Health Insurance Operations Director jobs in Montana

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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Discharge Planner
  • Charlie Health Strategy & Operations
  • Bozeman, MT FULL_TIME
  • About the Role

    Discharge Planners help manage client-related communication and coordination with referral sources, such as hospitals, outpatient practices, schools, and governmental organizations. Specifically, they are responsible for some or all of the following: providing treatment updates to referring providers and planning discharge for clients in our care.

    1. Treatment updates to referring providers

    For clients receiving care at Charlie Health, Discharge Planners may be responsible for providing consistent, high-quality treatment updates to referral sources. They may also help answer questions about their referred clients. A key aspect of this role is building trusting relationships with referral sources – Discharge Planners are expected to communicate professionally and collaboratively to deliver a seamless, supportive experience.

    2. Discharge planning

    For clients completing treatment at Charlie Health, Discharge Planners may be responsible for developing a discharge plan. The discharge plan is Charlie Health’s opportunity to set the client and family up for success post-program. Discharge Planners ensure that each plan is comprehensive and clinically appropriate. Key activities include identifying appropriate aftercare resources and engaging with clients to facilitate a smooth transition.

    Our team is comprised of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing live-saving solutions. We are looking for a candidate who is inspired by our mission and excited by the opportunity to impact thousands of lives in a meaningful way.

    Responsibilities

    • Ensure a supportive, positive experience for clients and referral sources / external providers
    • Work directly with clients, families, and referral sources to understand their needs and preferences
    • Make accurate and timely referrals to aftercare resources for clients discharging from Charlie Health
      • Use and maintain a nationwide provider database to identify appropriate referral options
      • Make referrals using external provider’s preferred communication channels
      • Follow-up with clients and/or external providers to verify placement
    • Communicates with referral providers about new referrals and ensures that the facility/provider has all necessary information to consider a referral; assists with ensuring that all receiving providers have all necessary clinical materials and information.
    • Documents case management contacts in progress notes, communicates with therapists/case managers and treatment team about contact and updates on the status of discharge planning
    • Collaborate closely with internal stakeholders at Charlie Health (e.g., clinical team, admissions team) as needed to fulfill job responsibilities
    • Work closely with the Clinical Outreach and Partnerships teams to build a deep understanding of referral sources and the services they provide
    • Adhere to stated policies and procedures and achieve performance metrics goals

    Requirements

    • Bachelor’s degree in health sciences, communications, psychology, social work, or related field
    • Minimum of 2 years of relevant work experience (e.g., experience in healthcare, preferably in customer / patient-facing roles such as case management, discharge planning, referral relations, admissions, or outreach)
    • Strong interpersonal, relationship-building and listening skills
    • Metrics- and results-oriented mindset, with experience working against concrete targets
    • Excellent written and verbal communication skills 
    • Extreme organization and attention to detail
    • Work authorized in the United States and native or bilingual English proficiency
    • Ability to thrive in a fast-paced environment and learn quickly
    • Proficient in Salesforce and Google Suite/MS Office

    Benefits

    Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here.

    Additional Information

    Note to Colorado applicants: applications will be accepted and reviewed on a rolling basis

    The expected base pay for this role will be between $47,250 and $79,200 per year at the commencement of employment. However, base pay will be determined on an individualized basis and will be impacted by location and years of experience. Further, base pay is only part of the total compensation package, which, depending on the position, may also include incentive compensation, discretionary bonuses, other short and long-term incentive packages, and other Charlie Health-sponsored benefits.

  • 15 Days Ago

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Clinical Admissions Manager
  • Charlie Health Behavioral Health Operations
  • Bozeman, MT FULL_TIME
  • About The Role We are a startup with a big vision. Your role will be essential to our success. You'll be granted an unparalleled level of responsibility, as your efforts will literally define how many...
  • 25 Days Ago

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CTS Executive Director Service Lines_Clinical Engineering Support Strategy and Operations
  • Providence Health & Services
  • Missoula, MT FULL_TIME
  • Description THE ROLE The Exec Director Service Line, within Clinical Engineering Support Strategy & Operations will be supporting the AVP Clinical Engineering Support Strategy & Operations in designin...
  • 1 Month Ago

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Director of Operations
  • Four Nine Design
  • Billings, MT FULL_TIME
  • Job Summary:We are seeking a highly skilled and experienced Director of Operations to oversee and manage our company's manufacturing operations. The Director of Operations will be responsible for deve...
  • 13 Days Ago

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Director of Operations
  • The Executive Group
  • MT, MT FULL_TIME
  • Job Description: The Director of Operations & General Manager (GM) is expected to improve efficiency, increase capacities and grow profits while managing the overall operations of a company or divisio...
  • 2 Days Ago

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Operations Director
  • Tektree
  • Butte, MT FULL_TIME
  • Expectations: The Director of Manufacturing Operations will be assigned responsibilities for various operational and developmental aspects of the company’s continued development and growth. Key capabi...
  • 22 Days Ago

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RN Registered Nurse - Surgical Telemetry
  • Ascension
  • Grand Blanc, MI
  • Details Sign-on bonus: $20,000 Department: 2 South Telemetry Schedule: Full Time Night Shift 7p-7:30a, Sunday - Thursday...
  • 4/19/2024 12:00:00 AM

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Chief Transit Director
  • Southeast Tennessee Human Resource Agency
  • Dunlap, TN
  • Chief Transit Director The Chief Transit Director is responsible for both rural and urban transit systems in Southeast T...
  • 4/19/2024 12:00:00 AM

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Cleared Software Engineer/Developer-CO
  • Northstrat Incorporated
  • Aurora, CO
  • Software Engineer / Developer Job Type: Full time, On-Site, potential for hybrid schedule Clearance Requirements: Active...
  • 4/19/2024 12:00:00 AM

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Facility Solutions Manager
  • City Wide Facility Solutions
  • Westwood, NJ
  • City Wide Facility Solutions is actively seeking a Facility Solutions Manager (FSM) for our location in Northern New Jer...
  • 4/19/2024 12:00:00 AM

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Marketing Specialist I
  • Mediacom Communications Corporation
  • Rantoul, IL
  • Position: Marketing Specialist I Who we are: Since 1995, Mediacom Communications has become a coast-to-coast presence wi...
  • 4/19/2024 12:00:00 AM

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Facility Account Manager - Commercial Facilities
  • City Wide Facility Solutions
  • St Louis, MO
  • City Wide Facility Solutions of St. Louis is seeking account managers to be the day to day, single point of contact for ...
  • 4/19/2024 12:00:00 AM

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Cleared Software Engineer/Developer - VA/MD
  • Northstrat Incorporated
  • Software Engineer / Developer Job Type: Full time, On-Site, potential for hybrid schedule Clearance Requirements: Active...
  • 4/19/2024 12:00:00 AM

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Director of Nursing - Briarcliff Manor, NY
  • The Ouimette Group
  • Briarcliff Manor, NY
  • Come and join us! We are a trusted provider serving seniors since 1911. We offer a full spectrum of senior care services...
  • 4/19/2024 12:00:00 AM

Montana (/mɒnˈtænə/ (listen)) is a landlocked state in the Northwestern United States. Montana has several nicknames, although none are official, including "Big Sky Country" and "The Treasure State", and slogans that include "Land of the Shining Mountains" and more recently "The Last Best Place". Montana is the 4th largest in area, the 8th least populous, and the 3rd least densely populated of the 50 U.S. states. The western half of Montana contains numerous mountain ranges. Smaller island ranges are found throughout the state. In all, 77 named ranges are part of the Rocky Mountains. The easte...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Director jobs
$161,600 to $217,932