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)
Responsible for the direction, leadership, and support of operational, financial, programmatic, continuous improvement and personnel activities for inpatient care provided at Henry Ford Health. Responsible for directing patient flow and care coordination through optimizing day-to-day operations, budgeting, financial management, and human resource management.
Areas of direct oversight and responsibility include intensive care and progressive care inpatient nursing, nursing assistants, unit secretaries, and includes establishing, meeting and continuously monitoring goals and objectives for areas of responsibility while maintaining alignment with system strategic goals and objectives.
Works closely with a variety of stakeholders, coordinating the activities of patient flow throughout a patient's stay and discharge to home or other outside facility. Provides coaching (e.g. teaching, leading and mentoring team members in continuous process improvement) and interacting with physicians, mid-level providers, team members, patients and family members, and other leaders at Henry Ford Health to identify and support improvement efforts toward performance excellence. Serves as the programmatic and operational leader for inpatient care and works closely with other leaders.
.EDUCATION/EXPERIENCE REQUIRED:
CERTIFICATIONS/LICENSURES REQUIRED: Current licensure in the State of Michigan.
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