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)
The Director of Finance and Operations will oversee and serves as the manager of all financial activities/operations and ensure the corporation’s financial health. Develops and executes financial policies and procedures. Principal responsibilities include overseeing the financial reporting, short range and long-term financial planning, general accounting, subsidiary corporation implementation and billing, audit coordination, taxes, banking, and monthly cash flow. Directly accountable for the functions of the general ledger, payroll, accounts payable, accounts receivable, grants accounting, budget preparation, logistics functions, information management systems and other related operations as may be necessary. Position may involve the performance management of subordinate employees.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
QUALIFICATION REQUIREMENTS:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION:
Bachelor’s degree from a four-year college or university and two years related experience in a health care setting where Federal Medicare cost reporting is used or equivalent combination of experience and education or 5 years experience in accounting. CPA is required, preferably in a business-related discipline. A MBA is strongly desired. Applicable certification in computer network management plus two years experience of network management for multiple locations preferably within the medical industry.
EXPERIENCE:
Possess a minimum of 3 years of financial experience as Director or CFO level finance professional, preferably in the software, internet, technology or consulting medical services industry. Since the position requires dealing with financial leaders of the other subsidiaries, strong leadership, communication and operations experience is required. Additional Knowledge, Skills, and Abilities include:
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