What are the responsibilities and job description for the Executive Director Operations - Luminare Health position at Health Care Service Corporation?
At Luminare Health , our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job SummaryIn partnership with sales and client management works cross functionally with other operational departments, like call center and care management, to establish and maintain client performance measures, and work to ensure the achievement of operational goals and measures to ensure overall operational effectiveness and delivery of service excellence to Luminare Health clients and their members.Responsible for the direct support and leadership of operational team to include; claims leaders, customer service, billing and eligibility leaders. Accountable for the leadership, management and development of operations employees, and the corresponding people management processes including providing coaching, personal development, conducting performance reviews, salary actions, and hiring/firing decisions. Promote and lead regional/office-wide projects and initiatives that support the achievement of strategic goals.
Plan, direct, coordinate, and oversee operations activities in the organization, ensuring development and implementation of efficient operations and cost-effective systems to meet current and future needs of the organization. Lead assigned operational functions in planning and implementation of strategies and tactics required to fulfill company objectives, particularly in assuring sales and earnings growth. To maintain existing business portfolio by conducting continuous review of results. Maintain operational dashboard and continuously raise the KPI initiating business process enhancements, maintain knowledge management tools, and provide continuous feedback on deficits and achievements.
Maintain ongoing compliance with all applicable CMS standards, state and federal regulations as well as Company policy and Accreditation Standards.
Please note, this is a hybrid role which will require in-office hours at the respective office location.
Job Description:
Provide oversight and direction of operational goals and measures per SLAs to ensure overall operational effectiveness of assigned office(s) and delivery of world class service to Luminare Health clients and customers.
Act as mentor, coach and role model within assigned office(s) providing leadership and employee development opportunities to entire operations staff promoting personal growth and ensuring greater self-sufficiency.
Collaborate effectively to support and advocate enterprise, business operations and business initiatives by developing best practices which emphasize ownership, accountability, managed metrics, and overall, consensus, removing obstacles, holding self and others accountable.
Actively engage in company projects, initiatives, and participate in prospective/current client presentations and meetings when needed to support the strategic needs of the business.
Other duties as needed/assigned
Minimum Requirements
Minimum of 15-year experience leading/managing in operations environment
Bachelor's degree preferred or equivalent experience
Preferred Requirements
Demonstrated success in managing and leading in TPA/Carrier operations environment, including Claims, Customer Service, Enrollment, Billing and Quality Assurance.
Demonstrated experience in motivating and leading highly successful operations and office support teams
Ability to inspire, lead and coach leaders and employees at multiple levels
Experienced in working cross functional organization and strategies which build consensus and synergies that support change
Ability and interest in participating in Client Presentations as operations lead.
Experience with Medicare a plus
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EEO Statement:We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Pay Transparency Statement:
At Luminare, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan,pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package forassociates.
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plansubject to the terms and the conditions of the plan.
Min to Max Range:
$130,100.00 - $244,400.00
Salary : $130,100 - $244,400
