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Senior Operations Manager jobs at Oscar - 523 jobs

  • Senior Manager, People Operations

    Oscar Health 4.6company rating

    Senior operations manager job at Oscar

    Job Description Hi, we're Oscar. We're hiring a Senior Manager to join our People Operations team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family. About the role: The Senior Manager, People Operations role is responsible for supporting department operations, providing People Team-People Strategy operational support, and driving cross-functional project and program execution. This role closely partners with senior leadership to ensure operational excellence by driving execution of strategic priorities, improving internal coordination, and acting as a force multiplier - translating priorities into action. You will report into the Chief of Staff to Chief People Officer. Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid Pay Transparency: The base pay for this role is: $135,792 - $178,227 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities: Department Operations Own execution and audit of department governance practices Track department budgets, contracts, vendors, and partner with FP&A on monthly/quarterly files Maintain action logs, open decisions, and drive deliverables against company timelines Prepare briefing materials, presentations, and internal updates/communications Track department progress against long term strategic initiatives, OKRs, and leadership priorities Aggregate OpCo, MC, and Board materials across the department to meet company timelines Oversee People Department engagement activities playing both a strategic and execution role Manage content plan and materials for all department meetings and onsites In support of department workforce management: develop and execute comms plans, change management plans, and run-of-show documentation for large or high visibility events (, department transformation, onboarding, departures ) Handle documentation and system actions related to the employee life cycle, including opening new requisitions, terminations, and access shut off. Serve as the point of contact for People-for-People audits: (JP, JD, EE Location, EE Movement, etc) Project Management Lead the annual cross-collaborative department project review Lead and support cross-functional and highly visible projects from initiation through completion (e.g. IRL, M&A diligence and integration support, company-wide change management support, location strategy) Develop project plans, timelines, milestones, and status reports Facilitate project meeting, decision-making, and follow-up actions Compliance with all applicable laws and regulations Other duties as assigned Requirements: 4+ years of experience in operations or project management 3-5 years of experience within a People/HR team Experience coordinating across multiple stakeholders and functions, including senior leaders Proficient in Excel / Sheets and Powerpoint / Slides Experience with Workday Experience working with highly confidential information Strong judgment and pragmatism Travel required? Limited, up to 15% This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.
    $135.8k-178.2k yearly 8d ago
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  • Director, Medical Economics - Corporate

    Oscar 4.6company rating

    Senior operations manager job at Oscar

    Hi, we're Oscar. We're hiring a Director, Medical Economics - Corporate to join our Actuarial. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family. About the role: The Director, Medical Economics - Corporate acts as a specialized internal consultant and narrative architect within the Medical Economics function. Reporting directly to the Senior Director, Medical Economics - Corporate, this leader focuses less on the technical construction of budgets and more on the synthesis, interpretation, and communication of medical cost trends. While the Senior Director serves as the strategic anchor for financial planning, the Director plays an important role in Quarterly Earnings support and Executive Reporting. You will bridge the gap between technical Actuarial teams and Corporate Finance/Investor Relations, translating complex data into the "company story" for the Board of Directors, executive leadership, and external analysts. You will report into the Senior Director, Medical Economics. Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid Pay Transparency: The base pay for this role is: $192,000 - $252,000 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants and annual performance bonuses. Responsibilities: Strategic Narrative & Internal Consulting (35%) Be the primary "translator" of medical economic results for non-technical partners, converting raw actuarial data into cohesive business narratives that explain the "why" behind cost trends. Be the internal consultant to Corporate Finance, providing rapid-response insights on emerging risks and opportunities to support decision-making at the Management Committee level. Partner with Investor Relations to ensure consistency in financial messaging and external guidance. Quarterly Earnings Cycle Management (30%) Lead the development of medical economics content for quarterly earnings, including drafting scripts, preparing Q&A talking points for the C-suite, and synthesizing key performance drivers. Collaborate with analytical leads to distill complex quarterly performance data into clear takeaways for analyst calls. Executive & Board Reporting (25%) Lead the creation and delivery of high-impact presentations for the Board of Directors and Operating Committee, focusing on visualizing data to highlight performance drivers. Design reporting packages that succinctly summarize variance analysis and long-term outlooks, ensuring senior leadership has actionable views on medical expense performance. Forecasting and Team Leadership (10%) Support the Senior Director in the corporate budgeting process by pressure-testing assumptions and validating the narrative understanding of the long-term financial outlook. Mentor analysts in developing "soft skills," specifically regarding business writing, data visualization, and stakeholder influence. Requirements: Bachelor's degree in a STEM field, or 4 years commensurate experience. 8+ years of quantitative analysis in the healthcare industry. 3+ years of collaborating and influencing the Executive Leadership Committee. Proven experience in medical economics, corporate strategy, or a related analytics-driven leadership role. Bonus points: Exceptional business writing and storytelling skills; ability to simplify complex actuarial concepts for executive audiences. Strong familiarity with ACA-specific healthcare dynamics and how they impact external financial reporting. Previous experience in management consulting or internal corporate strategy is highly desired. Fellow of the Society of Actuaries (SOA), or on the track to become one. This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.
    $192k-252k yearly Auto-Apply 14d ago
  • VP, Total Rewards, HRIS & Operations Leader

    Blue Cross and Blue Shield of Massachusetts Inc. 4.3company rating

    Boston, MA jobs

    A leading health insurance organization in Boston is seeking a Vice President of Total Rewards, HRIS, and HR Operations. This strategic role involves designing and running comprehensive total rewards strategies to attract and retain talent. Candidates should have significant experience in total rewards and HR operations, portfolio management of compensation and benefits, and leadership in HR systems. Strong analytical skills and experience in the health insurance industry are preferred. The position comes with competitive benefits and a salary range of $316,080 to $386,320. #J-18808-Ljbffr
    $316.1k-386.3k yearly 4d ago
  • Senior Care Manager (RN)

    Centene Corporation 4.5company rating

    Springfield, IL jobs

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **THIS IS A HYBRID POSITION, WILL BE BASED OUT OF MOUNT SINAI HOSPITAL ON THE WEST SIDE OF CHICAGO TO SUPPORT MEDICARE AND MEDICAID ADMITTED MEMBERS WORKING WITH HOSPITAL STAFF TO FACILITATE DISCHARGE COORDINATION/PLANNING.** **THE WORK SCHEDULE IS MONDAY - FRIDAY 8AM - 5PM WORKING FROM THE HOSPITAL BASED ON MEMBER CENSUS 3 - 4 DAYS A WEEK AND WORK FROM HOME 1 - 2 DAYS A WEEK.** **IDEAL APPLICANTS WILL RESIDE WITHIN NO MORE THAN A 30 MINUTE COMMUTE FROM THIS HOSPITAL LOCATION; ZIP CODE 60608.** **Position Purpose:** Assesses, plans, and implements complex care management activities based on member activities to enable quality, cost-effective healthcare outcomes. Develops a personalized care plan / service plan for care members, addresses issues, and educates members and their families/care givers on services and benefit options available to receive appropriate high-quality care. + Develops and continuously assesses ongoing care plans / service plans and collaborates with providers to identify providers, specialist, and/or community resources needed to address member's unmet needs + Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services + Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs + May identify problems/barriers for care management and appropriate care management interventions for escalated cases + Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations + Reviews referrals information and intake assessments to develop appropriate care plans/service plans + May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources + Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed + Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators + Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits + Partners with leadership team to improve and enhance care and quality delivery for members in a cost-effective manner + May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness + Provides guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice + Engages and assists New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success + Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness + Other duties or responsibilities as assigned by people leader to meet business needs + Performs other duties as assigned + Complies with all policies and standards **Education/Experience:** Requires a Degree from an Accredited School or Nursing or a Bachelor's degree in Nursing and 4 - 6 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required Pay Range: $73,800.00 - $132,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $73.8k-132.7k yearly 3d ago
  • Vice President of Operations

