Health Insurance Operations Director jobs in Westland, MI

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 Hospital Operations - Trenton
  • Corewell Health
  • Trenton, MI FULL_TIME

  • Job Summary

    Functions as the lead for operations at the hospital providing administrative oversight for multiple departments/areas. Assists in the development and implementation of annual and long-term goals for assigned division. Develops strategic initiatives to ensure future growth and success throughout the division. Serves as a liaison between senior hospital leadership, medical leadership and physicians to facilitate achievement of goals and objectives. Accountable administratively for multiple departments operational performance. Assists the Hospital President, VPMA, CNO, VP Finance and the hospital leadership team with projects and special assignments. This position reports to the Hospital President, CNO, or VP, Operations depending on the size of hospital and/or areas of responsibility. AREAS OF RESPONSIBILITY: Will have matrices responsibilities with shared and clinical service areas as well as hospital-based departments. Possible departments/areas of support and partnership include, but not limited to: Imaging Services (Generals, Ultrasound, CT, MRI, Breast, Vein Ctr., IVR, Nuc Med), Cardiology Services (Cath Lab, Non Invasive), Respiratory, Rehabilitation Services, Infusion Services, Laboratory Services, Health & Fitness, Weight Loss/Bariatrics, Integrative Medicine/Acupuncture, Cardiac Rehab, Pulmonary Rehab, Speech Rehabilitation Adult/Peds., Neurophysiology, and EVS, Patient Transport and Nutrition Services.


    Essential Functions

    • Assist with execution of the hospital’s strategic plan to develop, grow and maintain existing programs and services.
    • Administrative oversight and responsibility for operational and budget performance for areas of responsibility. This includes development and monitoring of financial goals and objectives, variance analysis, monitoring of KPI’s, operating statistics and implementation of performance improvement initiatives.
    • Monitor department compliance with customer service standards and supports departments in improving the culture of safety and employee satisfaction. Coach and mentor as appropriate.
    • Collaborate with other divisions to promote clinical integration and centers of excellence including accepting and performing committee work as assigned
    • Manages the horizontal value stream process across the site while working collaboratively with other leaders to develop teamwork among departments. Develop and maintain good working relationships with physicians, medical chiefs, administrators, leaders and peers across the hospital system.
    • Chair committees and organize work groups as needed to improve hospital operations.
    • Participate in continuing education for leadership, performance improvement and new technology as appropriate.

    Qualifications
    • Required Bachelor's Degree or equivalent (or equivalent education and experience) in business, healthcare administration, or related field
    • Required Master's Degree (or equivalent education and experience) in business, healthcare administration, or related field MBA or similar management degree
    • 10 years of relevant experience Progressive experience in leadership positions. Preferred

    Physical Demands

    • Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 10 lbs
    • Waist to Waist > 5 lbs: Seldom up to 10 lbs
    • Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs
    • Waist to Overhead > 5 lbs: Seldom
    • Bilateral Carry > 5 lbs: Seldom up to 10 lbs
    • Unilateral Carry > 5 lbs: Seldom up to 10 lbs
    • Pushing Force > 5 lbs: Seldom up to 10 lbs
    • Pulling Force > 5 lbs: Seldom up to 10 lbs
    • Sitting: Frequently
    • Standing: Occasionally
    • Walking: Occasionally
    • Forward Bend - Standing: Seldom
    • Forward Bend - Sitting: Occasionally
    • Trunk Rotation - Standing: Seldom
    • Trunk Rotation - Sitting: Occasionally
    • Reach - Above Shoulder: Seldom
    • Reach - at Shoulder or Below: Seldom
    • Handling: Occasionally
    • Forceful Grip > 5 lbs: Seldom
    • Forceful Pinch > 2 lbs: Seldom
    • Finger/Hand Dexterity: Frequently

    Primary Location

    SITE - Trenton Hospital - 5450 Fort St - Trenton

    Department Name

    Administration - Trenton

    Employment Type

    Full time

    Shift

    Day (United States of America)

    Weekly Scheduled Hours

    40

    Hours of Work

    8 am to 5 pm

    Days Worked

    Monday to Friday

    Weekend Frequency

    Variable weekends

    CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

    Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

    Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

    An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

    You may request assistance in completing the application process by calling 616.486.7447.

