Health Insurance Operations Director jobs in Ventura, CA
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)
Recently Added Health Insurance Operations Director jobs
Regional Director of Operations - Behavioral Health Ventura / Santa Barbara Coun
- Telecare Corporation
-
Camarillo, CA
FULL_TIME
-
"They made it easier for me to live, breathe, eat, and stay clean. Without them, I'd be waiting somewhere, waiting for someone to give me a chance to live..." - Client from Telecare Corp
Join Our Compassionate Team
Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals with complex needs in recovering their health, hopes, and dreams. Telecare continues to advance cultural diversity, humility, equity, and inclusion at all levels of our organization by hiring mental health peers, BIPOC, LGBTQIA , veterans, and all belief systems.
Full Time; AM Shift Hours vary as needed; Monday - Friday
Expected starting wage range is $145,851.16 - $$180,153.48. Telecare applies geographic differentials to its pay ranges. The pay range assigned to this role will be based on the geographic location from which the role is performed. Starting pay is commensurate with relevant experience above the minimum requirements.
POSITION SUMMARY
The Regional Director manages facilities within the assigned geographical region and/or product line, ensuring achievement of clinical program objectives, quality care, mutually supportive County and State relationships, and budgetary expectations. This position will support inpatient mental health facilities in Ventura and Santa Barbara County.
ESSENTIAL FUNCTIONS
Demonstrates the Telecare mission, purpose, values and beliefs in everyday language and contact with internal and external stakeholders
Responsible for the administrative functioning of facilities in the assigned geographical region and/or product type
Makes use of management practices that include empowerment of staff, the provision of clear and concise expectations regarding duties assigned employees, frequent feedback focusing on both positive and problematic aspects of work performance and other management practices that are consistent with Continuous Quality Improvement
Supervises facility Administrators, including:
Establishing operational objectives with all Administrators and SVP-Ops
Developing communication linkages between the Administrators and the SVP-Ops
Monitoring the performance of Administrators and facility department heads and reviewing these assessments with the SVP-Ops on a quarterly basis
Continuously monitoring the financial performance of each Administrator and reporting the findings to the SVP-Ops
Collaborates with other administrative staff in strategic planning activities with the goal of ensuring ongoing effectiveness of the company
Ensures that personnel objectives are met, including:
Monitoring, on a monthly basis, personnel standards for attendance, turnover, recruitment and Workers' Compensation claims at all facilities
Monitoring personnel office functions at all facilities, identifying problems and recommending corrective action
Ensuring that all facilities are in compliance with federal and state labor laws including affirmative action, EEOC, OSHA and others as applicable
Develops and maintains a collaborative relationship with State and County officials, including:
Regularly contacting county officials for the purpose of gathering feedback on program performance and maintaining an excellent community reputation
Providing county officials with information needed (research and other data) to support effective Telecare performance
Informing all Telecare managers of legislative changes affecting operations
Maintains a continuous analysis of market conditions, state and county policy directives, political changes and shifts in patient needs to respond to changes in a timely fashion
Submits a semi-annual written plan to the SVP-Ops containing objectives and schedules related to patient care, finance, county/payer relations and personnel
Travels to Telecare facilities and the corporate office frequently
Manages county contracts, including:
Ensuring that all facilities are in compliance with state and county licensing and monitoring requirements on an ongoing basis
Monthly program monitoring resulting in problem identification and corrective action plans for review by executive management staff (as needed)
In collaboration with facility management staff, manages the clinical programs, including:
Developing and monitoring each facility's clinical program on a monthly basis, identifying problems and recommending corrective action
Ensuring that a safe, clean and therapeutic environment is maintained at all facilities
Recommending program staffing changes in response to changes in members served needs or market conditions
Annually evaluating program needs and clinical objectives with facility administration and county officials
Recommending topics for annual research reports to the Research and Evaluation department
In collaboration with facility Administrators, assumes responsibility for fiscal objectives, including:
Monitoring, on a monthly basis, facility expenditures, ensuring that expenses are within the budget and reporting significant variances
Monthly monitoring of FTE reports to ensure that facility staffing is in line with the budget
Reviewing with facility administration all financial requests that are beyond the limits of the facility budget and making recommendations regarding approval or disapproval to the Executive Committee
Establishes and defines standards which ensure safe and therapeutically effective care
Assesses the quality of care rendered by each facility and ensures sound practice
Supports and facilitates the comprehensive Quality Assurance/Quality Improvement program, including frequent collaboration with facility staff, employee education and a focus on monitoring standards and actively removing barriers to the provision of high quality care
Actively participates in meeting members served needs and adapting to changing customer needs at all times
Represents the corporation professionally in community, state and national hospital associations to create a clear and positive understanding of the corporation's programs
Market program to current and new customers
Duties and responsibilities may be added, deleted and/or changed at the discretion of management.
Position requires driving own personal vehicle for company business such as trainings, offsite meetings, etc.
