership o...
  • 6 Days Ago

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Operations Assistant - Branch Operations (Peoria, IL)
  • RLI Insurance Company
  • Peoria, IL FULL_TIME
  • About Us We’re not like other insurance companies. From our specialty products to our business model, our culture to our results — we’re different. Different is who we are, and how we work, interact, ...
  • 25 Days Ago

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IT Director, Digital Technologies
  • RLI Insurance Company
  • Peoria, IL FULL_TIME
  • About Us We’re not like other insurance companies. From our specialty products to our business model, our culture to our results — we’re different. Different is who we are, and how we work, interact, ...
  • 17 Days Ago

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Actuarial Director - E&S Property
  • RLI Insurance Company
  • Peoria, IL FULL_TIME
  • About Us We’re not like other insurance companies. From our specialty products to our business model, our culture to our results — we’re different. Different is who we are, and how we work, interact, ...
  • 1 Month Ago

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Director, Technology - Data & Analytics
  • RLI Insurance Company
  • Peoria, IL FULL_TIME
  • About Us We’re not like other insurance companies. From our specialty products to our business model, our culture to our results — we’re different. Different is who we are, and how we work, interact, ...
  • 1 Month Ago

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0 Health Insurance Operations Director jobs found in Bloomington, IL area

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Area Scouts | Sports - Regional Manager | Athlete Evaluator
  • Area Scouts
  • Normal, IL
  • Area Scouts | Sports - Regional Manager | Athlete Evaluator Sports Currently Covered: Baseball Basketball Football Softb...
  • 4/29/2024 12:00:00 AM

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Associate Director of Residential Programs / Full-Time / Days
  • Chestnut Health Systems
  • Normal, IL
  • OverviewChestnut Health Systems is seeking a full-time Associate Director of Residential Programs for our Bloomington, I...
  • 4/29/2024 12:00:00 AM

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Associate Director of Residential Programs / Full-Time / Days
  • Chestnut Health Systems
  • Bloomington, IL
  • OverviewChestnut Health Systems is seeking a full-time Associate Director of Residential Programs for our Bloomington, I...
  • 4/29/2024 12:00:00 AM

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Associate Director of Residential Programs / Full-Time / Days
  • Chestnut Health Systems
  • Towanda, IL
  • OverviewChestnut Health Systems is seeking a full-time Associate Director of Residential Programs for our Bloomington, I...
  • 4/29/2024 12:00:00 AM

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Associate Director of Residential Programs / Full-Time / Days
  • Chestnut Health Systems
  • Downs, IL
  • OverviewChestnut Health Systems is seeking a full-time Associate Director of Residential Programs for our Bloomington, I...
  • 4/29/2024 12:00:00 AM

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Associate Director of Residential Programs / Full-Time / Days
  • Chestnut Health Systems
  • Heyworth, IL
  • OverviewChestnut Health Systems is seeking a full-time Associate Director of Residential Programs for our Bloomington, I...
  • 4/29/2024 12:00:00 AM

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Associate Director of Residential Programs / Full-Time / Days
  • Chestnut Health Systems
  • Hudson, IL
  • OverviewChestnut Health Systems is seeking a full-time Associate Director of Residential Programs for our Bloomington, I...
  • 4/29/2024 12:00:00 AM

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Senior Managing Director - Reinsurance Analytics
  • Aon Hewitt
  • Bloomington, IL
  • Managing Director - Reinsurance Analytics (Strategy and Programme Leadership)Based in Bloomington, MN; Chicago, IL , New...
  • 4/28/2024 12:00:00 AM

Bloomington is a city in and the county seat of McLean County, Illinois, United States. It is adjacent to Normal, and is the more populous of the two principal municipalities of the Bloomington-Normal metropolitan area. The 2010 Census showed the city had a population of 76,610, making it the 12th most populated city in Illinois, and the fifth-most populous city in the state outside the Chicago Metropolitan Area. Combined with Normal, the twin cities have a population of roughly 130,000. Bloomington is located at 40°29′03″N 88°59′37″W. The city is at an elevation of 797 feet (243 m) above sea ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Director jobs
$166,135 to $224,053
Bloomington, Illinois area prices
were up 1.3% from a year ago