Health Insurance Operations Manager jobs in South Carolina

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)

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Captive Health Insurance Account Manager
  • Parrish & Gwinn Insurance Group, LLC
  • Columbia, SC FULL_TIME
  • Enjoy a great work environment, flexible work conditions, casual dress code, private office, great benefits with 100% employee paid health insurance, no weekend work, and remote Fridays with scheduled additional remote days each month! This is a small privately held organization that knows the value of their employees. Looking for a long-term employee to add to our team. Experience in health insurance as a benefits manager or health service provider is preferred, but not required. Willing to train the right candidate who is a quick learner. Knowledge with fully insured and self-insured health plans is a bonus. This is a service position for current clients. Must be organized and a self-starter with good customer service skills. Occasional travel for client meetings in the southeast and board meetings (varies).Must get licensed in Life/Health insurance in South Carolina after starting the position.

    • Starting salary $45,000. Could be more with credible experience.
    • Full benefits (100% employee paid health insurance. Option for dental and vision insurance.)
    • Paid vacation days
    • 401k and 401k match
    • Profit sharing
    • Hybrid work schedule

    JOB DUTIES (not all inclusive)

    • Capable of networking and working with business owners, CEOs, executives, directors, etc.
    • Demonstrate strategic thinking and innovation to provide solutions for our groups based on knowledge of markets, carriers, products, and including an understanding of important technical/financial issues that may arise
    • Ability to travel for client meetings and during open enrollment (this is less than 20% of the job/time, it is infrequent)
    • Knowledge of medical, dental, vision, worksite, and other ancillary products
    • Responsible for analyzing claims data, loss reports, high dollar notices, sensitive diagnosis codes and more for our groups
    • Must be able to create reports based off claims data, loss runs, high dollar claimants, and more health/RX/ancillary data that is provided on our groups
    • Serves as the primary day-to-day contact for inquiries that range from the executive level to their every day employees, via phone calls and/or emails
    • Required to understand insurance deductibles, coinsurance, copays, etc
    • Continuous education on medical health insurance, MHPA laws, ACA mandates, ERISA guidelines, FMLA requirements, COBRA notices, and more
    • Ensures that quotes and documents are collected for renewals, open enrollments, and competitive market/carrier comparisons throughout the year
    • Assists groups with benefit enrollments and ensuring that all carriers/vendors are provided accurate eligibility information for their enrollments
    • Familiarity with HSAs/HRAs/FSAs and other medical spending accounts and how contributions are deducted & funds are distributed and eligibility of items/claims under these accounts
    • Designs, recommends, and implements new benefit programs or ancillary lines or worksite lines for our groups & explains possible costs or changes expected
    • Performs plan audits by preparing, collecting, and organizing data for actuarial evaluation
    • Assists with captive financial questions from the group related to collateral, financing, loss fund, etc related questions
    • Monitors administrative costs of benefit programs and recommends cost containment strategies, including alternative methods for administration and funding
    • Design and distribute materials for benefit orientations, open enrollments, and summary plan descriptions by working with all carriers/vendors to ensure the correct benefit information is within the materials
    • Provide training and support to group benefit associates, home office associates, and their employees on their benefits
    • Ensures compliance with applicable government regulations and ensures the timeliness & accuracy of required reporting and fees
    • Serves as a contact for plan vendors and third-party administrators when it comes to negotiating on benefit plans, rates, and options for our groups
    • Coordinates transfer of data to external contacts for services, premiums, and plan administration

    Job Type: Full-time

    Pay: From $45,000.00 per year

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Health insurance
    • Paid time off
    • Vision insurance

    Supplemental pay types:

    • Bonus opportunities

    Weekly day range:

    • Monday to Friday
    • No weekends

    Work setting:

    • In-person
    • Office

    Ability to Relocate:

    • Columbia, SC 29201: Relocate before starting work (Required)

    Work Location: In person

  • 5 Days Ago

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Operations Manager
  • CVS Health Retail
  • Rock Hill, SC 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...
  • Just Posted

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Operations Manager
  • CVS Health Retail
  • Mount Pleasant, SC 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...
  • Just Posted

