Health Insurance Operations Director jobs in Macon, GA

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 Operations
  • River Edge Behavioral Health
  • Macon, GA FULL_TIME
  • Director of Operations
    About River Edge Behavioral Health
    River Edge Behavioral Health is Central Georgia's unsurpassed resource for mental health and substance use disorder treatments and supports, as well as support for individuals with intellectual and developmental disabilities. We care deeply about the people we serve.
    As a CARF accredited community-based behavioral health organization, River Edge Behavioral Health is growing. Recently designated as a Certified Community Behavioral Health Center - CCBHC, River Edge Behavioral Health is amid transformation. We are using evidence-based treatment to expand the service delivery model to include veteran and trauma-informed care expertise. We have 730 team members serving more than 10,000 individuals a year. Collectively we are reinventing behavioral healthcare.
    River Edge Behavioral Health is a leader in supportive housing collaborations. We have more than 244 supportive housing units for the previously homeless population. We build communities and purpose. We embrace compassion, dignity, and respect. We are passionate about restoring hope, health, and the well-being of the individuals we serve. We make life better.
    Benefits Offered:
    • Competitive Pay
    • Medical, Dental, Vision Insurance
    • Paid Time Off
    • 12 Paid Holidays
    • 401k with an employer match
    • Flexible Spending Accounts
    • Short and Long-term disability coverage
    • Life Insurance
    • Employee Discount Program

    River Edge is looking to fill the position of Director of Operations. This role will be responsible for the day-to-day management of River Edge Behavioral Health's Supportive Housing, Maintenance, Environmental Services, and Safety department. The ideal candidate must be able to provide strategic direction to the department's activities and resources to ensure alignment with the mission, values, and objectives of the organization. The Director of Operations will represent the organization on all matters related to community development and partner with leaders within the community to find solutions for and help provide affordable housing for our clients. The Director of Operations will also collaborate with senior leadership on new project proposals, grant research and submissions, as well as exploring new initiatives that may lead to additional programming and funding.

    In this role you will:
    • Provides program planning, implementation, and evaluation of all Supportive Housing shelter programs ensuring successful implementation, evaluation, and quality program services to residents.
    • Communicates regularly with government and funders, participate in site visits and audits, and complete program reports to funding sources.
    • Supports strategic planning and implementation of new and evolving revenue opportunities including housing.
    • Coordinate and monitor the overall security operations of the facility, ensuring proper staffing levels for all shifts and posts, and maintaining safety and security of staff and inmates.
    • Working in collaboration with other departments to stay informed about industry best practices and utilization of program design tools/methodologies to continuously work towards PQI goals.
    • Manages and evaluates departmental operations, including, service level determination and complaint management, to achieve performance and quality control objectives.
    • Prepares and evaluates departmental budgets and ensures that the department operates in compliance with allocated funding. Coordinates and directs internal/external audits.
    • Coordinates remodeling/retrofit/renovation and new construction programs and activities to meet the space, client care and capital investment goals of the organization.
    • Provides periodic administrative reports based on a monthly, quarterly, and annual basis, fiscal reporting and others as required
    • Establish a broad knowledge base of housing services and communicate appropriate referrals to leadership, the program participates and partners.
    • Continuously search for, prepare, and submit grant proposals for River Edge Behavioral Health community engagement and housing solutions.

    You will need:
    • Five (5) years' experience in a healthcare facilities management environment.
    • Five (5) years' construction experience (real estate acquisition, housing development, community engagement).
    • Three (3) years' experience implementing Fair Housing Regulations.
    • Three (3) years' experience working with any of the following programs: HUD, ESG, CDGB, HOME, and/or LITHC.
    • Five (5) years' experience engaging professionally with clients, subcontractors, and skilled trades.
    • Demonstrated grant writing abilities.
    • Master's degree in facilities, engineering, architecture, or related field.
    • Knowledge of OSHA compliance and ADA requirements.
    • Must be able to pass an extensive background check.
    • Must be able to pass drug screen.
    • Fully Covid-19 vaccinated.
    Additional Information:
    The Application Process:
    • All qualified applicants will be considered.
    • This position is subject to close once a satisfactory candidate pool has been identified.
    • The hiring managers will contact only those selected for an interview.
    • Applicants who are not selected will receive notification via email.
    • Due to the volume of applications received, we are unable to provide information on application status by phone or email.

