Director of Operations

Edwards Health Care Services, Inc. • Hudson, OH

2d • Onsite

About The Position

GEMCORE’s continued success has earned us national recognition with Inc. Magazine’s list of America’s Fastest-Growing Companies and with the Cleveland Plain Dealer as a 2020, 2021, 2022, 2023, 2024, and 2025 Top Workplace. We are looking for qualified candidates who share our enthusiasm and drive for winning and want to be part of our caring culture!
Edwards Health Care Services, Inc., a division of GEMCORE, is seeking a dynamic and strategic Director of Operations to lead our organization. This is a critical role for a results-oriented leader with a drive for process improvement. The ideal candidate will have a proven track record of leading high-performing cross-functional operations teams. This individual will be responsible for leading four departments to include: Customer Service, Medical Documentation, Prior Authorization, and the Quality departments.

Requirements

• Qualified candidates must have excellent verbal, written and computer skills with the ability to manage a multiple location team environment.
• Superb organizational competence and quality orientation required.
• Proficient in the knowledge of healthcare products, Medicare law, deductibles, co-payments and third party reimbursement for customer education and employee training purposes.
• Ability to perform short and long term planning needed.
• Minimum of 10-15 years of management and operations experience in a customer service with healthcare environment strongly preferred.
• Must have a broad base of healthcare products knowledge and billing operations experience.
• Bachelor’s degree or equivalent experience.

Nice To Haves

• Excellent project and program management skills desired.
• P & L experience helpful, but not necessary.

Responsibilities

• Provide leadership, guidance, direction, and motivation that maximize operational effectiveness.
• Define, implement, and revise operational policies and guidelines in order to maximize efficiency and productivity.
• Work with each operation and department to set clear goals and prioritize all duties, tasks, and functions for operational efficiently.
• Identify, communicate, and drive implementation of new initiatives, investments, and improvement projects.
• Establish a managerial climate that encourages teamwork and promotes collaboration among all team members. Foster a culture of accountability, innovation and continuous improvement.
• Maintain all DME regulatory guidelines and standards. Ensure that all medical billing practices are in compliance with Medicare, Medicaid, private insurance, and HIPAA regulations and guidelines.
• Communicate effectively with customers, government agencies, healthcare professionals, manufacturing and insurance companies on a continuing basis.
• Establish metrics for key areas of measurement within DME operations and hold teams accountable to achieve or exceed these goals.
• Make final determination for potential future shipments for insurances; analyzing if the contract is profitable.
• Demonstrate awareness of company’s revenue margins through decisions and actions in order to maximize profits.
• Understand the Accreditation process and maintain compliance with all standards.

Benefits

• Employer paid vacation and holidays.
• Benefits available included medical/dental/vision, life, short and long-term disability insurances, and 401K Retirement Savings Plan.

What This Job Offers

• Job Type: Full-time
• Career Level: Director