Health Insurance Operations Manager jobs in Michigan
Health Insurance Operations Manager manages and maintains daily health insurance operations in multiple service areas, including account installation, implementation, client support, contract administration, claim processing, and enrollment and eligibility. Handles and settles complicated customer service issues which can not be resolved by lower level staff. Being a Health Insurance Operations Manager monitors performance of each service area. Requires a bachelor's degree or its equivalent. Additionally, Health Insurance Operations Manager typically reports to senior management or Director. The Health Insurance Operations Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Health Insurance Operations Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)
Recently Added Health Insurance Operations Manager jobs
- Research Data Operations - Henry Ford Health - Careers Careers
-
Detroit, MI
FULL_TIME
-
Location: Elijah McCoy Building
Additional Information: Role reporting to Pathology and Laboratory Medicine
GENERAL SUMMARY:
Serves as an internal expert resource regarding data management operations, including
programming. Oversees the day-to-day operations, personnel management, quality
improvement, and strategic planning for data operations including availability and
security of data assets. Assists with the development of operational plans and monitors
the progress and performance of data management and programming services for
research projects; to include service quality, data integrity, timeliness of deliverables,
and adherence to budget. Develops and implements strategies to enhance the
performance and capabilities of Data Operations.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
1. Serves as an internal expert resource for faculty and staff with regard to data
management and programming services.
2. Develops, implements and maintains efficient approaches to acquisition,
maintenance and characterization of research datasets available internally and
collected from distributed research networks, payers and other sources.
3. Oversees the development and implementation of workflow and operations
processes across projects. Monitors progress and performance and ensures that
services are performed in accordance with timeliness, quality standards, applicable
regulatory requirements and budgetary limits.
4. Collaborates with other functional groups, partners, and vendors, including scope
development and management of deliverables to achieve research aims and
departmental/organizational goals.
5. Devises optimal data collection strategies based on research aimsEDUCATION/EXPERIENCE REQUIRED:
- Bachelor’s degree in computer science or related field. Master’s degree preferred.
- Three years of directly related data management experience. One year
management experience. - SAS and database management programs, preferred.
- SQL Management Studio, preferred.
- Working knowledge of medical coding guidelines for diagnoses, procedures, drugs
and ancillary services including ICD, CPT, HCPCS, SNOMED, LOINC, and NDC
coding systems, preferred. - Five years analytical, data management & reporting experience in a health care
setting, preferred. - Certified in Epic Clarity is highly desirable.
- Experience in managing projects in health services research, data analysis
programming, research data management environment is highly desirable. - Experience with EHR and payer datasets and clinical research data is highly
desirable.
Additional Information - 14 Days Ago
- CVS Health Retail
-
Ypsilanti, MI
FULL_TIME
- The Operations Manager is a member of the Store Management team, and as such, fulfills the company purpose of helping people on their path to better health by driving store execution and performance w...
- 21 Days Ago
- CVS Health Retail
-
Royal, MI
FULL_TIME
- The Operations Manager is a member of the Store Management team, and as such, fulfills the company purpose of helping people on their path to better health by driving store execution and performance w...
- 21 Days Ago
- CVS Health CVS/Pharmacy
-
Van, MI
PART_TIME,FULL_TIME
- Looking for a self motivated individual to assist the manager with day to day operations of the store. Job duties would include but not limited too: stock shelves, processing the warehouse truck, coun...
- 27 Days Ago
- CVS Health Retail
-
Traverse, MI
FULL_TIME
- The Operations Manager is a member of the Store Management team, and as such, fulfills the company purpose of helping people on their path to better health by driving store execution and performance w...
- 1 Month Ago
- CVS Health Retail
-
Chelsea, MI
FULL_TIME
- The Operations Manager is a member of the Store Management team, and as such, fulfills the company purpose of helping people on their path to better health by driving store execution and performance w...
- 1 Month Ago
Health Insurance Operations Manager jobs at Popular Companies
- Mediacom Communications Corporation
-
Decorah, IA
- Position: Broadband Specialist I Who we are: Since 1995, Mediacom Communications has become a coast-to-coast presence wi...
- 4/25/2024 12:00:00 AM
- Mediacom Communications Corporation
-
Des Moines, IA
- Position: Customer Sales & Service Representative I, Front Counter (Retail) Who we are: Since 1995, Mediacom Communicati...
- 4/25/2024 12:00:00 AM
- Universal Orlando
-
Orlando, FL
- JOB SUMMARY: Drafts, reviews, analyzes, negotiates and processes contracts and related documents to insure accuracy for ...
- 4/25/2024 12:00:00 AM
- Universal Orlando
-
Orlando, FL
- JOB SUMMARY: Responsible for directing and managing all aspects necessary for the development of Major Attraction Projec...
- 4/25/2024 12:00:00 AM
- Mediacom Communications Corporation
-
Chillicothe, IL
- Position: Customer Retention & Sales Representative I Position Overview: Develop and maintain existing relationships wit...
- 4/25/2024 12:00:00 AM
- Mediacom Communications Corporation
-
Chillicothe, IL
- Located in Chillicothe, IL Position: IT Administrator II Who we are: Since 1995, Mediacom Communications has become a co...
- 4/25/2024 12:00:00 AM
- Hudson Group
-
Colorado Springs, CO
- $300 HIRING BONUS FOR JOINING OUR TEAM! Grow With Us! Hudson is North America's leading travel retailer. For over 30 yea...
- 4/25/2024 12:00:00 AM
- MCI Military Recruitment
-
Wichita, KS
- POSITION OVERVIEW: MCI is seeking an Insurance Operations Manager experienced in Property and Casualty and Life insuranc...
- 4/22/2024 12:00:00 AM