Director - Consumer Service Operations

6 days ago

🇺🇸 United States – Remote

🐊 Florida – Remote

Although this job is listed in Florida, this company may be open to hiring remote in other states.

🌽 Illinois – Remote

Although this job is listed in Illinois, this company may be open to hiring remote in other states.

+2 more states

🐊 Florida – Remote 🌽 Illinois – Remote 🐎 Kentucky – Remote 🧀 Wisconsin – Remote

💵 $138.9k - $191k / year

⏰ Full Time

🔴 Lead

⚙️ Operations

🦅 H1B Visa Sponsor

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

⚕️ Healthcare Insurance

Description

• Become a part of our caring community and help us put health first • This position works with insurance companies, providers, members, and collection services in the settlement of claims through Call Center operations • Oversees a departmental budget for cost controls and efficiency and supports annual claims payments of over $1B • Provides input into functions strategy • Must be able to take complex problems and distill into manageable pieces to develop solutions • Drive engagement efforts with Network Operations & Market partners • Utilize reporting and perform detailed data analysis to identify financial trends, cost-saving measures and create operational efficiencies • Develops strategic roadmap to ensure proper resource allocation, oversight and goal alignment

Requirements

• Bachelor's Degree • 5 or more years of technical/operational experience in Claims or Service Operations • 5 or more years of management experience • Experience with vetting/implementing software programs/tools • Progressive experience in the health solutions industry, with emphasis on leading and managing teams • Experience with decision making for large scale projects or new/updated programs • Proficiency in analyzing and interpreting data and trends • Strong attention to detail and focus on process and quality • Excellent communication skills • Ability to operate under tight deadlines • Must be passionate about contributing to an organization focused on continuously improving consumer experiences • Excellent relationship-building skills, including the ability to engage many diverse stakeholders and SMEs

Benefits

• Health benefits effective day 1 • Paid time off, holidays, volunteer time and jury duty pay • Recognition pay • 401(k) retirement savings plan with employer match • Tuition assistance • Scholarships for eligible dependents • Parental and caregiver leave • Employee charity matching program • Network Resource Groups (NRGs) • Career development opportunities