Manager Ops Mandates

About the role

Manages the team responsible for the filing of insurance products for Dearborn Group Companies, ensuring implementation of new rules/laws and managing the production of account-specific documents. Serves as Co-Chair for the Enterprise Accountability and Compliance Team (Enact).

• Manages the team responsible for Department of Insurance complaints, consumer grievances and appeals, correspondence, and related records.
• Manages the team responsible for Dearborn Life Insurance Company insurance license and Dental Network of America (DNOA) TPA licensure and certification filings.
• Oversees the team responsible for complying with HCSC privacy policies and procedures for the functions delegated to DNOA.
• Responsible for the investigation and documentation of privacy incidents related to Dearborn Group and Dentemax, and carrying out remediation plans and related education on behalf of the Divisional Privacy Officers.
• Participates in management/officer teams on product development, marketing, corporate strategy, and corporate compliance.
• Provides leadership and management for the department staff.

This is a flex role and will not honor telecommute/remote work.

Requirements

• Bachelor’s degree and 5 years of healthcare, managed care, health insurance, business operations, or consulting experience OR 9 years of healthcare, managed care, health insurance, business operations, or consulting experience.
• Experience leading and delivering high-profile projects and initiatives within a highly matrixed organization.
• 4+ years of experience engaging with business leadership in a consultative role.
• 1 year of management/leadership experience.
• Knowledge of, and experience with, healthcare, managed care, or health insurance operations and IT systems.
• Experience developing business cases.
• Experience with leading cross-functional projects/project teams.
• Excellent organizational skills, detail-oriented, strong analytical skills, and interpersonal skills.
• Experience managing multiple complex assignments and projects concurrently.
• Strong executive presence, ability to influence others, and drive results.
• Strong executive presentation skills.

Preferred Qualifications

• Master’s degree or other advanced degree.
• Project management or process certifications.
• Experience working with compliance, oversight, audit, government relations, and legal areas.
• Experience engaging with federal and/or state regulators.
• Basic knowledge of the federal and state legislative and regulatory process.
• Basic knowledge of the Affordable Care Act.
• Familiarity with HCSC systems, processes, and operations.

Pay

$102,000.00 - $184,300.00. Exact compensation may vary based on skills, experience, and location.

Benefits

Comprehensive benefits package available. For more details, visit HCSC Total Rewards.