    Safe Working Environment:
    We at River Edge believe every employee has a right to a safe work environment. Therefore, we require full vaccination of all employees. Getting the vaccine, frequently washing your hands, sanitizing common areas, and wearing your mask continues to be the most effective way to fight COVID-19.
    Diversity and Inclusion:
    River Edge Behavioral Health is committed to creating a diverse and inclusive work environment and is proud to be an equal employment opportunity employer. All qualified applicants will receive consideration for employment regardless of race, color, religion, gender, gender identity or expression, sexual orientation, nationality, genetic make-up, disability, age, or veteran status.
    Drug-Free Workplace:
    River Edge Behavioral Health is a drug-free workplace with a longstanding commitment to providing a safe, quality-oriented, and productive work environment. In compliance with the Drug-Free Workplace Act of 1998, all applicants must pass a satisfactory background clearance and pre-employment drug screen.
    At Will Workplace:
    Employment with River Edge Behavioral Health is at will. At-will means your employment relationship with River Edge Behavioral Health or Affordable Business Solution is for an indefinite period of time and is subject to termination by you or River Edge Behavioral Health, with or without cause, with or without notice, and at any time.
  • 12 Days Ago

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Director of Operations (FT)
  • River Edge Behavioral Health
  • Macon, GA FULL_TIME
  • Director of OperationsAbout River Edge Behavioral HealthRiver Edge Behavioral Health is Central Georgia's unsurpassed resource for mental health and substance use disorder treatments and supports, as ...
  • 2 Days Ago

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Director of Operations
  • Southern Siding Company
  • Jackson, GA FULL_TIME
  • Director of Operations Company Description Southern Exteriors is a full-scale new home, commercial, and remodeling company specializing in exterior services. With over 20 years of experience, we offer...
  • 8 Days Ago

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Insurance Specialist
  • Community Health Care Systems, Inc.
  • Wrightsville, GA FULL_TIME
  • Responsible for posting insurance receipts, adjustments, and personal payments. Responsible for maintaining relationships with third party payers as required. Performs other administrative duties as r...
  • 14 Days Ago

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Director, Clinical Operations
  • Bausch + Lomb
  • Macon, GA FULL_TIME
  • Bausch Lomb (NYSE/TSX: BLCO) is a leading global eye health company dedicated to protecting and enhancing the gift of sight for millions of people around the worldfrom the moment of birth through ever...
  • 19 Days Ago

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Regional Director of Hotel Operations
  • Legendary Hotel Group
  • Warner, GA FULL_TIME
  • We're in search of a driven and experienced individual to lead our hotel operations in the GA region. The successful candidate should have a significant understanding of hotel management/operations, c...
  • 21 Days Ago

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0 Health Insurance Operations Director jobs found in Macon, GA area

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Community Director
  • Hunt
  • Warner Robins, GA
  • A Brief Overview Under the direction of the Director of Operations, the Community Director is responsible for the operat...
  • 3/28/2024 12:00:00 AM

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Hospice RN Administrator
  • Curo Health Services
  • Warner Robins, GA
  • Our Company Gentiva Hospice is a member of the Gentiva family - an industry leader in hospice, palliative, home health, ...
  • 3/28/2024 12:00:00 AM

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Executive Director Home Health
  • LHC Group
  • Macon, GA
  • Summary We are hiring for an Executive Director! At Three Rivers Home Health, a part of LHC Group we embrace a culture o...
  • 3/25/2024 12:00:00 AM

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SCA Ground Support Equipment Mechanic 2 - Multiple Shifts-Secret-Robins AFT
  • Northrop Grumman
  • Warner Robins, GA
  • US CITIZENSHIP REQUIRED FOR THIS POSITION: Yes RELOCATION ASSISTANCE: No relocation assistance available CLEARANCE TYPE:...
  • 3/25/2024 12:00:00 AM

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Human Resources Manager
  • Pratt Industries
  • Warner Robins, GA
  • Job Description POSITION: Human Resources Manager REPORTS TO: Division HR Manager SUMMARY Responsible for all employment...
  • 3/25/2024 12:00:00 AM

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Senior Maintenance Manager
  • Super-Sod
  • Fort Valley, GA
  • Job Description Job Description Why join Super-Sod? Super-Sod is an organization that has a 70-year reputation for outst...
  • 3/25/2024 12:00:00 AM

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Director of Residential Services
  • Wesley Glen Ministries
  • Macon, GA
  • Job Description Job Description Wesley Glen Ministries is seeking an experienced Residential Director at our Macon Georg...
  • 3/24/2024 12:00:00 AM

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Activities Coordinator - Full-Time 1st Shift
  • John-Wesley Villas of Macon
  • Macon, GA
  • We are looking for a creative, energetic and caring person with a passion for working with seniors!! There is an incredi...
  • 3/24/2024 12:00:00 AM

Macon (/ˈmeɪkən/), officially Macon–Bibb County, is a consolidated city-county located in the state of Georgia, United States. Macon lies near the geographic center of the state, approximately 85 miles (137 km) south of Atlanta, hence the city's nickname "The Heart of Georgia." Located near the fall line of the Ocmulgee River, Macon is the county seat of Bibb County and had a 2017 estimated population of 152,663. Macon is the principal city of the Macon metropolitan area, which had an estimated population of 228,914 in 2017. Macon is also the largest city in the Macon–Warner Robins Combined St...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Director jobs
$160,263 to $216,135
Macon, Georgia area prices
were up 1.5% from a year ago