Operations Manager Jobs

About The Position

Requirements

• Bachelor's degree and 5 years of health insurance contract operations experience PLUS one year of management experience OR 9 years of health insurance contract operations experience PLUS one year of management experience.
• Knowledge of health products and procedures, underwriting requirements, regulatory contract filings with state regulators, including but not limited to responding to regulator objections, contract and funding arrangements.
• Analytical and reporting skills.
• PC proficiency to include Microsoft Office Suite.
• Project management skills.
• Customer service experience and acumen.
• Leadership skills.
• Verbal and written communications skills to manage staff and operations, build relationships across the organization and with external key stakeholders, build consensus and issue resolution.

Nice To Haves

• JD degree or 4 years’ experience in a leadership role with independent decision-making.
• Knowledge of external adjudication processes.
• Knowledge of large or national account contract specifications and processing systems.
• Knowledge of corporate marketing practices, health insurance product lines and Par Plan operations.

Responsibilities

• Manage the unit responsible for the production of customer-specific documents for new/existing business in accordance with corporate guidelines, underwriting policy, benefit specifications, and statutory requirements.
• Manage the performance, overall quality and resource allocation to support all product lines, including key sales support components of benefit selection through contract template delivery.
• Oversee the creation and maintenance of standard contract templates.
• Implement strategies, projects and initiatives.

Benefits

• 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
• annual incentive bonus plan