Director of Operations

We focus on your health and pay 100% for your family's medical insurance and provide 20 days of paid personal time off during your first year!

Essential Duties & Responsibilities:

• The Director will be directed by the COO to oversee multiple departments for the purpose of ensuring seamless coordination across the business and to ensure group implementations are seamless with the least amount of disruption to the employer group and employees. Ensures accurate and timely premium billing and develop and implements processes to ensure the timely payment of premiums and reduce the risk of bad debt or non-payment of premiums.
• Ensures the appropriate department metrics are identified and in place to track our overall accuracy, timeliness, efficiency, and service experience levels and are within established targets that meet or exceed industry standards.
• Continuously assess and improve workflows, systems, and policies across departments. Identify bottlenecks and develop streamlined processes that enhance operational efficiency, support high-quality service, reduce unnecessary costs and improve accuracy and timeliness. Implements process improvement projects as identified in our regulatory or financial audits.
• Develop and enforce operational and financial controls within the Claims Services, Customer Service, Employer Services, and Regulatory and Compliance Departments. Establish metrics and reporting structures that ensure compliance with industry standards, accreditation standards, company policies, and regulatory requirements.
• Work closely with other departments, such as Customer Services, Underwriting, IT, Finance, Health Care Services, Sales and Client Services to align operational objectives, improve service delivery, and support strategic initiatives. Facilitate open communication and problem-solving across teams to optimize operational outcomes.
• Implement tactics and systems to detect, investigate, and prevent enrollment and claims fraud. Work proactively to monitor unusual activities and conduct regular audits to maintian integrity across all operational areas.
• Works with the COO to provide oversight over Claims Services, Customer Services, Employer Services, and Regulatory and Compliance Departments. Ensures adequate resources and training are provided to the respective departments.
• Other duties as assigned.

Required Education and Experience:

The individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• College degree and relevant certification or experience in operational efficiency, and/or customer experience/service.
• 10 years of experience in a supervisor capacity with department responsibility.
• 5 years experience in healthcare, insurance, or health insurance.
• Experience in process improvement, ability to effectively manage projects, and able to communicate effectively with other departments.
• Able to interpret data and develop relevant performance indicators to track progress.
• Looking for a customer centric individual.

Preferred and Advanced Qualifications:

• Detail oriented with strong analytical and problem-solving skills
• Excellent organizational, time management and leadership skills
• Ability to work under minimal supervision
• Strong verbal and written communication skills
• This position is eligible to work from home
• Process Improvement certification