    Austin Allen Company, LLC 4.5company rating

    Sacramento, CA jobs

    Vice President of Operations with up to 75% Travel We are seeking a dynamic Vice President of Operations to lead and deliver world-class performance across a large-scale, multi-site manufacturing network. This role oversees plants nationally and plays a critical part in shaping operational excellence and driving continuous improvement. Why Join Us? · Competitive compensation package with performance-based bonus. · Opportunity to lead a large-scale operation and make a significant impact. · Clear path for significant upward mobility career advancement to the next executive level. · If you are a results-driven leader with a passion for operational excellence and the ability to thrive in a fast-paced, complex environment, we want to hear from you! · Apply today and help us deliver best-in-class manufacturing performance. As the VP of Operations, your key responsibilities will be: · Oversee end-to-end manufacturing operations for multiple food manufacturing facilities. · Drive operational excellence in quality, engineering, and production while ensuring compliance with safety and environmental standards. · Implement strategic initiatives to optimize performance, reduce costs, and enhance efficiency across multiple sites. · Lead change management, continuous improvement, and talent development to build a high-performing teams for each organization. · Collaborate cross-functionally to align operations with business objectives and customer demands. Minimum requirements for this Vice President of Operations position: · Food manufacturing required; spray drying experience is a must. Dairy experience is a plus but not mandatory. · Proven success in multi-site operations management and executive leadership. · Bachelor's degree strongly preferred; equivalent experience considered for exceptional candidates. · Strategic thinker with strong operational, quality, and engineering expertise; ability to navigate organizational dynamics and influence at all levels. · Travel: Willingness to travel extensively up to 75%.
    $148k-203k yearly est. 9d ago
  • Business Operations and Project Manager

    Allied World Insurance 4.5company rating

    New York, NY jobs

    Business Operations and Project Manager, North American Underwriting Group Join a team focused on business growth through support of Underwriters. Business Operations identifies and delivers on opportunities for continuous improvement. Key focus areas of this role: Supporting Allied World's Global Placement team to ensure they are equipped to support underwriters to win multinational insurance program business Designing and overseeing processes to manage producer data and ensure underwriters can efficiently do business with their broker partners Understanding and driving delivery of data insights to underwriters Key responsibilities: Understand Underwriter and Global Placement team opportunities and challenges for growth within focus areas Understand and document business requirements, and work with offshore and onshore Operations, IT and other support centers to deliver support in focus areas Work with offshore Operations to manage and enhance their delivery of operational support Identify and deliver on opportunities for continuous process improvement Compensation The below annualized base pay range is a broad range based on analysis of similar positions in the market. The actual base pay for the position may be above or below he listed range and determined by a number of considerations, including but now limited to complexity, location, and scope of the role, along with experience, skills, education, training, and other conditions of employment. Base salary represents one compensation of Allied World comprehensive total reward package, which may also include annual incentive compensation rewards. $95,000 - $115,000 Skills and experience: 5 years of experience in the insurance industry. Experience in driving delivery of process improvement and change projects, working with IT and cross-functional teams. Experience in delivery of data and analytics to business users. Excellent organizational skills to ensure timely delivery. Ability to understand, document and communicate requirements to turn opportunities for improvement into solutions. Strong, demonstrated influencing skills, written & verbal communication. Able and willing to identify and propose new approaches and ideas for improvement. About Fairfax Fairfax is a holding company which, through its subsidiaries, is engaged in property and casualty insurance and reinsurance and investment management. About Allied World Allied World Assurance Company Holdings, Ltd, through its subsidiaries, is a global provider of insurance and reinsurance solutions. We operate under the brand Allied World and have supported clients, cedents and trading partners with thoughtful service and meaningful coverages since 2001. We are a subsidiary of Fairfax Financial Holdings Limited, and we benefit from a worldwide network of affiliated entities that allow us to think and respond in non-traditional ways. Our capital base is strong, our solutions anticipate rather than react to changing trends, and our teams are focused on establishing long-term relationships that are mutually beneficial. Learn more about how we can help you manage your risk by visiting: Web: ************ | Facebook: **************************** | LinkedIn: ********************************************* Our generous benefits package includes: Health and Dental Insurance, 401k plan, and Group Term Life Insurance. Allied World Insurance Company is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will be considered for employment without regard to an individual's race, color, national origin, religion or belief, sex, age, genetic information, marital or civil partnership status, family status, sexual orientation, gender identity, or their protected veteran or disability status. Please visit ************ for further information on Allied World.
    $95k-115k yearly 3d ago
  • Actuarial Director or Manager (REMOTE OR MA)

    Hanover Insurance Company 4.9company rating

    Worcester, MA jobs

    Posted Thursday, September 25, 2025 at 4:00 AM For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we CARE through our values, Sustainability initiatives and inclusive corporate culture. Our Personal Lines Actuarial department is seeking an Actuarial Director or Manager (or similar) for our Profitability Analytics (REPLAY) team to join our growing team in Worcester, MA Corporate Headquarters, or remote work location. Open to various levels POSITION SUMMARY: The Profitability (REPLAY) Team Director role is responsible for managing a team of actuaries focused on profitability oversight through loss and premium analytics of the Personal Lines of business, as well as being expected to complete their own hands-on assignments. The Personal Lines portfolio is over $2 billion of premium across 20 states for Auto, Home, and Other Personal Lines requiring an innovative, analytical, and business-oriented actuarial approach. This role will have countrywide loss and premium analysis responsibilities including rate indications, loss and premium trends, projecting IBNR and loss development, and forecasting top and bottom-line plans. Additionally, this role partners with other actuarial functions in communicating profitability insights to key business partners (Executive Leadership, Finance, State Pricing, State Management, Reserving) in order to influence Personal Lines strategic direction. This is a Full-time, Exempt role. IN THIS ROLE, YOU WILL: Manage and lead a team of actuarial analysts, ensuring technical execution of deliverables alongside personal growth of entire team Forecast and monitor frequency and severity projections combining internal data, industry data, and macro-economic benchmarks Use technical actuarial pricing methods to develop and communicate semi-annual rate indications including premium trend assumption updates Project ultimate loss results for usage in Personal Lines Pricing decision including tracking of IBNR development against actual emergence Effectively communicate technical analysis to business partners and executive leadership Collaborate with business partners including Actuarial State Pricing team in strategy and profitability analyses Build efficiencies and improvements into existing processes May lead or participate in community training activity WHAT YOU NEED TO APPLY: Bachelor's Degree or higher in a relevant technical field Seven+ years of technical experience in multiple LOB and/or actuarial disciplines such as pricing, reserving or advanced analytics Experience with predictive modeling preferred Minimum of 2 years in management capacity ACAS required, FCAS preferred Advanced communication skills Advanced skills using Microsoft Office, including Excel Intermediate programming skills, including the ability to develop and automate processes Demonstrated knowledge of all techniques used to model various assumptions Able to apply and interpret company policies and procedures Able to direct activities of others, motivate and develop staff Project organization and time management skills to balance conflicting priorities Growth Mindset - Embraces a creative approach and a changing environment. Seeks to improve processes, constantly seek to learn, apply new techniques, challenge others and themselves to find a better way Relationship Building - Understands the importance of developing and maintaining cooperative relationships with others at all levels of the organization by making others feel their concerns and contributions are important. Builds positive relationships with others to accomplish organizational goals. Results Orientation - Excited by challenging goals and a desire to exceed standards of excellence. Exceeding the standard can include challenging personal goals, organization's standards, or current industry standards. Talent Management - Proactively fosters building, mobilizing and evaluating the organizations' human assets. Establishes performance goals and measures in order to accomplish organizational goals. Business Enterprise Knowledge - Understands how one's own function adds value to the organization and to customers. Makes decisions and recommendations clearly linked to the organization's strategy and financial goals, reflecting an awareness of external dynamics. Demonstrates awareness by providing clear explanations for actions taken relative to customer requirements, needs, and industry trends. Strategic Thinking - Examines issues and plans with a long-term perspective. Able to critically evaluate external and internal factors. Change Management - Designs and transforms an organization based on assumptions of human capability and resiliency. Understands the basic human patterns that operate during change, and effectively focuses the organization's capability on an effective transformation. Focuses and energizes a group to accomplish change together and holds them accountable to common goals. Decisiveness - Makes decisions by quickly assessing the scope of an issue and providing options leading to its closure. CAREER DEVELOPMENT: It's not just a job, it's a career, and we are here to support you every step of the way. We want you to be successful and fulfilled. Through on-the-job experiences, personalized coaching and our robust learning and development programs, we encourage you - at every level - to grow and develop. BENEFITS: We offer comprehensive benefits to help you be healthy, build financial security, and balance work and home life. At The Hanover, you'll enjoy what you do and have the support you need to succeed. Benefits include: Medical, dental, vision, life, and disability insurance 401K with a company match PTO Cultural Awareness Day in support of IDE On-site medical/wellness center (Worcester only) The Hanover values diversity in the workplace and among our customers. The company provides equal opportunity for employment and promotion to all qualified employees and applicants on the basis of experience, training, education, and ability to do the available work without regard to race, religion, color, age, sex/gender, sexual orientation, national origin, gender identity, disability, marital status, veteran status, genetic information, ancestry or any other status protected by law. As an equal opportunity employer, Hanover does not discriminate against qualified individuals with disabilities. Individuals with disabilities who wish to request a reasonable accommodation to participate in the job application or interview process, or to perform essential job functions, should contact us at: ********************** and include the link of the job posting in which you are interested. Privacy Policy: To view our privacy policy and online privacy statement, click here. Applicants who are California residents: To see the types of information we may collect from applicants and employees and how we use it, please click here. Compensation: The target hiring range for this role may vary based on geographic location and other factors, including merit or performance, demonstrated proficiency, skills for the role, education, travel requirements, and experience. Additional compensation may include an annual bonus (which could take the form of a general bonus, sales incentive, or short-term incentive), long-term incentive or spot recognition awards. The posted range reflects our ability to hire at different position titles and levels depending on background and experience. #J-18808-Ljbffr
    $139k-191k yearly est. 4d ago
  • Senior Care Manager (RN)