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Manager in Training
  • S_Operations
  • Moncks Corner, SC FULL_TIME
  • Rent A Center Ready to do your best work? Interested in a minimum starting hourly rate of $18? Why should I apply in just a few clicks? Paid Time Off and Sundays Off -- We are Closed! Full-Time Employ...
  • 2 Days Ago

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Assistant Manager
  • Bluepoint Operations
  • Fort Mill, SC FULL_TIME
  • Culver’s is looking for a Restaurant Manager If you have a passion for restaurant industry and desire to serve others, then this job is for you! Our managers oversee it all, ensuring every True Blue C...
  • 5 Days Ago

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Operations Manager I-Health
  • MUSC
  • Charleston, SC FULL_TIME
  • Job Description SummaryThe Digestive Health Front End Operations Manager reports to the Digestive Health ICCE Administrator. Under limited supervision, the Digestive Health Front End Operations Manage...
  • 2 Months Ago

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Broadband Specialist I
  • Mediacom Communications Corporation
  • Henry, IL
  • Position: Broadband Specialist I Who we are: Since 1995, Mediacom Communications has become a coast-to-coast presence wi...
  • 3/19/2024 12:00:00 AM

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Warehouse Associate I - Located in Des Moines, IA
  • Mediacom Communications Corporation
  • Des Moines, IA
  • Located in Des Moines, IA Position: Warehouse Associate I Who we are: Since 1995, Mediacom Communications has become a c...
  • 3/19/2024 12:00:00 AM

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Representative, Contracts
  • Universal Orlando
  • Orlando, FL
  • JOB SUMMARY: Assists Supervisor and other Legal team members with contract drafts, reviews and all areas of contracting ...
  • 3/19/2024 12:00:00 AM

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Broadband Specialist I
  • Mediacom Communications Corporation
  • Rantoul, IL
  • Position: Broadband Specialist I Who we are: Since 1995, Mediacom Communications has become a coast-to-coast presence wi...
  • 3/19/2024 12:00:00 AM

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Broadband Specialist I
  • Mediacom Communications Corporation
  • Huntsville, AL
  • Position: Broadband Specialist I Who we are: Since 1995, Mediacom Communications has become a coast-to-coast presence wi...
  • 3/19/2024 12:00:00 AM

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Internal Auditor - Located in Moline, IL
  • Mediacom Communications Corporation
  • Moline, IL
  • Located in Moline, IL Position: Internal Auditor Who we are: Since 1995, Mediacom Communications has become a coast-to-c...
  • 3/19/2024 12:00:00 AM

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VACU Insurance Services Operations Manager
  • Virginia Credit Union
  • Richmond, VA
  • Job Description: Position Overview: The Insurance Operations Manager is responsible for overseeing and managing the oper...
  • 3/18/2024 12:00:00 AM

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Food and Beverage Manager
  • Andretti Indoor Karting & Games
  • Fort Worth, TX
  • Andretti Indoor Karting & Games is seeking an Operations Manager to join the leadership team at the soon to open Fort Wo...
  • 3/18/2024 12:00:00 AM

South Carolina (/ˌkærəˈlaɪnə/ (listen)) is a state in the Southeastern United States and the easternmost of the Deep South. It is bordered to the north by North Carolina, to the southeast by the Atlantic Ocean, and to the southwest by Georgia across the Savannah River. South Carolina became the eighth state to ratify the U.S. Constitution on May 23, 1788. South Carolina became the first state to vote in favor of secession from the Union on December 20, 1860. After the American Civil War, it was readmitted into the United States on June 25, 1868. South Carolina is the 40th most extensive and 23...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Manager jobs
$102,634 to $139,533

Health Insurance Operations Manager in New Bedford, MA
We are looking for Senior Quantity Surveyors The role involves ensuring all operations.
January 01, 2020
Health Insurance Operations Manager in Hartford, CT
You’ll gain a thorough introduction to business basics, including issuance and installation of policies; policy renewal and changes; premium billing and payment; claims administration; pricing; and state and federal regulation of insurance.
January 18, 2020
Health Insurance Operations Manager in Pueblo, CO
This online course is a survival guide when it comes to understanding health insurance operations.
January 27, 2020