[Hiring] Group Health Operations Manager @Dane Street, LLC

Role Description

Oversee and ensure the overall profitability of the regional operations center. This includes but is not limited to:

• Reaching and exceeding financial & referral goals
• Properly managing staffing efficiencies throughout the team
• Managing performance expectations & improvements for existing staff
• Presenting management with regular reporting on any topic requested by the management team

Dane Street’s success relies on individual and team contributions every day. We care for our customers, each other and Dane Street. It is the responsibility for all of us to maintain a positive working environment that promotes client satisfaction and results.

Qualifications

• An Associate’s Degree or Bachelor’s Degree is preferred
• RN / LPN License is required
• Business experience in a healthcare and/or insurance setting is preferred
• Business experience in a Worker’s Compensation and/or Auto insurance setting is preferred
• Utilization Review experience is required

Requirements

• Driving Revenue Growth
• Delivering excellent Customer service
• Meeting scheduling best practices and turnaround time requirements
• Ensuring the timely delivery of high quality reports
• Managing client inquiries in a timely manner
• Optimizing Physician cost
• Ensuring that client invoices adhere to the agreed upon fee schedule
• Overseeing the proper selection of physicians
• Building relationships with key physicians to ensure panel retention
• Manage Staff Performance and capacity
• 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
• Responsible for hiring new staff members based on increased referral volume and/or the addition of new clients
• Conducts performance evaluations that are timely and constructive
• Handles discipline and termination of employees as needed and in accordance with company policy
• Responsible for the overall production, performance, and quality of the assigned region
• Plans and organizes daily activities related to production and operations
• Measures productivity by analyzing performance data, financial data, and activity reports
• Coordinates with other support departments such as human resources, finance, and IT and BA to ensure successful production operations
• Determines labor needs to meet production goals

Benefits

• Comprehensive benefits package including health insurance, retirement plans, and 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 including hospital indemnity, critical illness, accident indemnity, and pet insurance plans
• Basic life insurance, short-term disability, and long-term disability coverage at no cost
• Generous paid time off policy
• 401k plan with a company match
• Apple equipment and a media stipend for remote workspace

Company Description

A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.