    Centene Corporation 4.5company rating

    New York, NY jobs

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Assesses, plans, and implements complex care management activities based on member activities to enable quality, cost-effective healthcare outcomes. Develops a personalized care plan / service plan for care members, addresses issues, and educates members and their families/care givers on services and benefit options available to receive appropriate high-quality care. + Develops and continuously assesses ongoing care plans / service plans and collaborates with providers to identify providers, specialist, and/or community resources needed to address member's unmet needs + Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services + Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs + May identify problems/barriers for care management and appropriate care management interventions for escalated cases + Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations + Reviews referrals information and intake assessments to develop appropriate care plans/service plans + May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources + Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed + Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators + Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits + Partners with leadership team to improve and enhance care and quality delivery for members in a cost-effective manner + May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness + Provides guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice + Engages and assists New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success + Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness + Other duties or responsibilities as assigned by people leader to meet business needs + Performs other duties as assigned + Complies with all policies and standards **Education/Experience:** Requires a Degree from an Accredited School or Nursing or a Bachelor's degree in Nursing and 4 - 6 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required Pay Range: $75,300.00 - $135,400.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $75.3k-135.4k yearly 3d ago
  • Director of Automation & Operational Excellence (Remote)

    Unitedhealth Group 4.6company rating

    Wausau, WI jobs

    A leading healthcare company is seeking a Director - Automations & Efficiencies to lead innovative projects aimed at enhancing operational effectiveness. This role involves overseeing automation initiatives in a healthcare environment, managing strategic partnerships, and improving processes through advanced technologies. The ideal candidate has significant experience in healthcare payer operations, RPA technologies, and cross-functional leadership. This position offers flexibility to work remotely from anywhere within the U.S. #J-18808-Ljbffr
    $97k-116k yearly est. 4d ago
  • Payroll Division Manager

    Acrisure, LLC 4.4company rating

    Miami, FL jobs

    **Job Summary** Leader responsible for market penetration through targeted Payroll campaigns that deliver incremental revenue from new and/or existing clients. As a Payroll Division Manager (PDM), you will report to a regional Vice President (VP). PDM's must manage and achieve their Division's productive sales goal on a monthly basis while managing and leading a team of Payroll Territory Managers (PTM) and Senior Product Advisors (SPAs), which are responsible for the direct sell of Auris's payroll solutions as well as related products offered in a specified region or major geographical area. Your role as a PDM is to recruit and interview PTM and SPA candidates, deploy divisional communication, manage SPA/PTM activity, develop PTMs, build PTM business plans, maintain and manage relationships with partners including Payments Dealers, and business networking groups as well as Outside Sales POS/Payments team while monitoring and adhering to corporate sales policies. Suggested change...Develop, manage, and enhance partnerships across internal teams and external organizations, fostering collaboration and adherence to corporate sales policies and objectives. **Responsibilities** Continuously build and develop knowledge of current product/service portfolio as well as changes and developments within the financial technology industry, to remain up-to-date.Responsible for achieving minimum production requirements, including Install Margin Goal % Additional responsibilities may be assigned as needed**Minimum Qualifications** Exceptional written and verbal communication skills, including effective speaking before groups Ability to manage multiple tasks simultaneously to maintain consistent sales results each month Strong interpersonal skills Ability to take charge and complete objectives Strong industry knowledge, as well as working knowledge of the sales process Ability to develop innovative approaches to problem solving Ability to work independently while upholding organizational culture Ability to be in the field, a minimum of 50% of the time **Preferred Qualifications** Bachelor's Degree or a combination of formal training and/or relevant work experience At least 3-5 years of outside sales and sales management experience**Competencies** **Compensation (pay transparency) and Benefits** It's W2! Medical, Dental, Life, & Disability benefits to keep you healthy and happy. not messing around with compensation. A first-year professional may expect an average of * **Physical Wellness:** Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.* **Mental Wellness:** Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.* **Financial Wellness:** Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.* **Family Care:** Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.* **… and so much more!** #J-18808-Ljbffr
    $54k-96k yearly est. 3d ago
  • Operations Manager, Construction

