Senior Director of HIF Operations

Conner Strong & Buckelew•Camden, NJ

4h•$150,000 - $170,000•Hybrid

About The Position

The Senior Director of HIF Operations will serve as the senior leader responsible for the day-to-day operational management of multiple Health Insurance Funds (HIFs). This role oversees core administrative functions including billing, eligibility, claims and service resolution, implementation of new business, and vendor management. The position requires a highly experienced operational leader with strong process discipline, technical expertise, and the ability to manage complex, multi-entity benefit programs. This is a highly visible leadership role requiring strong operational discipline, attention to detail, and the ability to manage complexity at scale. The Senior Director of HIF Operations will play a critical role in ensuring the efficiency, accuracy, and overall effectiveness of HIF administrative functions.

Requirements

Minimum of 10 years of relevant employee benefits operational experience, with deep expertise across billing, eligibility, claims, and service functions
Proven leadership and team management experience, with the ability to oversee and develop high-performing operational teams
Demonstrated expertise in process improvement, operational efficiency, and complex system management
Strong working knowledge of health plan administration, including vendor ecosystems and regulatory requirements
Excellent communication and public speaking skills, with the ability to interact effectively with internal teams, brokers, vendors, and external stakeholders
Bachelor’s degree required
Authorized to work in the United States on a full-time basis without Company sponsorship.

Nice To Haves

Experience working with public entity clients or similar complex, multi-employer environments preferred

Responsibilities

Lead and manage all day-to-day operational functions across the HIF platform, including billing, eligibility, claims resolution, service operations, and group implementation
Oversee and manage a team of professionals responsible for servicing HIF clients, including direct interaction with public entity insurance brokers
Ensure accurate and timely premium billing across a complex structure of up to 350+ accounts, including subdivisions and multi-layered billing arrangements
Oversee enrollment and eligibility operations, ensuring all updates are processed accurately and systems remain current and aligned
Manage and ensure timely, thorough resolution of all service-related issues impacting plan members and participating groups
Establish and enforce operational policies, procedures, and tracking systems to ensure accountability and efficient issue resolution
Oversee vendor relationships, including benefit administrators, pharmacy benefit managers, dental vendors, COBRA administrators, retiree billing vendors, and technology providers
Ensure vendors meet performance expectations and service standards, particularly related to member experience and issue resolution
Support and oversee the implementation of new business, including onboarding, system configuration, and operational readiness
Play a key leadership role in annual open enrollment processes, ensuring coordination, accuracy, and execution across all functions
Oversee the development, maintenance, and timely distribution of benefit materials and plan documents
Support and oversee member appeals processes, ensuring compliance with all applicable state and federal regulations
Work closely with HIF Executive Directors, Program Managers, and other stakeholders to ensure effective administration and continuous improvement of HIF operations
Assist in the implementation of plan design changes and ensure operational alignment across all systems and processes
Interface, as needed, with HIF commissioners and other governing stakeholders in support of operational oversight