Assistant Director, Group Health

Summary

Join Dane Street's Group Health Division as the Assistant Director and lead the team to achieve client satisfaction and growth. You will ensure key client metrics are met, manage the Operations Management Team, and oversee operational procedures. Responsibilities include attracting, recruiting, and retaining team members, conducting quality audits, recommending process improvements, and managing the division's profit and loss. Collaboration with the National Medical Director on physician panel development is also required. This role demands strong communication, critical thinking, and time management skills. Dane Street offers a comprehensive benefits package.

Requirements

• Minimum 5-10 years experience managing a team of Utilization Management (UM) Nurses at a Health plan or IRO
• RN (preferably BSN or higher)
• Experience working with Utilization Management standards and guidelines
• Experience leading an operational unit/division, ensuring customer service goals are met, and achieving profitability, goals and objectives
• Present exceptional communication skills with a clear understanding of company business lines
• The ability to apply critical thinking, manage time efficiently and meet specific deadlines
• Computer literacy and typing skills are essential
• Supply and support their own internet services
• Maintaining an uninterrupted internet connection is a requirement of all work from home position

Responsibilities

• Ensure delivery of key client metrics including Turnaround Time (TAT), Quality (measured by clarification %), P2P success, overturn rate, and any other key performance metrics set forth by our Group Health customers
• Lead the Operations Management Team and oversee all activities directly related to the operational procedures
• Attract, recruit, and retain Team members
• Work with the Group Health Operations Teams on internal and external quality audits and make recommendations on process improvements/updates
• Recommend development initiatives to help enhance the usage of technology for client satisfaction and internal efficiencies
• Responsible for the reconciliation of client outcomes reports & issue logs
• Responsible for the overall Profit and Loss of the Group Health Division
• Work with the National Medical Director on the development and management of the physician panel
• Other duties & special projects, as assigned and based on business needs

Preferred Qualifications

A Bachelor’s or Graduate’s Degree is preferred

Benefits

• Medical, dental, and vision coverage for you and your family
• Voluntary life insurance options for you, your spouse, and your children
• Other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans
• Basic life insurance, short-term disability, and long-term disability coverage at no cost
• Paid time off policy
• 401k plan with a company match
• Apple equipment and a media stipend are provided for remote workspace