    AXA Sa 4.9company rating

    Chicago, IL jobs

    Are you a strategic leader with a passion for operational excellence and team development? As the Operations Manager for our Construction and Energy division, you will play a pivotal role in driving performance, ensuring regulatory compliance, and fostering a collaborative culture. You will lead a high-performing team to meet and exceed service delivery, timeliness, productivity, and quality benchmarks. What you'll be doing What will your essential responsibilities include? Conducts employee performance reviews, provides guidance on compensation decisions, and offers coaching and support to team members performance evaluations; recommends salary adjustments; coaches and mentor's staff. Establishes unit and individual goals in concert with the Head of UW Operations. Ensures compliance with predetermined workflows and procedures. Oversees task execution to ensure alignment with established service standards. Monitors and evaluates operational reports to ensure accuracy and efficiency, taking proactive steps to address discrepancies in areas such as data quality, reinsurance, and workflow status. Reports on team progress and performance metrics to support strategic decision-making by management. Drives team success through hands-on leadership in staffing, performance reviews, professional growth, and operational scheduling. Fosters collaboration and partnership by maintaining open lines of communication with underwriting teams, and all other internal/external stakeholders. You will report to the Head of Underwriting Operations - Property, Multinational, Construction & Energy What you'll bring We're looking for someone who has these abilities and skills: Required Skills and Abilities: We're looking for someone who has these abilities and skills: College degree or equivalent experience with advanced insurance study preferred. Extensive insurance, leadership, and people development experience Familiar with insurance operating systems used to rate, code, track or issue insurance policies. Experienced in using Microsoft Office tools to support daily operations and documentation. Knowledge of commercial P&C insurance products and tools such as ISO, NCCI, Regulatory and other informational web sites used in the industry. Advanced knowledge of commercial P&C insurance policy forms and regulatory requirements including Insurance rating and coding's. Self-motivated professional with exceptional organizational, analytical, and critical thinking skills; thrives with minimal supervision. Who we are AXA XL, the P&C and specialty risk division of AXA, is known for solving complex risks. For mid-sized companies, multinationals and even some inspirational individuals we don't just provide re/insurance, we reinvent it. How? By combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business − property, casualty, professional, financial lines and specialty. With an innovative and flexible approach to risk solutions, we partner with those who move the world forward. Learn more at axaxl.com What we offer Inclusion AXA XL is committed to equal employment opportunity and will consider applicants regardless of gender, sexual orientation, age, ethnicity and origins, marital status, religion, disability, or any other protected characteristic. At AXA XL, we know that an inclusive culture and enables business growth and is critical to our success. That's why we have made a strategic commitment to attract, develop, advance and retain the most inclusive workforce possible, and create a culture where everyone can bring their full selves to work and reach their highest potential. It's about helping one another - and our business - to move forward and succeed. Five Business Resource Groups focused on gender, LGBTQ+, ethnicity and origins, disability and inclusion with 20 Chapters around the globe. Robust support for Flexible Working Arrangements Enhanced family-friendly leave benefits Named to the Diversity Best Practices Index Signatory to the UK Women in Finance Charter Learn more at Inclusion & Diversity at AXA XL | AXA XL. AXA XL is an Equal Opportunity Employer. Total Rewards AXA XL's Reward program is designed to take care of what matters most to you, covering the full picture of your health, wellbeing, lifestyle and financial security. It provides competitive compensation and personalized, inclusive benefits that evolve as you do. We're committed to rewarding your contribution for the long term, so you can be your best self today and look forward to the future with confidence. Sustainability At AXA XL, Sustainability is integral to our business strategy. In an ever-changing world, AXA XL protects what matters most for our clients and communities. We know that sustainability is at the root of a more resilient future. Our 2023-26 Sustainability strategy, called "Roots of resilience", focuses on protecting natural ecosystems, addressing climate change, and embedding sustainable practices across our operations. Our Pillars: Valuing nature: How we impact nature affects how nature impacts us. Resilient ecosystems - the foundation of a sustainable planet and society - are essential to our future. We're committed to protecting and restoring nature - from mangrove forests to the bees in our backyard - by increasing biodiversity awareness and inspiring clients and colleagues to put nature at the heart of their plans. Addressing climate change: The effects of a changing climate are far-reaching and significant. Unpredictable weather, increasing temperatures, and rising sea levels cause both social inequalities and environmental disruption. We're building a net zero strategy, developing insurance products and services, and mobilizing to advance thought leadership and investment in societal-led solutions. Integrating ESG: All companies have a role to play in building a more resilient future. Incorporating ESG considerations into our internal processes and practices builds resilience from the roots of our business. We're training our colleagues, engaging our external partners, and evolving our sustainability governance and reporting. AXA Hearts in Action: We have established volunteering and charitable giving programs to help colleagues support causes that matter most to them, known as AXA XL's "Hearts in Action" programs. These include our Matching Gifts program, Volunteering Leave, and our annual volunteering day - the Global Day of Giving. For more information, please see Sustainability at AXA XL. The U.S. base salary range for this position is USD 104,000 - 182,000. Actual pay will be determined based upon the individual's skills, experience and location. We strive for market alignment and internal equity with our colleagues' pay. At AXA XL, we know how important physical, mental, and financial health are to our employees, which is why we are proud to offer benefits such as a competitive retirement savings plan, health and wellness programs, and many other benefits. We also believe in fostering our colleagues' development and offer a wide range of learning opportunities for colleagues to hone their professional skills and to position themselves for the next step of their careers. For more details about AXA XL's benefits offerings, please visit US Benefits at a Glance 2025.
    $70k-113k yearly est. 3d ago
  • Manager, Voice Services

    Capital Bluecross 4.4company rating

    Harrisburg, PA jobs

    And Qualifications Strategy & Product Ownership: Define and track improvements to customer experience and KPIs and publish transparent reporting/dashboard for stakeholders. Partner with business stakeholders to align strategies and priorities and del Manager, Leadership, Product Owner, Customer Experience, Technical, Operations, Insurance, Business Services
    $54k-76k yearly est. 3d ago
  • Operational Program Director / 245D Designated Manager * Up to $5000 sign on bonus *

    Dungarvin, Inc. 4.2company rating

    Oakdale, MN jobs

    A Little About Us At Dungarvin, we are more than a national provider of support services-we are a mission-driven organization rooted in respect, inclusion, and person-centered care. Since 1976, we have been committed to enhancing the quality of life for individuals with intellectual and developmental disabilities, including those with mental health, behavioral, and complex medical needs. Dungarvin's mission is simple yet powerful: respecting and responding to the choices of people in need of supports. This mission guides everything we do-from the way we build individualized service plans to how we engage with families, teams, and communities. We believe each person deserves to direct their own life, and we work to ensure their voices are heard and honored. Operating across fifteen states, our team members-from direct support professionals to administrative staff-share a common purpose: to empower people with disabilities to live meaningful lives, on their own terms. Through Medicaid and Community Support Waivers, we deliver flexible, high-quality services tailored to each individual's goals, values, and aspirations. Join our Dungarvin family and help us make a lasting impact-one person, one voice, one choice at a time. Embrace the opportunity to positively impact someone's life! Join our team as an Operational Program Director will manage programs in the Washington/Ramsey County, MN area at Dungarvin! * Starting Salary $65,000.00 - $66,787.50 annually *Listed salary range is based on experience level and may vary depending on an individuals skills and qualifications. * $5,000.00 retention bonus * Medical, Vision and Dental Insurance for eligible employees * Supplemental Insurance * Flex Spending and HSA Accounts for eligible employees. * Pet Insurance * Life Insurance * 401K with up to 3% employer matching after one year with eligibility requirements * Paid Time Off * PTO Donation * Growth and Development Opportunities * Employee Referral Program * Scheduled pay increases * Employee Assistance Program * Dedicated training department with paid training Note: Current employees of Dungarvin are not eligible for the sign-on bonus associated with this position. Job Description The Operational Program Director (OPD) will be responsible for leadership and coordination of the overall programs which work with persons with ID, DD, Mental Health Diagnosis, medical needs and/or persons on the Autism Spectrum. This position is a mixture of both direct care and supervisory duties. Hours: Full-time organizational position (may be part-time within any given home). The OPD's schedule must be flexible to accommodate various program, individual, and staff needs. The OPD is on-call at all times; unless prior arrangements have been made for someone of comparable authority to receive emergency calls. OPD's are expected to ensure all direct service shifts in their programs are filled by staff who have met Dungarvin conditions of employment and have been adequately oriented and trained to perform their jobs. Occasionally, OPD's will find it necessary to work direct service shifts, but such work should normally not exceed 16 hours per week. If an OPD finds it is necessary to work more than 16 hours of direct service in any work week, he/she must notify his/her supervisor in advance, in accordance with Dungarvin Policy A-02: WAGE AND SALARY DETERMINATION. If notification cannot be made in advance, the OPD is expected to notify his/her supervisor as soon as possible. If schedule adjustment is necessary, arrangements should be made with the director. Qualifications What Makes You A Great Fit: * Bachelor's degree in behavioral science or related field is preferred. Candidates need to be a Designated Manager status per 245D licensing requirements in MN. ************************************************* * Three years' experience supervising staff in the human service field per requirements from 245D Designated Manager qualifications. * Valid United States Driver's License with acceptable motor vehicle background check per Dungarvin, Inc's policy. * Valid liability vehicle insurance with reliable transportation. * Must be able to complete personal cares and be able to lift and transfer. * Be able to transport persons served in the community. * Must demonstrate good decision-making, time management and communication skills, and be responsible and flexible. * Must be at least 18 years of age, some programs require at least 21 years of age per MN requirements for children foster care licensed programs. 1/19 #DMNFLMJ Additional Information At Dungarvin, diversity and inclusion are a part of what makes our organization strong. Together, we can continue to work towards an inclusive culture that supports our employees and persons served. Dungarvin is an affirmative action and equal opportunity employer. All your information will be kept confidential according to EEO guidelines.
    $65k-66.8k yearly 4d ago
  • Operational Program Director / 245D Designated Manager * Up to $5000 sign on bonus *

