Group Health Operations Manager

1 month, 1 week ago
Full-time
Lead
Operations
Dane Street

Dane Street

Dane Street provides independent medical examination and peer review services tailored for the insurance industry, focusing on areas such as workers' compensation, disability, and auto liability, while emphasizing quality, compliance, and timely delive...

Insurance
251-1K
Founded 2008

Description

  • Oversee overall profitability of the regional operations center.
  • Drive revenue growth by meeting financial and referral goals.
  • Ensure scheduling best practices and turnaround time requirements are met.
  • Manage client inquiries promptly and ensure timely delivery of high-quality reports.
  • Optimize physician costs by following fee schedules and selecting appropriate physicians.
  • Build and maintain relationships with key physicians to support panel retention.
  • Monitor performance metrics for Customer Service Representatives and Quality Assurance Specialists.
  • Hire new staff to support increased referral volume or new client onboarding.
  • Conduct timely and constructive performance evaluations and manage discipline or termination when needed.
  • Plan daily production and operations, measure productivity, and coordinate with HR, finance, IT, and business analysis teams.

Requirements

  • Associate’s degree or Bachelor’s degree preferred.
  • RN or LPN license required.
  • Business experience in a healthcare and/or insurance setting preferred.
  • Business experience in Workers’ Compensation and/or Auto insurance preferred.
  • Utilization Review experience required.
  • Strong communication skills with a clear understanding of company business lines.
  • Ability to apply critical thinking, manage time efficiently, and meet deadlines.
  • Computer literacy and typing skills are essential.
  • Must supply and support own internet service and maintain uninterrupted internet connection for remote work.
  • Experience level, education, and specific skills will affect starting compensation.

Benefits

  • Compensation range of $75,000 to $93,750 USD.
  • Comprehensive medical, dental, and vision coverage for employees and their families.
  • Voluntary life insurance options for employees, spouses, and children.
  • Additional voluntary benefits including hospital indemnity, critical illness, accident indemnity, and pet insurance.
  • Basic life insurance, short-term disability, and long-term disability coverage at no cost.
  • Generous paid time off.
  • 401(k) plan with company match.
  • Apple equipment and a media stipend for remote workspace.

Interested in this position?

Apply directly on the company website

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