  • 12 Days Ago

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Director Hospital Operations - Taylor
  • Corewell Health
  • Taylor, MI FULL_TIME
  • Job SummaryFunctions as the lead for operations at the hospital providing administrative oversight for multiple departments/areas. Assists in the development and implementation of annual and long-term...
  • 12 Days Ago

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Director Financial Reporting and Operations
  • Health Alliance Plan
  • Troy, MI FULL_TIME
  • Join our leadership team at Health Alliance Plan (HAP) as the Director of Financial Reporting and Operations, where you'll play a pivotal role in ensuring the financial integrity and operational effic...
  • 1 Day Ago

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Director Financial Reporting and Operations
  • Henry Ford Health System
  • Troy, MI OTHER
  • Join our leadership team at Health Alliance Plan (HAP) as the Director of Financial Reporting and Operations, where you'll play a pivotal role in ensuring the financial integrity and operational effic...
  • Just Posted

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Director Financial Reporting and Operations
  • Henry Ford Health - Careers Careers
  • Troy, MI FULL_TIME
  • Join our leadership team at Health Alliance Plan (HAP) as the Director of Financial Reporting and Operations, where you'll play a pivotal role in ensuring the financial integrity and operational effic...
  • 1 Day Ago

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Senior Director Hospital Operations - Royal Oak
  • Corewell Health
  • Royal, MI FULL_TIME
  • Job SummaryFunctions as the lead for operations at the hospital providing administrative oversight for multiple departments/areas. Assists in the development and implementation of annual and long-term...
  • 12 Days Ago

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0 Health Insurance Operations Director jobs found in Westland, MI area

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Retail Stocking Team Supervisor
  • Burlington
  • Westland, MI
  • **LOCATION** 35555 Warren Road Westland MI US 48185 **Overview** At Burlington, we embrace the many facets of diversity ...
  • 4/27/2024 12:00:00 AM

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Retail Stocking Team Supervisor
  • Burlington
  • Dearborn Heights, MI
  • **LOCATION** 9313 Telegraph Road Redford MI US 48239-1260 **Overview** At Burlington, we embrace the many facets of dive...
  • 4/27/2024 12:00:00 AM

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Records Associate II
  • Henry Ford College, MI
  • Dearborn, MI
  • Salary: $16.23 - $18.38 Hourly Location : Dearborn, MI Job Type: Full-Time Job Number: 202200162 Division: Registration ...
  • 4/27/2024 12:00:00 AM

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Plasma Processing Technician
  • CSL
  • Westland, MI
  • Responsibilities: •Responsible for the evaluation of donor suitability for automated pheresis procedures. Administration...
  • 4/26/2024 12:00:00 AM

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Project Manager/Gerente de proyectos
  • Teddy's Lawn & Landscape
  • Livonia, MI
  • Project Manager at Teddy's Landscape: Where Leadership Meets the Great Outdoors! Join the ranks of an elite team that no...
  • 4/26/2024 12:00:00 AM

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CNC Field Service Technician
  • Contract Professionals, Inc.
  • Westland, MI
  • CNC Field Service Technician Location: Westland, MI Position Type: Full-time Compensation: Salary (based on experience) ...
  • 4/24/2024 12:00:00 AM

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Patrol Officer
  • City Of Dearborn Heights
  • Dearborn Heights, MI
  • Job Summary A Uniform Patrol Officer has a responsibility to the community to protect life and property, to preserve the...
  • 4/24/2024 12:00:00 AM

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Insurance Contract Administrator - Full Time- Remote/Hybrid
  • Henry Ford Health System
  • Troy, MI
  • To develop, maintain, implement and monitor contractual relationships with third party Insurance Payors on behalf of HFH...
  • 4/23/2024 12:00:00 AM

Westland is a city in Wayne County in the U.S. state of Michigan. It is located about 16 miles (26 km) west of downtown Detroit. As of the 2010 census, the city had a total population of 84,094. It is the 10th largest city and 12th largest municipality in Michigan. According to the United States Census Bureau, the city has a total area of 20.45 square miles (52.97 km2), of which 20.43 square miles (52.91 km2) is land and 0.02 square miles (0.05 km2) is water....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Director jobs
$175,268 to $236,365
Westland, Michigan area prices
were up 1.2% from a year ago