Overview:

The Senior Operations Manger will be accountable for the Claims, Claims Acquisition, Enrollment, and Member Advocate teams working with our leadership team to set the course for our future. Must be an outgoing business leader who can observe, analyze, and continually improve the operation to ensure it runs as efficiently as possible for our success. This role reports to the COO/Integrator. Please see below for a more in-depth overview of daily responsibilities and skills required for this position.

Responsibilities:

• LMA (Lead, Manage and support a culture of Accountability) using the EOS model.
• Developing, mentoring, and evaluating Operations staff including, but not limited to, annual reviews and Quarterly Conversations
• Oversight and accountability of the entire Operations team which includes: Member Advocacy, Claims Acquisition (claims prep, PPO liaison, provider maintenance, mail room), Enrollment and Claims (processing, training, auditing, excess and plan loading.
• Reporting department activity to Leadership team and COO/Integrator on a weekly basis
• Working with Leadership team to stay in front of governmental compliance issues and their implementation on behalf of clients.
• Coordinating resources and setting accountability within the department to accommodate the constantly changing environment.

Required Skills:

• Bachelor`s Degree
• 8 years managing, supervising, coaching, and directing a similar service based or claims operation.
• 5 years managing Third Party Administration Claims processing.
• Stop loss experience or knowledge.
• Javelina claims system experience or knowledge a strong plus.
• Senior level organizational, analytical and accountability skills are necessary.
• Effective verbal and written communications skills necessary to lead and grow all team members while supporting our clients and broker’s needs.
• Open minded and desire to learn, grow and receive feedback in a welcoming way.