Health Insurance Operations Director jobs in Missouri

As the Director of Operations for Swope Health, you will lead an dedicated and driven operations team, that supports the organization's mission of providing quality care for those who need it the most. The Director of Operations will oversee the day-to-day non-clinical activities of the organization, ensuring that the organization is managed and performing efficiently and effectively. Your responsibilities include leadership in fiscal analysis, resource development and strategic planning, and ensuring the highest levels of patient satisfaction.

Primary Responsibilities: 

• Revenue Cycle Management: Lead the development and implementation of strategies to optimize the revenue cycle process, ensuring financial stability and sustainability.
•  Provide support for the development, implementation and monitoring of new and established operational and/or clinical programs, goals and outcomes as defined by Swope Health
• Environment of Care: ensure the highest standards of patient care environments by overseeing facility management, safety protocols, and compliance with healthcare regulations.
• Promote a culture of continuous improvement and patient satisfaction.
• Reviews, analyzes, and evaluates business procedures and Implements policies and procedures that will improve day-to-day operations.  
• Outreach and Enrollment: Develop and implement outreach programs to enhance community engagement, increase patient enrollment, and promote health center services.
• Work closely with community organizations and stakeholders to expand the health center's reach and impact.
• Establishes quantitative and qualitative metrics, guidelines, and standards by which the company’s efficiency and effectiveness can be evaluated; identifies opportunities for improvement.
• Transportation Services: Oversee the provision of transportation services for patients, ensuring accessibility and reliability.
• Communicates and explains new directives, policies, or procedures to managers; for major changes, meets with entire operations staff to explain changes, answer questions, and maintain morale.

Successful Candidate Will Have: 

• Bachelor’s degree in health administration, business administration or related field Required. Master’s degree in healthcare administration, Business Administration, or related field. Preferred
• At least 3 years of managerial experience in an FQHC, with a strong background in operational functions, including revenue cycle management, environment of care, outreach and enrollment, and transportation services. Required
• Experience in using Electronic Health Records (EHR) and healthcare IT systems. Preferred
• Expertise in revenue cycle management and healthcare financial management.
• Strong leadership and team management skills.
• Excellent communication and interpersonal skills.
• Ability to develop and implement strategic operational plans.
• Proficiency in healthcare regulations and accreditation standards.
• Strong analytical and problem-solving skills.

About Swope Health Services:

Each year, Swope Health serves over 45,000 patients, encompassing more than 200,000 visits in four counties on both sides of the state line. Our team members are proud of the work we do and the promise we've made – delivering coordinated care that values the needs of the whole person and championing better health in our community.

Swope Health is a special place that cares for the people who need it most, wherever they are in the community. As part of our promise to battle health inequities and provide high-quality, comprehensive care, we make care visible. That means we proudly deliver our promise through every action, every day.

Swope Health Services supports its team members with:

• Medical benefits (including a Health Savings Account option), dental and vision
• 401(k) retirement plan with company match
• Company-paid benefits such as life insurance, Accidental Death & Dismemberment, and Short- and Long-Term Disability
• Flexible Spending Account
• Paid Days Off beginning at 20 days annually, effective the first day of employment
• Eight annual company-paid holidays; One annual paid personal day

Swope Health is an affirmative-action, equal-opportunity employer. We consider all qualified applicants without regard to race, color, creed, religion, gender, national origin, age, marital status, veteran status or disability.