Health Insurance Operations Director jobs in Malden, MA

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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Operations Director
  • BrightView Health
  • Lynn, MA FULL_TIME
  • Why You’ll Love This Practice Manager/Operations Director Job
    Would you love to work in an environment where you can build genuine connections with a
    team that shares your passion for making a difference? Do you appreciate the importance of
    diverse perspectives and collaboration? Are you experienced in human resources and financial
    matters? Do you want to help shape the future of a growing organization? Take the next step in
    your career journey and lead change in your community with this Operations Director position.

    Step into a collective work culture and stigma-free environment with compassionate team
    members working to build a brighter tomorrow for our patients and their families. Help us
    shape that future and apply to our Operations Director position today!

    Practice Manager/Operations Director Job Responsibilities
    • Fulfill Program Administrator Role as outlined by Virginia Administrative Code.
    • Develop, implement, and enforce company procedures according to agency, state,
    federal, and accreditation standards.
    • Establish and maintain community relationships.
    • Plan and administer managerial, operational, fiscal, and reporting components of the
    organization.
    • Ensure the safety and well-being of staff and clients through the development and
    implementation of policies and procedures addressing health and safety accreditation
    standards.
    • Participate in the Performance Improvement Plan for client care, staff retention, and
    staff performance.
    • Supervise all staff and ensure they are assigned duties based on education, experience,
    competency, and job description.
    • Maintain a system for review and credentials.
    • Conduct annual performance reviews of all staff.
    • Ensure that policies for documentation in the client record are adhered to and timely.
    • Complete all trainings for orientation/annual required by program, state, and Joint
    Commission.

    Practice Manager/Operations Director Job Qualifications
    • Bachelor’s degree in chemical dependency, psychology, social work, counseling, nursing
    (with a specialty in nursing/health administration, nursing/counseling education or a
    clinical specialty in the human services), public administration, business management or
    another related field required
    • 2 years of experience in a human service agency, preferably in a drug and alcohol
    setting, which includes supervision of others, direct service and program planning; or
    the equivalent experience required
    • Assessed competence in administering and providing services to individuals, families,
    and/or clients required
    • Management skills in addressing human resources and financial matters required
    • Ability to coordinate the organization’s services with other community resources
    required
    • Master’s Degree in medicine, chemical dependency, psychology, social work,
    counseling, nursing (with a specialty in nursing/health administration,
    nursing/counseling education or a clinical specialty in the human services), public
    administration, business management or another related field preferred
    • 5 years of experience in a human service agency, preferably in a drug and alcohol
    setting, which includes supervision of others, direct service and program planning
    preferred
  • 11 Days Ago

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Operations Director
  • BrightView Health
  • Lynn, MA FULL_TIME
  • Why You’ll Love This Practice Manager/Operations Director Job Would you love to work in an environment where you can build genuine connections with a team that shares your passion for making a differe...
  • 11 Days Ago

B
Operations Director
  • BrightView Health
  • Somerville, MA FULL_TIME
  • Why You’ll Love This Practice Manager/Operations Director Job Would you love to work in an environment where you can build genuine connections with a team that shares your passion for making a differe...
  • 12 Days Ago

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Director, Operations
  • Shields Health Solutions
  • Boston, MA FULL_TIME
  • At Shields, we pride ourselves on our culture of inclusion and kindness and the difference we make in patients' lives every day. We are tremendously proud to be certified as a 'Great Place to Work' tw...
  • 1 Month Ago

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Associate Director for Financial Operations
  • Partners In Health
  • Boston, MA FULL_TIME
  • Job Title: Associate Director of Financial Operations Reports to: Director of Finance Location: Boston, MA or remote, willingness to travel up to 15% Position Type: Full Time Position Summary: The Ass...
  • 21 Days Ago

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Director, Client Engagement and Operations
  • CareBridge Health
  • Boston, MA FULL_TIME
  • Company DescriptionCareBridge's EVV solution empower states, health plans, & caregivers to deliver exceptional care to patients in the home.Job DescriptionAre you looking to join an entrepreneurial, f...
  • 15 Days Ago

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0 Health Insurance Operations Director jobs found in Malden, MA area

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Compliance Manager
  • Manulife
  • Boston, MA
  • Manulife Compliance Manager Boston , Massachusetts Apply Now We are a leading financial services provider committed to m...
  • 4/29/2024 12:00:00 AM

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Director, ADA Compliance Officer - Remote
  • Commonwealth Care Alliance
  • Boston, MA
  • Why This Role is Important to Us:The Director, ADA Compliance Officer serves as the primary subject matter expert and ce...
  • 4/29/2024 12:00:00 AM

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Director, ADA Compliance Officer - Remote
  • Commonwealth Care Alliance
  • Boston, MA
  • **Why This Role is Important to Us:** The Director, ADA Compliance Officer serves as the primary subject matter expert a...
  • 4/29/2024 12:00:00 AM

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Director Personal Lines Underwriting
  • Arbella Insurance Group
  • Quincy, MA
  • Why Arbella? At Arbella, we're focused on people. We work hard to attract and retain the best. That means providing a gr...
  • 4/27/2024 12:00:00 AM

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Director of Compliance and Lead Internal Auditor
  • Vinfen
  • Cambridge, MA
  • Job Description Schedule: Monday- Friday 9 am - 5 pm Salary: $135,000 / year Working with and reporting to the Chief Leg...
  • 4/27/2024 12:00:00 AM

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Program Manager - Insurance Claims
  • Staples
  • Framingham, MA
  • Staples is business to business. You’re what binds us together. Join a team of legal and risk professionals that work co...
  • 4/26/2024 12:00:00 AM

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Director of Large Loss Complex Claims, Homeowners Insurance
  • Plymouth Rock Assurance
  • Boston, MA
  • The Plymouth Rock Home team is an innovative Insurtech start-up within a successful, well-established insurance organiza...
  • 4/25/2024 12:00:00 AM

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Casualty Claims Director
  • Plymouth Rock Assurance
  • Boston, MA
  • Reporting directly to the Vice President of Claims of the Independent Agent Channel, the Director will oversee our MA an...
  • 4/25/2024 12:00:00 AM

Malden is a city in Middlesex County, Massachusetts, United States. At the time of the 2010 United States Census, the population was at 59,450 people. In 2009, Malden was named the "Best Place to Raise Your Kids" in Massachusetts by Bloomberg Businessweek. Malden is bordered by Melrose on the north, Stoneham on the northwest, Medford on the west, Everett on the south, Revere on the east, and Saugus on the northeast. Boojum Rock located in the north west corner of Malden inside the Middlesex Fells Reservation is the highest point in Malden with an elevation of approximately 275 feet. According...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Director jobs
$194,403 to $262,174
Malden, Massachusetts area prices
were up 2.5% from a year ago