Director of Operations - Anansys Staffing LLC
Oak Brook, IL
About the Job
Responsible for:
- LMA (Lead, Manage and support a culture of Accountability) using the EOS model.
- Developing, mentoring, and evaluating Operations staff including, but not limited to, annual reviews and Quarterly Conversations
- Oversight and accountability of the entire Operations team which includes:
- Member Advocacy (Customer Service)
- Claims Acquisition
- Claims Prep
- PPO Liaison
- Provider Maintenance
- Mail Room
- Enrollment
- Claims
- Claims Processing
- Training/Auditing
- Excess stop loss claims
- Plan Loading
- Medical Management navigation between Company and UR Vendors
- Reporting department activity to Leadership team and COO/Integrator on a weekly basis
- Working with Leadership team to stay in front of governmental compliance issues and their implementation on behalf of clients.
- Coordinating resources and setting accountability within the department to accommodate the constantly changing environment.
- Applying observations and feedback to continually improve company's operation
- Team building
- All other duties as assigned.
- 5+ years managing, supervising, coaching, and directing a similar service based or claims operation.
- 3+ years managing Third Party Administration Claims processing.
- Stoploss experience or knowledge a strong plus.
- Javelina claims system experience or knowledge a strong plus.
- Senior level organizational, analytical and accountability skills are necessary.
- Effective verbal and written communications skills necessary to lead and grow all team members while supporting our clients and brokers needs.
- Demonstrated ability to get results through team members and management.
- Adaptability to new concepts and systems
- Problem solver and critical thinker
- Open minded and desire to learn, grow and receive feedback in a welcoming way.
- Must be able to represent company's Core Values and business procedures to vendors, brokers, and clients.
- This position may require you to be in the office up to two days a month for meetings, training, etc.
- The person in this position frequently communicates with co-workers, subordinates, customers and vendors via phone and email.
Source : Anansys Staffing LLC