Director CERIS Operations

CorVel Career Site•Fort Worth, TX

1d•Remote

About The Position

The Director, CERIS Operations is responsible for providing leadership, strategic planning, operational management, and implementation of standards and continuous improvements across non-review business operations. This position leads operational performance across non-clinical functions and provides guidance and direction to ensure compliance with established operating standards, process and product enhancements, and effective workforce and production planning. This role works closely with the Director of Audit Services and the Director of Policy and Payment Integrity to support and exceed annual objectives and long-term growth strategies. CERiS, a division of CorVel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

Requirements

Excellent verbal and written communication skills, including the ability to communicate complex concepts in a clear and concise manner
Strong understanding of data, systems, and operational processes within a scalable business environment
Proven ability to influence stakeholders, build consensus, and present effectively to a variety of audiences
Proficiency with Microsoft Office applications
Excellent analytical, decision-making, and problem-solving skills
Strong leadership, organizational, and strategic planning capabilities
Ability to collaborate effectively across departments and all levels of the organization
Experience driving continuous improvement initiatives and operational efficiencies
Bachelor's degree in Healthcare, Business Administration, or a related field; or 7+ years of equivalent education and experience in operations management with significant healthcare industry knowledge

Nice To Haves

Experience in Payment Integrity preferred

Responsibilities

Drive operational excellence across non-clinical business functions, with a focus on: Delivering client value and enhancing client experience, Standardization of processes, Scalability of operations, Operational effectiveness, Operational efficiency
Lead and implement strategic initiatives and operational improvements across CERIS
Provide direct oversight and accountability for non-clinical operational departments
Oversee Set-Up, Procurement, Data Capture, RCM, Closing, and other functions within scope
Actively participate in company meetings, calls, and cross-functional initiatives
Lead by example while providing guidance, coaching, and mentoring to team members and direct reports
Foster and promote the CorVel and CERIS culture across all employees
Develop and maintain effective communication channels across cross-functional teams
Continuously evaluate and improve operational metrics, policies, procedures, and best practices
Ensure compliance with HIPAA regulations, policies, and procedures
Perform additional duties as assigned