QUALIFICATIONS
Required:
Ten (10) years' experience in healthcare administration
Master's Degree in Hospital Administration, Mental Health Administration or related field
Strong knowledge of labor relations, strongly inpatient mental health and Joint Commission experience
Strong team management skills
Excellent verbal and written communication skills and experience managing multiple sites
Must be at least 18 years of age
All opportunities at Telecare are contingent upon successful completion and receipt of acceptable results of the applicable post-offer physical examination, 2-step PPD test for tuberculosis, acceptable criminal background clearances, excluded party sanctions, and degree or license verification. Position requires driving, valid driver's license, a motor vehicle clearance and proof of auto insurance is required at time of employment and must be maintained throughout employment. Additional regulatory, contractual, or local requirements may apply.
Preferred:
Knowledge and experience in a psychiatric treatment milieu preferred
PHYSICAL DEMANDS
The physical demands here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
The employee is occasionally required to stand, walk, twist, bend, squat, kneel and lift and carry items weighing 10 pounds or less as well as to frequently sit and to do simple grasping. The position requires manual deviation, repetition and dexterity and to occasionally drive.
EOE AA M/F/V/Disability
If job posting references any sign-on bonus internal applicants and applicants employed with Telecare in the previous 12 months would not be eligible.
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Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities - 2 Days Ago
Regional Director of Operations - Behavioral Health Ventura / Santa Barbara County 901
- Telecare Corporation
-
Camarillo, CA
FULL_TIME
- “They made it easier for me to live, breathe, eat, and stay clean. Without them, I’d be waiting somewhere, waiting for someone to give me a chance to live...” - Client from Telecare Corp Join Our Comp...
- 3 Days Ago
Director of Operations
- Caldera Medical
-
Westlake, CA
FULL_TIME
- Director of OperationsCaldera Medical’s Mission - To Improve the Quality of Life for Women!Caldera Medical is actively seeking a Director of Operations to support Caldera Medical’s rapid growth. This ...
- 3 Days Ago
Operations Director
- Hermance Law
-
Ventura, CA
FULL_TIME
- We are looking for an Operations Director to work directly with the law firm owner to oversee the administrative and business aspects of running the firm. This position will be responsible for plannin...
- 1 Month Ago
Director of Nursing, Home Health
- Assisted Home Health & Hospice
-
Ventura, CA
FULL_TIME
- Assisted is looking for experienced Director of Nursing/ Director of Patient Care Services – Home Health! Voted #1 Home Health & Hospice Agency by Ventura County Star! Assisted Offers Our Employees a ...
- 9 Days Ago
Director of Nursing, Home Health
- Assisted Home Health & Hospice
-
Thousand Oaks, CA
FULL_TIME
- Assisted is looking for experienced Director of Nursing/ Director of Patient Care Services – Home Health! Voted #1 Home Health & Hospice Agency by Ventura County Star! Assisted Offers Our Employees a ...
- 2 Days Ago
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0 Health Insurance Operations Director jobs found in Ventura, CA area
Accountant-PT
- City of Port Hueneme, CA
-
Port Hueneme, CA
- Salary: $35.54 - $46.21 Hourly Location : Port Hueneme, CA Job Type: Part Time Job Number: 2022NJ10182022 Department: Ho...
- 4/18/2024 12:00:00 AM
Director Culinary Services / Executive Chef
- Atria Senior Living
-
Camarillo, CA
- Responsibilities Responsible for the day to day operations and staffing for the kitchen and dining venues of their commu...
- 4/18/2024 12:00:00 AM
Instructor - Administrative Medical Assistant
- Center for Employment Training
-
Oxnard, CA
- Job Description Job Description Under the supervision of the Center Director, performs technical training instruction in...
- 4/16/2024 12:00:00 AM
Loss Control Specialist II (CA)
- AmTrust Financial Services, Inc.
-
Woodland Hills, CA
- Overview: SUMMARY: Multi-line field position with primary responsibilities of conducting physical Underwriting Loss Cont...
- 4/15/2024 12:00:00 AM
Director, Customer Service
- Western Growers
-
Oxnard, CA
- **Description** Join our team of dedicated professionals who are committed to ensuring our clients can provide affordabl...
- 4/15/2024 12:00:00 AM
City Traffic Engineer
- City of Oxnard, CA
-
Oxnard, CA
- Salary : $114,861.34 - $183,778.19 Annually Location : Oxnard 93030, CA Job Type: Full Time Job Number: 3175-PW-2312-AH ...
- 4/15/2024 12:00:00 AM
Director Culinary Services / Executive Chef
- Atria Senior Living - Las Posas
-
Camarillo, CA
- Overview: We create communities where employees thrive in their work, helping our residents thrive in their homes. We st...
- 4/14/2024 12:00:00 AM
Patient Care Technician
- DaVita Inc.
-
Santa Paula, CA
- 253 March St, Santa Paula, California, 930602511, United States of America DaVita is seeking a Patient Care Technician w...
- 4/14/2024 12:00:00 AM
About Ventura, California
Ventura is located northwest of Los Angeles on the California coast. The western portion of the city stretches north along the Ventura River and is characterized by a narrow valley with steeply sloped areas along both sides. The steep slopes of the Ventura foothills abut the northern portion of the community. Much of the eastern portion is on a relatively flat alluvial coastal plain lying along the western edge of the Oxnard Plain. The Santa Clara River forms the city's southerly boundary with the city limits reaching up to the beginning of the Santa Clara River Valley at the historic communit...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Director jobs
$185,477 to $250,132
Ventura, California area prices
were up 2.5% from a year ago
were up 2.5% from a year ago