    Dungarvin 4.2company rating

    Oakdale, MN jobs

    A Little About Us At Dungarvin, we are more than a national provider of support services-we are a mission-driven organization rooted in respect, inclusion, and person-centered care. Since 1976, we have been committed to enhancing the quality of life for individuals with intellectual and developmental disabilities, including those with mental health, behavioral, and complex medical needs. Dungarvin's mission is simple yet powerful: respecting and responding to the choices of people in need of supports. This mission guides everything we do-from the way we build individualized service plans to how we engage with families, teams, and communities. We believe each person deserves to direct their own life, and we work to ensure their voices are heard and honored. Operating across fifteen states, our team members-from direct support professionals to administrative staff-share a common purpose: to empower people with disabilities to live meaningful lives, on their own terms. Through Medicaid and Community Support Waivers, we deliver flexible, high-quality services tailored to each individual's goals, values, and aspirations. Join our Dungarvin family and help us make a lasting impact-one person, one voice, one choice at a time. Embrace the opportunity to positively impact someone's life! Join our team as an Operational Program Director will manage programs in the Washington/Ramsey County, MN area at Dungarvin! · Starting Salary $65,000.00 - $66,787.50 annually *Listed salary range is based on experience level and may vary depending on an individuals skills and qualifications. · $5,000.00 retention bonus · Medical, Vision and Dental Insurance for eligible employees · Supplemental Insurance · Flex Spending and HSA Accounts for eligible employees. · Pet Insurance · Life Insurance · 401K with up to 3% employer matching after one year with eligibility requirements · Paid Time Off · PTO Donation · Growth and Development Opportunities · Employee Referral Program · Scheduled pay increases · Employee Assistance Program · Dedicated training department with paid training Note: Current employees of Dungarvin are not eligible for the sign-on bonus associated with this position. Job Description The Operational Program Director (OPD) will be responsible for leadership and coordination of the overall programs which work with persons with ID, DD, Mental Health Diagnosis, medical needs and/or persons on the Autism Spectrum. This position is a mixture of both direct care and supervisory duties. Hours: Full-time organizational position (may be part-time within any given home). The OPD's schedule must be flexible to accommodate various program, individual, and staff needs. The OPD is on-call at all times; unless prior arrangements have been made for someone of comparable authority to receive emergency calls. OPD's are expected to ensure all direct service shifts in their programs are filled by staff who have met Dungarvin conditions of employment and have been adequately oriented and trained to perform their jobs. Occasionally, OPD's will find it necessary to work direct service shifts, but such work should normally not exceed 16 hours per week. If an OPD finds it is necessary to work more than 16 hours of direct service in any work week, he/she must notify his/her supervisor in advance, in accordance with Dungarvin Policy A-02: WAGE AND SALARY DETERMINATION. If notification cannot be made in advance, the OPD is expected to notify his/her supervisor as soon as possible. If schedule adjustment is necessary, arrangements should be made with the director. Qualifications What Makes You A Great Fit: · Bachelor's degree in behavioral science or related field is preferred. Candidates need to be a Designated Manager status per 245D licensing requirements in MN. ************************************************* · Three years' experience supervising staff in the human service field per requirements from 245D Designated Manager qualifications. · Valid United States Driver's License with acceptable motor vehicle background check per Dungarvin, Inc's policy. · Valid liability vehicle insurance with reliable transportation. · Must be able to complete personal cares and be able to lift and transfer. · Be able to transport persons served in the community. · Must demonstrate good decision-making, time management and communication skills, and be responsible and flexible. · Must be at least 18 years of age, some programs require at least 21 years of age per MN requirements for children foster care licensed programs. 1/19 #DMNFLMJ Additional Information At Dungarvin, diversity and inclusion are a part of what makes our organization strong. Together, we can continue to work towards an inclusive culture that supports our employees and persons served. Dungarvin is an affirmative action and equal opportunity employer. All your information will be kept confidential according to EEO guidelines.
    $65k-66.8k yearly 3d ago
  • Operational Program Director / 245D Designated Manager * Up to $5000 sign on bonus *

    Dungarvin, Inc. 4.2company rating

    Saint Paul, MN jobs

    A Little About Us At Dungarvin, we are more than a national provider of support services-we are a mission-driven organization rooted in respect, inclusion, and person-centered care. Since 1976, we have been committed to enhancing the quality of life for individuals with intellectual and developmental disabilities, including those with mental health, behavioral, and complex medical needs. Dungarvin's mission is simple yet powerful: respecting and responding to the choices of people in need of supports. This mission guides everything we do-from the way we build individualized service plans to how we engage with families, teams, and communities. We believe each person deserves to direct their own life, and we work to ensure their voices are heard and honored. Operating across fifteen states, our team members-from direct support professionals to administrative staff-share a common purpose: to empower people with disabilities to live meaningful lives, on their own terms. Through Medicaid and Community Support Waivers, we deliver flexible, high-quality services tailored to each individual's goals, values, and aspirations. Join our Dungarvin family and help us make a lasting impact-one person, one voice, one choice at a time. Embrace the opportunity to positively impact someone's life! Join our team as an Operational Program Director will manage programs in the Washington/Ramsey County, MN area at Dungarvin! * Starting Salary $65,000.00 - $66,787.50 annually *Listed salary range is based on experience level and may vary depending on an individuals skills and qualifications. * $5,000.00 retention bonus * Medical, Vision and Dental Insurance for eligible employees * Supplemental Insurance * Flex Spending and HSA Accounts for eligible employees. * Pet Insurance * Life Insurance * 401K with up to 3% employer matching after one year with eligibility requirements * Paid Time Off * PTO Donation * Growth and Development Opportunities * Employee Referral Program * Scheduled pay increases * Employee Assistance Program * Dedicated training department with paid training Note: Current employees of Dungarvin are not eligible for the sign-on bonus associated with this position. Job Description The Operational Program Director (OPD) will be responsible for leadership and coordination of the overall programs which work with persons with ID, DD, Mental Health Diagnosis, medical needs and/or persons on the Autism Spectrum. This position is a mixture of both direct care and supervisory duties. Hours: Full-time organizational position (may be part-time within any given home). The OPD's schedule must be flexible to accommodate various program, individual, and staff needs. The OPD is on-call at all times; unless prior arrangements have been made for someone of comparable authority to receive emergency calls. OPD's are expected to ensure all direct service shifts in their programs are filled by staff who have met Dungarvin conditions of employment and have been adequately oriented and trained to perform their jobs. Occasionally, OPD's will find it necessary to work direct service shifts, but such work should normally not exceed 16 hours per week. If an OPD finds it is necessary to work more than 16 hours of direct service in any work week, he/she must notify his/her supervisor in advance, in accordance with Dungarvin Policy A-02: WAGE AND SALARY DETERMINATION. If notification cannot be made in advance, the OPD is expected to notify his/her supervisor as soon as possible. If schedule adjustment is necessary, arrangements should be made with the director. Qualifications What Makes You A Great Fit: * Bachelor's degree in behavioral science or related field is preferred. Candidates need to be a Designated Manager status per 245D licensing requirements in MN. ************************************************* * Three years' experience supervising staff in the human service field per requirements from 245D Designated Manager qualifications. * Valid United States Driver's License with acceptable motor vehicle background check per Dungarvin, Inc's policy. * Valid liability vehicle insurance with reliable transportation. * Must be able to complete personal cares and be able to lift and transfer. * Be able to transport persons served in the community. * Must demonstrate good decision-making, time management and communication skills, and be responsible and flexible. * Must be at least 18 years of age, some programs require at least 21 years of age per MN requirements for children foster care licensed programs. 1/19 #DMNFLMJ Additional Information At Dungarvin, diversity and inclusion are a part of what makes our organization strong. Together, we can continue to work towards an inclusive culture that supports our employees and persons served. Dungarvin is an affirmative action and equal opportunity employer. All your information will be kept confidential according to EEO guidelines.
    $65k-66.8k yearly 4d ago
  • Operational Program Director / 245D Designated Manager * Up to $5000 sign on bonus *

