Manager - Health Plan Operations
Seasoned Recruitment
Los Angeles, california
We are seeking an experienced and dynamic Manager to oversee our Health Plan Operations. The Manager will be responsible for leading and managing the day-to-day operations of our health plan, ensuring smooth and efficient functioning of all aspects related to health plan administration. The ideal candidate will possess strong leadership skills, extensive knowledge of healthcare operations, and a proven track record of managing a team to achieve operational excellence.
Key Responsibilities:
- Oversee the day-to-day operations of the health plan, including claims processing, member services, provider relations, and utilization management.
- Develop and implement operational policies and procedures to ensure compliance with regulatory requirements and industry standards.
- Lead and mentor a team of operational staff, providing guidance, support, and training as needed.
- Analyze operational performance metrics and implement strategies to improve...