Group Health Operations Manager

Summary

Join Dane Street, a fast-paced Inc. 500 company, as a remote Operations Manager overseeing regional profitability. You will drive revenue growth through excellent customer service, optimize physician costs, and manage staff performance. Responsibilities include meeting scheduling targets, ensuring timely report delivery, managing client inquiries, and conducting performance evaluations. An RN/LPN license and utilization review experience are required. A Bachelor's degree is preferred, along with healthcare/insurance business experience. Dane Street offers a competitive salary, comprehensive benefits, and a supportive work environment.

Requirements

• Have an RN / LPN License
• Have Utilization Review experience
• Present exceptional communication skills with a clear understanding of company business lines
• Have the ability to apply critical thinking, manage time efficiently and meet specific deadlines
• Possess computer literacy and typing skills
• Supply and support your own internet services
• Maintain an uninterrupted internet connection

Responsibilities

• Drive revenue growth by delivering excellent Customer service
• Meet scheduling best practices and turnaround time requirements
• Ensure the timely delivery of high quality reports
• Manage client inquiries in a timely manner
• Optimize Physician cost
• Ensure that client invoices adhere to the agreed upon fee schedule
• Oversee the proper selection of physicians
• Ensure that the team selects the most appropriate physician based on the claimant’s location, the required specialty, and the most appropriately priced physician based on the client’s fee schedule
• Build relationships with key physicians to ensure panel retention
• Monitor key performance metrics of individual Customer Service Representatives (CSR) and Quality Assurance (QA) Specialists
• Ensure the team meets or exceeds 85% of output goals for scheduling and Quality Assurance targets
• Hire new staff members based on increased referral volume and/or the addition of new clients
• Conduct timely and constructive performance evaluations
• Handle discipline and termination of employees as needed and in accordance with company policy
• Be responsible for the overall production, performance, and quality of the assigned region
• Plan and organize daily activities related to production and operations
• Measure productivity by analyzing performance data, financial data, and activity reports
• Coordinate with other support departments such as human resources, finance, and IT and BA to ensure successful production operations
• Determine labor needs to meet production goals

Preferred Qualifications

• Have an Associate’s Degree or Bachelor’s Degree
• Have business experience in a healthcare and/or insurance setting
• Have business experience in a Worker’s Compensation and/or Auto insurance setting

Benefits

• Health insurance
• Retirement plans
• Performance bonuses
• 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
• 401k plan with a company match
• Apple equipment and a media stipend for remote workspace