    Dungarvin, Inc. 4.2company rating

    Mankato, MN jobs

    A Little About Us At Dungarvin, we are more than a national provider of support services-we are a mission-driven organization rooted in respect, inclusion, and person-centered care. Since 1976, we have been committed to enhancing the quality of life for individuals with intellectual and developmental disabilities, including those with mental health, behavioral, and complex medical needs. Dungarvin's mission is simple yet powerful: respecting and responding to the choices of people in need of supports. This mission guides everything we do-from the way we build individualized service plans to how we engage with families, teams, and communities. We believe each person deserves to direct their own life, and we work to ensure their voices are heard and honored. Operating across fifteen states, our team members-from direct support professionals to administrative staff-share a common purpose: to empower people with disabilities to live meaningful lives, on their own terms. Through Medicaid and Community Support Waivers, we deliver flexible, high-quality services tailored to each individual's goals, values, and aspirations. Join our Dungarvin family and help us make a lasting impact-one person, one voice, one choice at a time. Embrace the opportunity to positively impact someone's life! Join our team as an Operational Program Director will manage programs in the Washington/Ramsey County, MN area at Dungarvin! * Starting Salary $65,000.00 - $66,787.50 annually *Listed salary range is based on experience level and may vary depending on an individuals skills and qualifications. * $5,000.00 retention bonus * Medical, Vision and Dental Insurance for eligible employees * Supplemental Insurance * Flex Spending and HSA Accounts for eligible employees. * Pet Insurance * Life Insurance * 401K with up to 3% employer matching after one year with eligibility requirements * Paid Time Off * PTO Donation * Growth and Development Opportunities * Employee Referral Program * Scheduled pay increases * Employee Assistance Program * Dedicated training department with paid training Note: Current employees of Dungarvin are not eligible for the sign-on bonus associated with this position. Job Description The Operational Program Director (OPD) will be responsible for leadership and coordination of the overall programs which work with persons with ID, DD, Mental Health Diagnosis, medical needs and/or persons on the Autism Spectrum. This position is a mixture of both direct care and supervisory duties. Hours: Full-time organizational position (may be part-time within any given home). The OPD's schedule must be flexible to accommodate various program, individual, and staff needs. The OPD is on-call at all times; unless prior arrangements have been made for someone of comparable authority to receive emergency calls. OPD's are expected to ensure all direct service shifts in their programs are filled by staff who have met Dungarvin conditions of employment and have been adequately oriented and trained to perform their jobs. Occasionally, OPD's will find it necessary to work direct service shifts, but such work should normally not exceed 16 hours per week. If an OPD finds it is necessary to work more than 16 hours of direct service in any work week, he/she must notify his/her supervisor in advance, in accordance with Dungarvin Policy A-02: WAGE AND SALARY DETERMINATION. If notification cannot be made in advance, the OPD is expected to notify his/her supervisor as soon as possible. If schedule adjustment is necessary, arrangements should be made with the director. Qualifications What Makes You A Great Fit: * Bachelor's degree in behavioral science or related field is preferred. Candidates need to be a Designated Manager status per 245D licensing requirements in MN. ************************************************* * Three years' experience supervising staff in the human service field per requirements from 245D Designated Manager qualifications. * Valid United States Driver's License with acceptable motor vehicle background check per Dungarvin, Inc's policy. * Valid liability vehicle insurance with reliable transportation. * Must be able to complete personal cares and be able to lift and transfer. * Be able to transport persons served in the community. * Must demonstrate good decision-making, time management and communication skills, and be responsible and flexible. * Must be at least 18 years of age, some programs require at least 21 years of age per MN requirements for children foster care licensed programs. 1/19 #DMNFLMJ Additional Information At Dungarvin, diversity and inclusion are a part of what makes our organization strong. Together, we can continue to work towards an inclusive culture that supports our employees and persons served. Dungarvin is an affirmative action and equal opportunity employer. All your information will be kept confidential according to EEO guidelines.
    $65k-66.8k yearly 4d ago
  • Operational Program Director / 245D Designated Manager * Up to $5000 sign on bonus *

    Dungarvin 4.2company rating

    Mankato, MN jobs

    A Little About Us At Dungarvin, we are more than a national provider of support services-we are a mission-driven organization rooted in respect, inclusion, and person-centered care. Since 1976, we have been committed to enhancing the quality of life for individuals with intellectual and developmental disabilities, including those with mental health, behavioral, and complex medical needs. Dungarvin's mission is simple yet powerful: respecting and responding to the choices of people in need of supports. This mission guides everything we do-from the way we build individualized service plans to how we engage with families, teams, and communities. We believe each person deserves to direct their own life, and we work to ensure their voices are heard and honored. Operating across fifteen states, our team members-from direct support professionals to administrative staff-share a common purpose: to empower people with disabilities to live meaningful lives, on their own terms. Through Medicaid and Community Support Waivers, we deliver flexible, high-quality services tailored to each individual's goals, values, and aspirations. Join our Dungarvin family and help us make a lasting impact-one person, one voice, one choice at a time. Embrace the opportunity to positively impact someone's life! Join our team as an Operational Program Director will manage programs in the Washington/Ramsey County, MN area at Dungarvin! · Starting Salary $65,000.00 - $66,787.50 annually *Listed salary range is based on experience level and may vary depending on an individuals skills and qualifications. · $5,000.00 retention bonus · Medical, Vision and Dental Insurance for eligible employees · Supplemental Insurance · Flex Spending and HSA Accounts for eligible employees. · Pet Insurance · Life Insurance · 401K with up to 3% employer matching after one year with eligibility requirements · Paid Time Off · PTO Donation · Growth and Development Opportunities · Employee Referral Program · Scheduled pay increases · Employee Assistance Program · Dedicated training department with paid training Note: Current employees of Dungarvin are not eligible for the sign-on bonus associated with this position. Job Description The Operational Program Director (OPD) will be responsible for leadership and coordination of the overall programs which work with persons with ID, DD, Mental Health Diagnosis, medical needs and/or persons on the Autism Spectrum. This position is a mixture of both direct care and supervisory duties. Hours: Full-time organizational position (may be part-time within any given home). The OPD's schedule must be flexible to accommodate various program, individual, and staff needs. The OPD is on-call at all times; unless prior arrangements have been made for someone of comparable authority to receive emergency calls. OPD's are expected to ensure all direct service shifts in their programs are filled by staff who have met Dungarvin conditions of employment and have been adequately oriented and trained to perform their jobs. Occasionally, OPD's will find it necessary to work direct service shifts, but such work should normally not exceed 16 hours per week. If an OPD finds it is necessary to work more than 16 hours of direct service in any work week, he/she must notify his/her supervisor in advance, in accordance with Dungarvin Policy A-02: WAGE AND SALARY DETERMINATION. If notification cannot be made in advance, the OPD is expected to notify his/her supervisor as soon as possible. If schedule adjustment is necessary, arrangements should be made with the director. Qualifications What Makes You A Great Fit: · Bachelor's degree in behavioral science or related field is preferred. Candidates need to be a Designated Manager status per 245D licensing requirements in MN. ************************************************* · Three years' experience supervising staff in the human service field per requirements from 245D Designated Manager qualifications. · Valid United States Driver's License with acceptable motor vehicle background check per Dungarvin, Inc's policy. · Valid liability vehicle insurance with reliable transportation. · Must be able to complete personal cares and be able to lift and transfer. · Be able to transport persons served in the community. · Must demonstrate good decision-making, time management and communication skills, and be responsible and flexible. · Must be at least 18 years of age, some programs require at least 21 years of age per MN requirements for children foster care licensed programs. 1/19 #DMNFLMJ Additional Information At Dungarvin, diversity and inclusion are a part of what makes our organization strong. Together, we can continue to work towards an inclusive culture that supports our employees and persons served. Dungarvin is an affirmative action and equal opportunity employer. All your information will be kept confidential according to EEO guidelines.
    $65k-66.8k yearly 3d ago
  • Vice President of Operations

