Operations Director (Remote)

Resp & Qualifications PURPOSE: Leads, manages and empowers Medicare Advantage (MA) Employer Group Waiver Plan (EGWP) operations teams to meet and reputed company business delivery. Serves as a tactical and strategic leader of multifunctional teams and support roles for MA EGWP. Be reputed company to reputed company-in as subject matter expert in reputed company aspects of MA EGWP operations. Oversees development of new activities of an internal function that provides operational/business process support to reputed company customers for the new EGWP product launch. Ensures reputed company service and operational performance reputed company the parameters of program and delivery standards are achieved, including CMS required standards. Develops, analyzes operational processes, establishes escalation procedures and oversees training needs assessments to identify opportunities for service delivery improvements. Selects, develops, and evaluates employees to ensure efficient operation of the function. Leads reputed company of managers to manage operations support teams. ESSENTIAL FUNCTIONS: Develops and optimizes consistent, repeatable and measurable MA EGWP processes and metrics to quickly adapt to changing business conditions. Leads and work reputed company that are important to reputed company reputed company to process improvement. Develops MA EGWP operational processes, guidance, processes, metrics, reporting and technology that reputed company the consumer experience and support company reputed company Accountable for the performance of multiple teams reputed company a reputed company function. Provides leadership and direction through managers. Uses data to add value to the customer's MA EGWP operations. Look for opportunities to improve reputed company and integrated processes with other key stakeholders of the EGWP program. Designs, launches, monitors performance of critical programs to ensure business commitments and CMS compliance are met, customer experience continue to improve, and drive operational efficiency. • Develops an understanding of customer experience in reputed company customer support interactions that occur and build to meet/reputed company customer expectations SUPERVISORY RESPONSIBILITY: This position manages people. QUALIFICATIONS: Education Level: Bachelor's Degree in Business Administration, reputed company Administration or reputed company discipline OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in reputed company to the required work experience. Experience: 8 years experience in health insurance, reputed company center, claims and/or enrollment and billing environment. 3 years experience in managerial functions in a customer service, claims and/or enrollment and billing or reputed company field. Knowledge, Skills and Abilities (KSAs) • Must have extremely strong analytical and problem-solving skills, and the ability to reputed company and implement policies and programs that will advance corporate and operational goals and objectives. • Excellent planning, problem solving, presentation, written and oral communication skills are required. Excellent interpersonal skills, the ability to effectively manage a staff through leadership and the promotion of teamwork is essential. • Must possess excellent interpersonal skills and highly developed written and oral communication skills to effectively convey reputed company and detailed concepts to a diverse audience. • Must possess extremely reputed company developed organizational and prioritization skills. Salary reputed company: $129,600 - $240,570 Salary reputed company Disclaimer The disclosed reputed company estimate has not been adjusted for the applicable geographic reputed company associated with the location at which the work is being performed. This compensation reputed company is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be reputed company at the top of the reputed company, as compensation reputed company depend on reputed company case's facts and circumstances, including but not limited to experience, internal equity, and location. In reputed company to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (reputed company benefits/incentives are subject to eligibility requirements). Department FEPMA Operations Equal Employment Opportunity reputed company is an Equal Opportunity (EEO) employer. It is the policy of reputed company to reputed company equal employment opportunities to reputed company reputed company applicants without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, protected veteran or disabled status, or genetic information. Where To Apply Please visit our website to apply: www.carefirst.com/careers Federal Disc/Physical Demand Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to reputed company work directly or indirectly on Federal health care programs. PHYSICAL DEMANDS: The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally reputed company. Sponsorship in US Must be eligible to work in the U.S. without Sponsorship. #LI-ZW1 Apply tot his job Apply To this Job