Executive Director Operations
Albano Systems, Inc. - Chicago, IL
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Job SummaryIn partnership with sales and client management works cross functionally with other operational departments, like call center and care management, to establish and maintain client performance measures, and work to ensure the achievement of operational goals and measures to ensure overall operational effectiveness and delivery of service excellence to clients and their members. Responsible for the direct support and leadership of operational team to include claims leaders, customer service, billing and eligibility leaders. Accountable for the leadership, management and development of operations employees, and the corresponding people management processes including providing coaching, personal development, conducting performance reviews, salary actions, and hiring/firing decisions. Promote and lead regional/office-wide projects and initiatives that support the achievement of strategic goals. Plan, direct, coordinate, and oversee operations activities in the organization, ensuring development and implementation of efficient operations and cost-effective systems to meet current and future needs of the organization. Lead assigned operational functions in planning and implementation of strategies and tactics required to fulfill company objectives, particularly in assuring sales and earnings growth. To maintain existing business portfolio by conducting continuous review of results. Maintain operational dashboard and continuously raise the KPI initiating business process enhancements, maintain knowledge management tools, and provide continuous feedback on deficits and achievements.Maintain ongoing compliance with all applicable CMS standards, state and federal regulations as well as Company policy and Accreditation Standards.Please note, this is a hybrid role which will require in-office hours at the respective office location.Job Description:Provide oversight and direction of operational goals and measures per SLAs to ensure overall operational effectiveness of assigned office(s) and delivery of world class service to Health clients and customers.Act as mentor, coach and role model within assigned office(s) providing leadership and employee development opportunities to entire operations staff promoting personal growth and ensuring greater self-sufficiency.Collaborate effectively to support and advocate enterprise, business operations and business initiatives by developing best practices which emphasize ownership, accountability, managed metrics, and overall, consensus, removing obstacles, holding self and others accountable.Actively engage in company projects, initiatives, and participate in prospective/current client presentations and meetings when needed to support the strategic needs of the business.Other duties as needed/assignedMinimum RequirementsMinimum of 15-year experience leading/managing in operations environmentBachelor's degree preferred or equivalent experiencePreferred RequirementsDemonstrated success in managing and leading in TPA/Carrier operations environment, including Claims, Customer Service, Enrollment, Billing and Quality Assurance.Demonstrated experience in motivating and leading highly successful operations and office support teamsAbility to inspire, lead and coach leaders and employees at multiple levelsExperienced in working cross functional organization and strategies which build consensus and synergies that support changeAbility and interest in participating in Client Presentations as operations lead.Experience with Medicare a plus
Created: 2024-10-01