    Custom Print Graphics 3.2company rating

    Niles, IL jobs

    Job DescriptionBenefits: Bonus based on performance The Vice President of Operations (VPO) will lead and oversee all day-to-day production, fulfillment, and operational functions across our screen printing and embroidery divisions. This executive will be responsible for ensuring operational excellence, profitability, quality, and efficiency across all facilities. The VPO will work closely with ownership to execute strategic growth initiatives, optimize workflow systems, and scale production capabilities while maintaining our commitment to craftsmanship, speed, and quality. Key Responsibilities Operational Leadership Oversee all production departments including Screen Printing, Embroidery, Heat Press, Finishing, Shipping, and Receiving. Establish and enforce KPIs for production efficiency, order turnaround time, cost control, and quality metrics. Lead weekly production and operations meetings with department heads to monitor performance, solve bottlenecks, and align goals. Develop and implement scalable SOPs (Standard Operating Procedures) for all stages of production and fulfillment. Ensure facility organization, safety compliance, and preventive maintenance schedules for all equipment. Strategic & Financial Oversight Collaborate with ownership to plan annual budgets, staffing, and capital expenditures. Identify operational inefficiencies and implement systems to reduce waste, overtime, and rework. Monitor production costs and margins by department; drive profitability through better planning and labor utilization. Partner with finance to forecast material usage, labor cost, and production overhead. Team Leadership & Development Recruit, train, and mentor production managers and supervisors to build a high-performing leadership bench. Promote a positive and accountable culture centered on teamwork, precision, and pride in workmanship. Conduct regular performance reviews, establish clear goals, and provide coaching for continuous improvement. Systems & Technology Lead the implementation and optimization of shop management software (e.g., Printavo, ShopWorks, DecoNetwork). Improve data tracking, production scheduling, and order accuracy through technology and automation. Collaborate with IT and design departments to streamline art approval, job ticketing, and production workflows. Quality, Customer Experience & Fulfillment Maintain the highest standards of product quality across all decoration methods. Work cross-functionally with the sales, art, and customer service teams to ensure on-time, accurate, and high-quality order delivery. Oversee all outbound logistics, shipping partners, and post-production inspection processes. Growth & Expansion Evaluate production capacity for new revenue streams such as DTF, sublimation, or promotional product integration. Contribute to facility layout planning and potential multi-location expansion. Support acquisitions and onboarding of new production teams or businesses into the operational framework. Qualifications 5+ years of experience in screen printing, embroidery, or apparel manufacturing operations, with 5+ years in a senior leadership role. Proven success leading multi-department production teams in a fast-paced, high-volume environment. Deep technical understanding of screen printing, embroidery, heat transfer, and finishing processes. Strong financial acumen with the ability to manage budgets, track KPIs, and optimize margins. Experience implementing ERP/MIS systems (Printavo, ShopWorks, etc.) and operational dashboards. Exceptional leadership, communication, and organizational skills. Lean manufacturing or Six Sigma experience is a plus. Performance Metrics Production throughput and on-time delivery rate Quality assurance metrics and rework percentage Labor and overhead cost efficiency Employee retention and training compliance Achievement of budgeted gross profit targets Compensation Competitive base salary Annual performance-based bonus Health, dental, and vision benefits Paid vacation and holidays Leadership equity potential after tenure
    $152k-236k yearly est. 15d ago
  • Director, Operations

    Gold Coast Health Plan 4.1company rating

    Camarillo, CA jobs

    is intended to start January 2026. The pay range above represents the minimum and maximum rate for this position in California. Factors that may be used to determine where newly hired employees will be placed in the pay range include the employee specific skills and qualifications, relevant years of experience and comparison to other employees already in this role. Most often, a newly hired employee will be placed below the midpoint of the range. Salary range will vary for remote positions outside of California and future increases will be based on the pay band for the city and state you reside in. Work Culture: GCHP strives to create an inclusive, highly collaborative work culture where our people are empowered to grow and thrive. This philosophy enables us to create the health plan of the future and do our best work - Together. GCHP promotes a flexible work environment. Employees may work from a home location or in the GCHP office for all or part of their regular workweek (see disclaimer). GCHP's focuses on 5 Core Values in the workplace: • Integrity • Accountability • Collaboration • Trust • Respect Disclaimers: • Flexible work schedule is based on job duties, department, organization, or business need. • Gold Coast Health Plan will not sponsor applicants for work visas. POSITION SUMMARY The Director, Operations, in collaboration with the Chief Operating Officer and colleagues, is responsible for the strategic direction and management of daily operations for Oversight, PDRs, Payment Integrity (PI), Joint Operations Meetings (JOMs), JQRs, Regulatory Reporting, and the management of various outsourced services, including but not limited to, mail room processing and recoveries. The successful candidate will assist in implementing the organization's strategic goals, by directing the implementation of new programs and systems, developing, and maintaining policies and procedures and ensuring regulatory/contractual compliance. This position plays a key leadership role, interacting with all levels of Gold Coast Health Plan (GCHP) staff and external stakeholders, including the Ventura County Medi-Cal Managed Care Commission, executive staff, members, providers, network management, legal counsel, State and Federal representatives and representatives of other agencies. Distinguishing Characteristics: Responsible for overall policy development, program planning, fiscal management, administration, and operation of assigned Plan functions, programs, and activities. The Director of Operations is responsible for accomplishing goals and objectives and for ensuring that the area served is provided with desired and mandated services in an efficient and effective manner. Amount of Travel Required: 30% Work Schedule: Work protracted and irregular hours and evening meetings or work unusual hours for meeting attendance or participation in specific projects or programs. Reasonable Accommodations Statement To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions. ESSENTIAL FUNCTIONS Job Function & Responsibilities • Responsible for strategic direction and daily management of key operations areas - Vendor Management, Encounter Processing, Recoveries, Payment integrity, and ensures the development and management of performance measurement, management controls, critical success factors and key performance indicators. • Vendor Management is a key responsibility of this position. The candidate will be expected to become familiar with all aspects of the outsourcing contracts and manage the GCHP vendor partners ensuring that all operational functions are managed in accordance with contract terms, regulatory requirements, and industry standards. • Establish and ensure adherence to Medi-Cal, Medicare, DSNP and GCHP policies and procedures for all functional areas of responsibility. • Work with the Executive Leader to develop plans for systems and staffing to meet current and future programs, requirements, and initiatives. • Reviews plans and budgets of assigned departments monthly and as part of the annual planning process. • Facilitate data-driven decision making across operational areas that leads to meaningful actions. • Implement new initiatives and resolve problems that cross multiple departments by forming ad-hoc workgroups and assessing intangible variables, automated processes, manual workflows, and impact to providers and members. • Work closely with staff, vendors, and peers to set goals, clearly define operations, and develop appropriate performance standards, metrics and reporting tools. • Oversee the integration of operational departments to maximize the effective use of all resources towards meeting established goals, compliance and quality requirements, and policies and procedures. • Develops and maintains policies and procedures to meet goals and ensure regulatory/contractual compliance; collaborates in managing regulatory audits and inquiries. • Serves as the agency authority on Operations Oversight, Operational Analytics and/or Joint Operating Meetings • Develop and direct supervisory development and training, including continuous improvement of knowledge and skill levels of all assigned staff • Collaborate with internal and external customers and stakeholders to resolve issues and enhance relationships. Ensures the organization and its mission, programs, products and services are consistently presented in a strong, positive image. POSITION QUALIFICATIONS SKILLS & ABILITIES Education: • Bachelor's degree (four-year college or technical school) Preferred, Field of Study: Business, Health Care or Public Administration or Equivalent Work Experience • Previous experience dealing with Government programs, both Medicaid and Medicare. Knowledge of Managed Care, particularly Medi-Cal, Medicare and DSNP, is desired: or Work Equivalent Experience: At least 7 (seven) years of experience in Operations Management Computer Skills: Advanced computer skills included in MS Office products. Certifications & Licenses: A valid and current Driver's License, Auto Insurance, and professional licensure(s) Other Requirements: • Business principles and techniques of administration, organization, and management to include an in-depth understanding of the key business issues that exist in the health care industry. • Communicate effectively in writing, orally, and with others to convey information, in a manner consistent with job functions. Competency Statements • Leadership - Ability to influence others to perform their jobs effectively and to be responsible for making decisions. • Management Skills - Ability to organize and direct oneself and effectively supervise others. • Business Acumen - Ability to grasp and understand business concepts and issues. • Decision Making - Ability to make critical decisions while following company procedures. • Presentation Skills - Ability to effectively present information publicly. • Negotiation Skills - Ability to reach outcomes that gain the support and acceptance of all parties. • Diversity Oriented - Ability to work effectively with people regardless of their age, gender, race, ethnicity, religion, or job type.
    $111k-192k yearly est. Auto-Apply 60d+ ago
  • Director, Operations

    Gold Coast Health Plan 4.1company rating

    Camarillo, CA jobs

    is intended to start January 2026. The pay range above represents the minimum and maximum rate for this position in California. Factors that may be used to determine where newly hired employees will be placed in the pay range include the employee specific skills and qualifications, relevant years of experience and comparison to other employees already in this role. Most often, a newly hired employee will be placed below the midpoint of the range. Salary range will vary for remote positions outside of California and future increases will be based on the pay band for the city and state you reside in. Work Culture: GCHP strives to create an inclusive, highly collaborative work culture where our people are empowered to grow and thrive. This philosophy enables us to create the health plan of the future and do our best work - Together. GCHP promotes a flexible work environment. Employees may work from a home location or in the GCHP office for all or part of their regular workweek (see disclaimer). GCHP's focuses on 5 Core Values in the workplace: • Integrity • Accountability • Collaboration • Trust • Respect Disclaimers: • Flexible work schedule is based on job duties, department, organization, or business need. • Gold Coast Health Plan will not sponsor applicants for work visas. POSITION SUMMARY The Director, Operations, in collaboration with the Chief Operating Officer and colleagues, is responsible for the strategic direction and management of daily operations for Oversight, PDRs, Payment Integrity (PI), Joint Operations Meetings (JOMs), JQRs, Regulatory Reporting, and the management of various outsourced services, including but not limited to, mail room processing and recoveries. The successful candidate will assist in implementing the organization's strategic goals, by directing the implementation of new programs and systems, developing, and maintaining policies and procedures and ensuring regulatory/contractual compliance. This position plays a key leadership role, interacting with all levels of Gold Coast Health Plan (GCHP) staff and external stakeholders, including the Ventura County Medi-Cal Managed Care Commission, executive staff, members, providers, network management, legal counsel, State and Federal representatives and representatives of other agencies. Distinguishing Characteristics: Responsible for overall policy development, program planning, fiscal management, administration, and operation of assigned Plan functions, programs, and activities. The Director of Operations is responsible for accomplishing goals and objectives and for ensuring that the area served is provided with desired and mandated services in an efficient and effective manner. Amount of Travel Required: 30% Work Schedule: Work protracted and irregular hours and evening meetings or work unusual hours for meeting attendance or participation in specific projects or programs. Reasonable Accommodations Statement To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions. ESSENTIAL FUNCTIONS Job Function & Responsibilities • Responsible for strategic direction and daily management of key operations areas - Vendor Management, Encounter Processing, Recoveries, Payment integrity, and ensures the development and management of performance measurement, management controls, critical success factors and key performance indicators. • Vendor Management is a key responsibility of this position. The candidate will be expected to become familiar with all aspects of the outsourcing contracts and manage the GCHP vendor partners ensuring that all operational functions are managed in accordance with contract terms, regulatory requirements, and industry standards. • Establish and ensure adherence to Medi-Cal, Medicare, DSNP and GCHP policies and procedures for all functional areas of responsibility. • Work with the Executive Leader to develop plans for systems and staffing to meet current and future programs, requirements, and initiatives. • Reviews plans and budgets of assigned departments monthly and as part of the annual planning process. • Facilitate data-driven decision making across operational areas that leads to meaningful actions. • Implement new initiatives and resolve problems that cross multiple departments by forming ad-hoc workgroups and assessing intangible variables, automated processes, manual workflows, and impact to providers and members. • Work closely with staff, vendors, and peers to set goals, clearly define operations, and develop appropriate performance standards, metrics and reporting tools. • Oversee the integration of operational departments to maximize the effective use of all resources towards meeting established goals, compliance and quality requirements, and policies and procedures. • Develops and maintains policies and procedures to meet goals and ensure regulatory/contractual compliance; collaborates in managing regulatory audits and inquiries. • Serves as the agency authority on Operations Oversight, Operational Analytics and/or Joint Operating Meetings • Develop and direct supervisory development and training, including continuous improvement of knowledge and skill levels of all assigned staff • Collaborate with internal and external customers and stakeholders to resolve issues and enhance relationships. Ensures the organization and its mission, programs, products and services are consistently presented in a strong, positive image. POSITION QUALIFICATIONS SKILLS & ABILITIES Education: • Bachelor's degree (four-year college or technical school) Preferred, Field of Study: Business, Health Care or Public Administration or Equivalent Work Experience • Previous experience dealing with Government programs, both Medicaid and Medicare. Knowledge of Managed Care, particularly Medi-Cal, Medicare and DSNP, is desired: or Work Equivalent Experience: At least 7 (seven) years of experience in Operations Management Computer Skills: Advanced computer skills included in MS Office products. Certifications & Licenses: A valid and current Driver's License, Auto Insurance, and professional licensure(s) Other Requirements: • Business principles and techniques of administration, organization, and management to include an in-depth understanding of the key business issues that exist in the health care industry. • Communicate effectively in writing, orally, and with others to convey information, in a manner consistent with job functions. Competency Statements • Leadership - Ability to influence others to perform their jobs effectively and to be responsible for making decisions. • Management Skills - Ability to organize and direct oneself and effectively supervise others. • Business Acumen - Ability to grasp and understand business concepts and issues. • Decision Making - Ability to make critical decisions while following company procedures. • Presentation Skills - Ability to effectively present information publicly. • Negotiation Skills - Ability to reach outcomes that gain the support and acceptance of all parties. • Diversity Oriented - Ability to work effectively with people regardless of their age, gender, race, ethnicity, religion, or job type.
    $111k-192k yearly est. Auto-Apply 60d+ ago

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